North East Lincolnshire Council

Public Health Bulletin – 21 to 25 October 2019

Vaping and lung disease in the US: PHE’s advice



Starting and Developing Well


Investigation into pre-school vaccinations

The National Audit Office has published Investigation into pre-school vaccinations.  This investigation sets out the system for providing vaccinations to pre-school children in England.  It is prompted by public concerns about the levels of uptake of pre‑school vaccinations. It sets out: the current levels of vaccination uptake and cases of disease across England; Public Health England and NHS England’s understanding of the problem; and PHE’s and NHS England’s response to the problem.

Additional link: NHS England press release



Living Well


UK drugs policy

The Health and Social Care Select Committee has published Drugs policy.  The Committee recommends a radical change in approach to UK drugs policy, moving from the current criminal justice approach to a health approach, with responsibility for drugs policy moving from the Home Office to the Department of Health and Social Care.  It also encourages the Government to consult on the decriminalisation of drug possession for personal use from a criminal offence to a civil matter.


Alcohol clinical guidelines: development begins

Public Health England has announced it is working to produce the first UK-wide clinical guidelines for alcohol treatment.  The main aim of the guidelines is to develop a clear consensus on good practice and help services to implement interventions for alcohol use disorders that are recommended by NICE.   The project will start next month and the guidelines are expected to  be published by the end of next year.


Antibiotic awareness

Senior NHS and health system leaders have written to colleagues in CCGs and Trusts asking for their help in promoting the annual World Antibiotic Awareness Week (WAAW), taking place 18-22 November 2019.  The letter also reminds colleagues that this year’s WAAW campaign is the first of a new five-year UK National Action Plan for antimicrobial resistance, which contains stretching ambitions for reducing inappropriate prescriptions; as well as controlling and preventing infections.

Additional link: NHS England news release


Grant awarded to improve the health of people sleeping rough

A Rough Sleeping grant of £1.9 million has been awarded to 6 projects involving partnerships between Local Authorities and Clinical Commissioning Groups. These 6 projects will test and evaluate models that improve access to health services for people who have both mental ill health and drug and alcohol dependency needs – who are currently experiencing, or at risk of returning to, rough sleeping. Learnings from these projects will help to inform national policy and local commissioning of health and support services.



Ageing Well


Old age psychiatry

The Royal College of Psychiatrists has published Delivering the NHS Long Term Plan’s ambition of ageing well: old age psychiatry as a vital resource.  This guidance aims to help local areas plan and deliver specialist services, led by old age psychiatrists, to meet the needs of older people.  It includes good practice examples of collaboration and innovations involving old age psychiatrists across different health and social care settings.



Healthy Places


Achieving Behaviour Change: A guide for local government and partners launched

Achieving Behaviour Change: A guide for local government and partners will be published on the PHE website on 1 November. Local government and partners within the NHS, emergency services and third sector often need to achieve changes in the behaviour of those living or working in a local place to meet their goals. For example, improving health, reducing air pollution, and regenerating high streets. The guide will provide a structured approach to achieving behaviour change, based on a framework known as the Behaviour Change Wheel, for anyone working in local government whose remit involves changing behaviour.


Cold Weather Plan for England

As winter approaches, Public Health England would like to draw your attention to the preparedness programme of the Cold Weather Plan for England. The plan aims to raise both professional and public awareness of the health impacts of cold temperatures and is a critical component of emergency planning. It provides advice for professionals, organisations and individuals to enable them to plan for and respond to cold temperatures.


NHS winter pressures campaign gets under way
A campaign is under way to reduce pressure on the NHS over the winter period.

Environmental health inequalities in Europe

The World Health Organisation Regional Office for Europe has published Country profiles on environmental health inequality: a supplement to Environmental health inequalities in Europe. This report is a supplement to the second assessment report on environmental health inequalities (published June 2019) and presents country profiles on environmental health inequalities related to housing conditions, basic services, urban environments and transport, work settings and injuries.

Additional link: WHO press release


Preventing serious violence

Public Health England and the Home Office have published Preventing serious violence: summary.   This is a resource for local partners to help them take a public health approach and work together to prevent serious violence.  It will act as a guide to help local partners look at the specific needs of their populations and work out how to meet them.


Brexit and health care

The NHS Confederation has published the following documents relating to Brexit:

  • The NHS and future free trade agreements – assesses the impact on the NHS of future trade deals after Brexit and argues that the impact of trade deals should be assessed to ensure that commercial advantage is not prioritised at the expense of human and economic health.
  • Brexit temperature check – sets out the views of health leaders at this stage of Brexit planning reveals how prepared their organisations are for a potential no-deal Brexit.

In addition, the Nuffield Trust has published a blog Health and hard Brexit: the impact of the new deal.



NHS Employers has published Collaborating regionally on apprenticeships.  This briefing sets out how regions have worked together to deliver apprenticeships and maximise the apprenticeship levy.  This resource would be useful for STPs or ICS leads interested in what other regions are doing, as well as workforce leaders who are looking to work more collaboratively on apprenticeships.


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