NHS Library and Information Service North Staffordshire

Health Inequalities Bulletin

Issue no. 39 June - July 2013
About this Bulletin: 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, NHS and Public Health staff in Stoke and North Staffordshire can contact the Health Library for a copy. Link to request form: http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/interlibraryloans/#d.en.27437 [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 is given on the first page. Please suggest others that may be useful. Feedback is welcomed to inform future issues of the bulletin.

Contact information
Bulletin produced by NHS Outreach Librarians Tel: 01782 679564 or 0300 123 1535 ext/FeatureNet 8429 E-mail: clareh.powell@northstaffs.nhs.uk Health Library Tel: 01782 679500 E-mail: health.library@keele.ac.uk

Topics reviewed in this issue: Health Inequalities Bulletin ..................1 Children and Young People ....................2 Disability .................................................2 Ethnicity ..................................................3 Environment............................................4 Gender ....................................................4 Housing and Homelessness ................... 4 Inequalities.............................................. 5 Mental Health.......................................... 5 Multiple Inequalities ................................ 6 Older people ........................................... 6 Sexual Orientation .................................. 7

-1-

NHS Library and Information Service North Staffordshire

Sources checked for this bulletin Please suggest further sites that should be monitored in the production of this bulletin CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/ - DARE (Database of Abstracts of Reviews of Effects) - NHS Economic Evaluation Database Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/ Department of Health http://www.gov.uk/dh Department of Health bulletins http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/ Social Care Institute for Excellence http://www.scie.org.uk/ Inside Government local government alerts https://www.gov.uk/government/email-signup Joseph Rowntree Foundation http://www.jrf.org.uk/ Kings Fund http://www.kingsfund.org.uk/ Better Health http://www.better-health.org.uk/ NICE http://www.nice.org.uk SIGN http://www.sign.ac.uk/new.html Children and Young People Bright futures: local children, local approaches Local Government Association This publication outlines case studies showing how councils up and down the country are using children's centres to help deliver early intervention through integrated health provision. http://www.local.gov.uk/web/guest/publications//journal_content/56/10171/4026929/PUBLICATION-TEMPLATE
Items in the Mental Health section may be of interest Back to topics

Disability Assistive technology annual report Department of Health The Annual report- 'Research and development work relating to assistive technology 201213' describes the wide range of government funded projects supporting the development, introduction and evaluation of assistive technology that might increase the range of activities and independence or wellbeing of disabled and older people. https://www.gov.uk/government/publications/assistive-technology-for-disabled-and-olderpeople-research-and-development-work Fulfilling potential: working together to empower disabled people Office for Disability Issues (ODI) This report emphasises the need for innovative cross sector partnerships with disabled people and their organisations, and the promotion of new ways of working to deliver meaningful outcomes. It is supplemented by an action plan and framework, which provides a basis for the government to measure progress. http://odi.dwp.gov.uk/docs/fulfilling-potential/making-it-happen.pdf

-2-

NHS Library and Information Service North Staffordshire

Getting on? Growing older with autism The National Austistic Society This report sets out some of the key issues facing older people with autism and what government and other bodies need to do to make sure they have the services and support they need. http://www.autism.org.uk/gettingon Obesity and disability: adults Public Health England (PHE) This paper examines the evidence linking obesity and disability among adults and looks in detail at the most prevalent disabling conditions in the UK as reported by the Department for Work and Pensions: arthritis, back pain, mental health disorders and learning disabilities. It also explores inequalities in relation to obesity and disability and highlights implications for health and social care. http://www.noo.org.uk/NOO_pub/briefing_papers Report on Learning Disabilities PHE Public Health England has published its first annual report on the situation of people with learning disabilities in England and the services and support they receive. http://www.pcc-cic.org.uk/article/public-health-england-reports-learning-disabilities Six Lives: Progress Report on Healthcare for People with Learning Disabilities Department of Health This progress report finds that whilst some improvements have been made, people with learning disabilities are still experiencing poor care, and face unacceptable inequalities in health and social care. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/212292/Six_ lives_2nd_Progress_Report_on_Healthcare_for_People_with_Learning_Disabilities__full_report.pdf Ethnicity NICE Guidance on Body Mass Index MI and waist circumference - black, Asian and minority ethnic groups (PH46) NICE This guidance supports previously published NICE recommendations on diabetes prevention and extends them to black African and African-Caribbean groups. It also highlights recommendations from NICE and other sources in relation to awareness raising, BMI measurement and thresholds that can be used as a trigger for intervening. http://guidance.nice.org.uk/PH46 Engaging with BME communities: insights for impact NHS Confederation This report highlights ways in which providers and commissioners have developed innovative solutions and approaches to better cater for and engage with BME communities. http://www.nhsconfed.org/Publications/Documents/Engaging-BME-communities-insightsfor-impact.pdf Migrant Access to the NHS Department of Health

-3-

NHS Library and Information Service North Staffordshire

The Consultation: 'Sustaining Services, ensuring fairness: A consultation on migrant access and financial contribution to NHS provision in England' has been launched. This seeks views on the Governments proposal to make changes to ensure that migrants contribute towards the cost of their healthcare. https://www.gov.uk/government/consultations/migrants-and-overseas-visitors-use-of-thenhs Discrimination by appointment: how black and minority ethnic applicants are disadvantaged in NHS recruitment Race Quality Foundation This publication reports the results of research which looked a cross-section of 30 NHS trusts and found that black and minority ethnic applicants are less likely to be appointed than white applicants. http://www.publicworld.org/files/Discrimination_by_appointment.pdf Environment Who's who in the regions? Regional Voices The regional VCS network organisations have each developed a "who's who" guide to support voluntary and community sector organisations make contact with people in the new health and care structures in each region, including clinical commissioning groups, health and wellbeing boards, local Healthwatch organisations, and commissioning support units. http://www.regionalvoices.org/whoswho Gender Violence against women World Health Organisation This report represents the first systematic study of global data on the prevalence of violence against women - both by partners and non-partners. Some 35% of all women will experience either intimate partner or non-partner violence. The study finds that intimate partner violence is the most common type of violence against women, affecting 30% of women worldwide. The study highlights the need for all sectors to engage in eliminating tolerance for violence against women and better support for women who experience it. http://www.who.int/reproductivehealth/publications/violence/9789241564625/en/index.html Housing and Homelessness Health and homelessness: understanding the costs and role of primary care services for homeless people St Mungos This report argues that better knowledge about how homeless people use primary healthcare services is needed to ensure they receive the best treatment possible and valuable NHS resources are used to best effect. http://www.mungos.org/documents/4153/4153.pdf
Back to topics

-4-

NHS Library and Information Service North Staffordshire

Inequalities Longer Lives Interactive Map PHE This interactive map shows how local areas perform on early deaths from the major four killers, like heart disease and cancer, and how this varies across the country. http://longerlives.phe.org.uk/ Physical activity promotion in socially disadvantaged groups: principles for action World Health Organisation Scientific evidence shows that physical inactivity is a leading risk factor for ill health, and that these groups tend to have low levels of activity. This policy summary and full report on promoting physical activity in socially disadvantaged groups aims to provide principles for targeted intervention. http://www.euro.who.int/__data/assets/pdf_file/0006/193092/PHAN-brochure_ENG.pdf Public Health England (PHE) equality analysis PHE This analysis looks at how equalities considerations have informed the design and transition of PHE and how equalities work can be embedded into the future work of PHE. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/200317/Publ ic_Health_England_equality_analysis.pdf
Back to topics

Mental Health All babies count: spotlight on perinatal mental health OECD This report calls on health ministers to address gaps in mental health services for pregnant women and new mothers. http://www.nspcc.org.uk/Inform/resourcesforprofessionals/underones/spotlight-mentalhealth_wdf96656.pdf A Voice and a choice: a showcase for four years of new ideas and practice Social Spider CIC This report explores the need for new ways of supporting young peoples mental health, as well as what commissioners are looking for in an ideal support service http://www.right-here.org.uk/home/assets/pdf/a-voice-and-a-choice.pdf Recommendations for a new approach to young people's mental health support Mindfull The report, Alone with my thoughts is based on a YouGov survey of over 20 00 young people which found that over half of those who had shown signs of depression as children felt that they had been let down in their experience of mental health support. It calls for early intervention and prevention as well as increased professional support and advice. http://www.mindfull.org/static/mf/pdfs/alone_with_my_thoughts.pdf?245411050713
Back to topics

-5-

NHS Library and Information Service North Staffordshire

Multiple Inequalities Alcohol-related mortality in young women Shipton, D, Whyte, B and Walsh, This research, focusing on young women in a number of deprived UK cities, has found 'worrying trends' in alcohol-related mortality in young women. http://jech.bmj.com/content/early/2013/06/27/jech-2013-202574.full Older people Care home top-up fees: the secret subsidy Independent Age This report argues that some families end up subsidising elderly relatives care home fees because councils do not give them the advice and support theyre legally obliged to provide. http://www.independentage.org/media/567693/Care-Concerns-2013-Prerelease.pdf Commissioning care and support for older people with high support needs Joseph Rowntree Foundation This report provides practical guidance for commissioners of older people's services on the range of models and approaches available for supporting older people with high support needs. http://www.jrf.org.uk/publications/commissioning-care-and-support NICE Clinical Guidelines The Assessment and Prevention of falls in older people (CG161) http://guidance.nice.org.uk/CG161 Domestic Violence Guidance Department of Health This guidance helps health professionals to recognize factors that may indicate domestic violence and abuse and describes steps to ensure appropriate support and referral where necessary it highlights best practice, information and learning resources. https://www.gov.uk/government/publications/guidance-for-health-professionals-ondomestic-violence The Dilnot social care cap: making sure it delivers for older people Age UK This analysis shows that the governments proposed system of a lifetime care costs cap is complex and may prove difficult for many older people and their families to negotiate. It calls for more clarity and information around costs, eligibility and means test thresholds. http://www.ageuk.org.uk/Documents/ENGB/Press%20releases/Implementing%20the%20Dilnot%20social%20care%20cap.pdf?dtr k=true Understanding the oldest old Economic and Social Research Council This report uses new data from UKs largest ever social survey, Understanding Society, to uncover preliminary findings about the oldest old (aged over 85) and their levels of participation, wellbeing and health. http://www.scribd.com/doc/155902890/Understanding-the-Oldest-Old -6-

NHS Library and Information Service North Staffordshire

Items in the Disability section may be of interest Back to topics

Sexual Orientation The lesbian, gay, bisexual and trans (LGB&T) public health outcomes framework companion document Lesbian and Gay Foundation This document has been developed by a group of volunteer experts from across the LGB&T community working with the Department of Health, to increase understanding of LGB&T health and make sure that the public health system tackles inequality related to sexual orientation and gender identity and promotes equality for everybody. http://www.lgf.org.uk/phof

-7-