North East Lincolnshire Council

Public Health Bulletin – 16 to 20 September 2019

Please see the latest Smoke free action coalition update:


Following coverage of vaping related illnesses in the US please see the below from Public Health England:
As we approach Stoptober, amidst reports of an outbreak in the US of serious lung disease that reported as linked to vaping, smokers may well be wondering if e-cigarettes are still a good way to quit.

A full investigation is not yet available but indications are that these cases have been linked to people using illicit vaping fluid bought on the streets or homemade, some containing cannabis products like THC or synthetic cannabinoids like Spice, and others Vitamin E acetate oil.

This is not the same as using UK regulated nicotine products. Unlike the US, all e-cigarette products in the UK are tightly regulated for quality and safety by the Medicines and Healthcare products Regulatory Agency and they operate the Yellow Card Scheme, encouraging vapers to report any adverse effects.

Public Health England’s advice remains that vaping carries a small fraction of the risk of smoking. Using a nicotine-containing e-cigarette makes it much more likely someone will quit successfully than relying on willpower alone – three studies this year have found them twice as effective as NRT alone. But it’s important to use UK-regulated e-liquids and never risk vaping home-made or illicit e-liquids or adding substances.
Information for stop smoking services on providing e-cigarette starter packs

This briefing provides a summary of the findings from the Trial of E-Cigarettes (TEC) research project that was carried out in stop smoking services in London, Leicester and East Sussex. The briefing also includes recommendations for stop smoking services on providing starter packs, and questions and answers on some of the key issues.

The link to the briefing is available here

If you have any questions, please contact Dr Katie Myers Smith ( who can answer or direct your queries.


Starting and Developing Well


E-learning: Physical activity / Supporting bereaved parents

Health Education England’s e-Learning for Healthcare has launched the following new e-learning programmes:


Childhood obesity

The Royal Society for Public Health has published Routing out childhood obesity.  This report outlines recommendations for transforming the street environment, particularly around schools, with the ambition that all children should have access to a healthy route home.

Additional link: Blog: What mapping south London streets taught us about child obesity


National Maternity and Perinatal Audit

The Healthcare Quality Improvement Partnership has published National Maternity and Perinatal Audit Clinical Report 2019.  This report presents measures of maternity and perinatal care based on births in English, Welsh and Scottish NHS services between 1 April 2016 and 31 March 2017. The report also provides contextual information describing the characteristics of women and babies cared for by NHS maternity services during this time period.  Additional link: RCOG press release


National Paediatric Diabetes Audit

The Healthcare Quality Improvement Partnership has published two spotlight reports focusing on specific aspects of paediatric diabetes care.  The reports are:

  • The workforce in paediatric diabetes units 2017-18 – provides an analysis of data submitted by all paediatric diabetes teams in England and Wales about staffing resources, practices around transition to adult diabetes services, and access to specialist diabetes advice
  • Diabetes-related technologies 2017-18 – provides evidence of the real improvements in diabetes management offered by use of insulin pumps and continuous glucose monitoring, while demonstrating huge variation in technology-related diabetes outcomes between different clinics.

Support for pupils with special educational needs and disabilities in England
This report assesses how well pupils with special educational needs and disabilities are being supported.

Loneliness and mental health concerns afflict students
A report by student accommodation provider Unite Students and the Higher Education Policy Institute finds that loneliness and mental health are growing issues for students making the transition to university.

Living Well


Hepatitis C

Public Health England has published reports on Hepatitis C in England and the UK which present the latest data on the hepatitis C virus. These reports summarise the scale of the problem, and are intended to support focused action.  They are accompanied by slidesets and infographics.

Additional link: PHE press release


Services and support for people with autism

The National Autistic Society has published The Autism Act, 10 years on: a report from the All Party Parliamentary Group on Autism on understanding, services and support for autistic people and their families in England (pdf).  This report is the result of a wide-ranging inquiry across all the areas the autism strategy covers and the issues that matter most to autistic people and their families.  The Act has led to welcome improvements in some areas of support and there has been an increasing recognition of autism among commissioners and the public. However, there is still considerable unmet need.  Additional link: National Autistic Society Not Enough campaign


Ageing Well


Homes for older people

Homes for Later Living have published Healthier and happier: an analysis of the fiscal and wellbeing benefits of building more homes for later living.  This report explores the wellbeing benefits of living in properties for later living and the significant fiscal savings they can deliver to the NHS and social care system.

Additional link: Housing LIN press release


Actions for adult social care providers to prepare for Brexit
The government has published guidance on Brexit preparations for adult social care providers.

Healthy Places


Health profile for England

Public Health England has published Health profile for England: 2019.  This third annual report combines data and knowledge with information from other sources to give a broad picture of the health of people in England in 2019.  The contents include population, trends in mortality, trends in morbidity and behavioural risk factors, children and young people, inequalities in health, wider determinants of health, and health protection issues.

Additional link: PHE blog


Primary Care Networks and Community Pharmacists

The Royal Pharmaceutical Society, BMA and Royal College of General Practitioners have published Primary Care Networks and Community Pharmacists.  This statement sets out the opportunities for community pharmacists and Primary Care Networks to work together effectively.


Public Health England strategy: 2020-25
Public Health England (PHE) has laid out its plan to protect and improve the public’s health and reduce health inequalities over the next five years.

Stoptober campaign

Public Health England has launched this year’s Stoptober stop smoking campaign.  PHE is encouraging all smokers to join in with the nation’s biggest quit attempt, which begins on 1 October 2019.  The campaign will target all smokers with new creative content highlighting the benefits of ‘breaking up’, urging them to re-evaluate their bad relationship with smoking and ‘split up’.  New data from a national smoking study indicates adult smoking rates fell 2.2% from January to July 2019 – equivalent to 200 fewer smokers every hour.

Additional link: Public Health England press release


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