Friday, 29 September 2017

Promotional material: Abdominal aortic aneurysm screening: easy guide

Healthcare professionals, family and carers can use this leaflet to explain abdominal aortic aneurysm (AAA) screening to people with learning disabilities.

The AAA screening: invitation leaflet is available in Arabic, Bengali, Chinese, English, French, Gujarati, Punjabi, Polish, Portuguese, Spanish and Urdu.



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-easy-guide
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Official Statistics: Cover of vaccination evaluated rapidly (COVER) programme 2017 to 2018: quarterly data

The Cover of Vaccination Evaluated Rapidly programme (COVER) evaluates childhood immunisation in England, collating data for children aged 1, 2 and 5.

Quarterly data tables are provisional and give an indication of current coverage. Data is collected by financial year.

Quarterly data since April 2012

For data since April 2012, see vaccine uptake guidance and the latest coverage data.

Quarterly data before April 2012

For pre-2012 data, see the archived HPA website.

Annual data

Annual data is more complete: use annual data to look at longer term trends.

England

NHS Health and Social Care Information Centre publishes annual data for England:

Scotland, Northern Ireland and Wales

Vaccination coverage data for Scotland, Northern Ireland and Wales:

Enquiries or feedback

For any enquiries or feedback, please contact cover@phe.gov.uk.



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Guidance: People with learning disabilities: health checks audit tool

This audit tool consists of 6 questions and is designed to support practices, primary care liaison staff, health facilitators to improve the uptake and quality of annual health checks, and reduce the health inequalities experienced by people with learning disabilities.



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Thursday, 28 September 2017

Guidance: Cardiovascular disease prevention: action plan

This document aims to:

  • highlight some of PHE’s work to address cardiovascular disease that took place in the 2016 to 2017 financial year
  • provide an overview of PHE’s major initiatives on cardiovascular disease in 2017 to 2018
  • underline PHE’s role in providing leadership and support to the NHS and wider partners

It is intended for those involved in the commissioning and provision of services for cardiovascular disease and its prevention, including:

  • clinicians
  • local authorities
  • service commissioners
  • public health specialists
  • the third sector


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/cardiovascular-disease-prevention-action-plan
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Wednesday, 27 September 2017

Corporate report: PHE Board meeting papers: September 2017

The agenda and papers available for the Public Health England (PHE) Board meeting of 27 September 2017.



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Press release: Highest smoking quit success rates on record

New data published in a University College of London (UCL) report shows quitting success rates at their highest for at least a decade, up to 19.8% for the first 6 months of this year, significantly higher than the average for the last 10 years (15.7%).

Success rates among the less well-off have for years remained consistently low, but in a major turnaround the sharp increase in success rates is being seen entirely among this group. For the first time, smokers in manual occupational groups have virtually the same chances of quitting as those in white collar jobs.

The report coincides with the launch of Stoptober quit smoking challenge, which has inspired over one and a half million quit attempts since 2012. The campaign is based on research that if you stop smoking for 28 days you are 5 times more likely to stop for good.

With Stoptober now in its sixth year, the UCL report gives a number of reasons why there’s never been a better time to quit, including:

  • better and more quitting aid options, with e-cigarettes now the most popular
  • more restrictions on smoking
  • banning the use of attractive brand imagery on tobacco packaging
  • a strong anti-smoking culture in England
  • effective stop smoking campaigns such as Stoptober

E-cigarettes are the most popular quitting method in England and local stop smoking services are the most effective way to give up, with those who combine the two having some of the highest success rates. Last year over half (53%) of all those taking part in Stoptober opted to use an e-cigarette as a quitting aid. This year the campaign will feature e-cigarettes in the TV ad and will do more to encourage and support smokers who are keen to try e-cigarettes to help them stop smoking.

Professor John Newton, Director of Health Improvement at PHE said:

E-cigarettes are now the most popular way to quit in the country with half of all those taking part in Stoptober last year using an e-cigarette. The evidence is clear – vaping is much less harmful than smoking, a fraction of the risk. So if you’ve struggled with quitting before, an e-cigarette may be the best option for you.

Don’t be put off if you’ve already made several attempts. Join in with Stoptober and benefit from free support direct to your phone, laptop or tablet via the Stoptober app, a daily email giving support or Facebook Messenger, free face-to-face support plus a raft of advice and information on the website. Search ‘Stoptober’ online and join the thousands of others who go smokefree once and for all this year.

Professor Gina Radford, Deputy Chief Medical Officer, said:

The battle against smoking is far from over. It is still the country’s biggest killer, causing 79,000 deaths a year. For every death, another 20 smokers are suffering from a smoking-related disease.

Far too many people are still dying as a result of smoking but there has never been a better time to quit. The culture has changed, strong legislation is in place and effective support is available.

It’s never too late to give up. Any smoker, no matter what their age, will feel the health benefits within months. Make the commitment to stop, join Stoptober, and add healthier years to your life.

Robert West, Professor of Health Psychology and Director of Tobacco Studies at University College London, said:

Quitting success rates are higher than ever. I think the advances and wider choice of effective quitting options and a strong anti-smoking culture are fuelling this acceleration.

Thinking about giving up may be daunting, but all the evidence shows there has never been an easier to time to stop. Quitting needn’t be the painful journey it used to be and the support you’ll get from Stoptober will increase your chances of succeeding.

The campaign starts on 1 October 2017. Search ‘Stoptober’ online for all the support you need to quit.

Background

  1. Visit www.nhs.uk/oneyou/stoptober to sign up or find out more on what support is available.

  2. Download Stoptober videos, TV Ad and images of celebrities supporting the campaign.

  3. Read UCLs report: Quit success rates in England 2007 to 2017; Jamie Brown Ph.D. Robert West Ph.D.

  4. In 2016, 15.5% of adults aged 18 and over currently smoke, down from 19.9% in 2010; In 2000, 26.8 of adults aged 16 and over were smokers. Prevalence since 2010 has fallen most in younger age groups. See the smoking prevalence figures.

  5. See PHE’s Tobacco Control Profiles.

  6. The total cost from smoking to society in England is approximately £14.7 billion a year. This includes the cost to the NHS of treating diseases caused by smoking which is approximately £2.5 billion a year. Source: ASH: The Local Cost of Tobacco – ASH Ready Reckoner and Towards a smokefree generation: a tobacco control plan for England.
  7. There were estimated to be around 79,000 deaths attributable to smoking in 2015. This represents 16% of all deaths.
  8. The government’s new Tobacco Control Plan sets a series of challenging ambitions:
    • reduce adult smoking rates from 15.5% to 12% or less
    • reduce the prevalence of 15 year olds who regularly smoke from 8% to 3% or less
    • reduce the prevalence of smoking in pregnancy from 10.7% to 6% or less
  9. PHE exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.

freuds

PHE press office



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Correspondence: Vaccine update: issue 270, September 2017

This edition features:

  • update on World Rabies day on 28 September 2017
  • meet the team: NHS Blood and Transplant and Public Health England Epidemiology Unit
  • update on the Stay Well this Winter flu vaccination campaign
  • update on the Annual flu programme 2017 to 2018
  • update on flu vaccination and social care providers
  • update on the hexavalent vaccine (Infanrix hexa®)
  • vaccine information, availability and eligibility for the flu programme 2017 to 2018
  • vaccine supply for non-routine programmes
  • age eligibility calculator for shingles vaccination 2017 to 2018
  • MMR resources
  • HPV vaccination for girls resources


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/vaccine-update-issue-270-september-2017
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Guidance: Alcohol, drugs and tobacco: commissioning support pack

This commissioning support pack will help local authorities to develop joint strategic needs assessment and local joint health and wellbeing strategies which effectively address public health issues relating to alcohol, drug and tobacco use.

The pack covers 4 topics, which are:

  • planning alcohol harm prevention, treatment and recovery in adults
  • planning drugs prevention, treatment and recovery in adults
  • planning comprehensive interventions for young people
  • planning comprehensive local tobacco control interventions

For each of these topics, there are:

  • a set of good practice principles and indicators to help local areas assess need and plan and commission effective services and interventions
  • bespoke data for each local area to help them commission effective services and interventions

You can download the support pack documents. These data packs are examples without data. PHE centre teams send bespoke data packs directly to local areas, but copies of these will be available from ndtms.net (login required) from November 2017.

Associated tools and documents

PHE has produced 2 tools to support commissioners in commissioning alcohol and drug services. These are:

  • a commissioning tool to help commissioners estimate spend and cost-effectiveness
  • a social return on investment tool which estimates benefits from investing in alcohol and drug services

Both tools are available online by logging into ndtms.net. These tools come with supporting guidance.

A new set of estimates for opiate and crack users in England has been published, for the year 2014 to 2015. The national report is available on the Liverpool John Moores University website. There is also an accompanying set of data for each local authority, which is available on the PHE alcohol and drugs legacy site.

Queries should be sent to evidenceapplicationteam@phe.gov.uk.



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Monday, 25 September 2017

Research and analysis: Psychoactive substances in secure mental health settings

This document reviews the impact of new psychoactive substances (NPS) in secure mental health settings, and makes recommendations for the management of NPS use in these settings.



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/psychoactive-substances-in-secure-mental-health-settings
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Research and analysis: National child measurement programme (NCMP): trends in child BMI

The report explores trends in obesity, overweight, excess weight and underweight prevalence, as well as changes in mean BMI over time. It is aimed at local authorities and other organisations who want to examine detailed trends in child weight category prevalence over time, and how these vary by health inequality.

Trends within different socioeconomic and ethnic groups are examined to determine whether existing health inequalities are widening or becoming smaller.

The report is accompanied by a summary of main findings and a supplementary dataset.



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/national-child-measurement-programme-ncmp-trends-in-child-bmi
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Friday, 22 September 2017

Thursday, 21 September 2017

Guidance: Northumbria Healthcare NHS Foundation Trust: antenatal and newborn screening programmes

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring of data collected by the NHS screening programmes
  • data and reports from external organisations
  • evidence submitted by the provider(s), commissioner and external organisations
  • information collected during pre-review visits to Berwick Community Hospital on 16 January 2017
  • information shared with SQAS North as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/northumbria-healthcare-nhs-foundation-trust-antenatal-and-newborn-screening-programmes
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Guidance: Taunton and Somerset NHS Foundation Trust: cervical screening programmme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring of data collected by the NHS screening programmes
  • data and reports from external organisations
  • evidence submitted by the provider(s), commissioner and external organisations
  • information shared with the South regional SQAS as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/taunton-and-somerset-nhs-foundation-trust-cervical-screening-programmme
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Wednesday, 20 September 2017

Press release: London turns the tide on an 8 year surge of gonorrhoea

A new report released by Public Health England (PHE) shows new cases of gonorrhoea in Londoners dropped by 19% in 2016 compared with figures from the year before.

Gonorrhoea had been increasing year-on-year in the capital since 2009, and this reduction may be an encouraging sign that Londoners are getting tested for STIs more frequently and are practicing safe sex by using condoms.

Overall sexually transmitted infections (STIs) fell by 5% in London last year with decreases seen among most of the 5 major STIs. New cases of genital warts fell by 5% and cases of genital herpes dropped by 2%. But the data also comes with a note of caution as the number of syphilis diagnoses reported rose by 2% in 2016, double the number reported in 2012. Cases of chlamydia meanwhile, the most common STI, increased by 1%.

STIs remain an important public health problem in London, with the capital having the highest rate of new diagnoses in England, 79% higher than any other part of the country. Of the top 20 local authorities in England with the highest rates of new STI diagnoses, 17 were in London.

Overall in 2016, there were 117,600 new STIs diagnosed in London residents compared with more than 123,800 diagnosed in 2015.

Dr Yvonne Doyle, Regional Director for PHE London, said:

London has turned the tide on an 8 year surge of gonorrhoea with overall rates of STIs decreasing.

This encouraging news could show that work to promote frequent testing together with safe sex practices is paying off. This means people are using condoms and are regularly being tested.

However, the data comes with a note of caution. Poor sexual health remains a public health problem in London and STIs are still too high compared to other parts of the country, with rates of syphilis and chlamydia actually increasing.

Tackling poor sexual health remains high on the agenda for PHE London and we will continue to work with our partners to deliver effective public health interventions to improve sexual health outcomes across the capital.

To reduce the number of STIs, it is important that Londoners are familiar with PHE’s recommendations for safe sexual health. These include getting tested every year and when changing sexual partner, as well as getting re-tested after a positive chlamydia diagnosis (within 3 months of the diagnosis).

Lucy Fordham

Background

The annual epidemiological spotlight on sexually transmitted infections in London (2016 data is available online.

You can view local data on sexual health via PHE’s Sexual Reproductive Health Profiles online.

PHE published annual data on STI diagnoses in June 2017 and these are available online.

For safe sex, PHE recommends:

  • prevention should focus on groups at highest risk, including young adults, men who have sex with men (MSM) and black ethnic minorities
  • consistent and correct use of condoms can significantly reduce risk of infection
  • regular testing for HIV and STIs is essential for good sexual health:
  • anyone under 25 who is sexually active should be screened for chlamydia annually, and on change of sexual partner
  • MSM should test annually for HIV and STIs and every 3 months if having condomless sex with new or casual partners

The London HIV Prevention Programme, a London-wide sexual health promotion initiative funded by London local authorities, delivers the ‘Do It London’ sexual health campaigns aimed at promoting safer sex to all residents in the capital including reducing risk of STIs.

The London annual data spotlight report, presenting annual epidemiological data for HIV in London, is available online.

Rates of selected STIs per 100,000 population by London borough of residence: 2016 is available.

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/news/london-turns-the-tide-on-an-8-year-surge-of-gonorrhoea
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Tuesday, 19 September 2017

Guidance: Stop smoking services: models of delivery

This document supports directors of public health and local healthcare commissioners in rapidly appraising the evidence, to enable informed decisions on the provision of local stop smoking support.

This is part of a group of tools provided by Public Health England to help local decision makers in relation to tobacco control. Other products include:



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/stop-smoking-services-models-of-delivery
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Research and analysis: Sexually transmitted infections: London data

This report and accompanying slideset summarises the 2016 data for STIs in London.

STIs remain an important public health problem in London. Men who have sex with men (MSM), young people and black ethnic groups are most at risk.



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/sexually-transmitted-infections-london-data
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Monday, 18 September 2017

Guidance: Health protection in schools and other childcare facilities

This guidance provides advice on:

  • preventing the spread of infections
  • which diseases to vaccinate for
  • how long to keep children away from school
  • managing infectious diseases
  • cleaning the environment


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Friday, 15 September 2017

News story: Hurricane Irma: UK government response in numbers, 15 September 2017

Military

  • RFA Mounts Bay, pre-stationed in the region, provided initial assistance to Anguilla to clear the runway. It then continued to British Virgin Islands to establish security of supplies, and fix basic infrastructure and shelter to people. After travelling to US Virgin Islands to resupply, she returned to Anguilla to deliver reconstruction materials and arrived in the British Virgin Islands on Tuesday with further supplies and delivered humanitarian aid and disaster relief on Wednesday.
  • On Tuesday night, HMS Ocean embarked on the 10-day journey to the Caribbean to provide further support to those affected by the devastation caused by Hurricane Irma. She is carrying 60 pallets of emergency relief stores to assist with the longer term recovery effort, including plywood, timber and construction equipment, as well as 200 pallets of Department for International Development (DFID) aid. This includes 5,000 hygiene kits containing essential items such as soap and a torch, 10,000 buckets and 504,000 aquatabs.

Aircraft

  • Over 200 personnel arrived on Tuesday 12 September, including stabilisation advisers, medical support and military.
  • Over 200 military personnel arrived in Barbados on Wednesday 13 September
  • We have 1 Wildcat Helicopter with Mounts Bay and 2 RAF Puma aircraft currently operating in the region.
  • A third Puma helicopter has arrived in the Caribbean ready to assist in transporting personnel and aid, as well as a Voyager plane which transported 80 personnel from the Lead Commando Group.
  • A C-130J and A400M has been making shuttles from Barbados to required destinations across the region to deliver key support, including British Virgin Islands, Turks and Caicos and Anguilla.
  • One Antonov cargo plane with supplies arrived on Tuesday 12 September.
  • The UK continues to work closely alongside international partners. Following a request for assistance from French President Emmanuel Macron, an RAF C-17 arrived in France to provide heavy-lift support to French aid efforts in the Caribbean. Equipment and vehicles including a tipper truck, digger and a specialist bulldozer were loaded aboard for transportation to Guadeloupe, and the aircraft arrived yesterday

Personnel

  • There are now over 1,100 UK military personnel in the Caribbean region.

Foreign & Commonwealth Office (FCO) staff and consular expertise

  • FCO Rapid Deployment Teams (including Red Cross support) are in the region in 8 locations (British Virgin Islands, Anguilla, Turks and Caicos Islands, Curacao, Puerto Rico, St Maarten, Guadalupe, Barbados).
  • Consular staff have been deployed to Curacao and Guadeloupe to help British nationals evacuated there and we now have a Rapid Deployment Team in Sint Maarten to provide further assistance.
  • Consular teams in Cuba and the US are working closely with tour operators and local authorities to ensure British nationals are getting the support they need.
  • The dedicated crisis hotline has so far taken almost 2,700 calls.
  • Public Health England is sending 3 specialist staff to work with the Chief Medical Officers of the territories to help assess the risks to public health from the damaged infrastructure and disruption to health and social services.
  • Lord Ahmad, Minister for the Caribbean, Overseas Territories and the Commonwealth, arrived in the Turks and Caicos Islands on Thursday 14 September. He met the Governor, Premier, and Deputy Premier.
  • On Thursday 14 September the Foreign Secretary hosted discussions with the US Secretary of State Rex Tillerson and the French Deputy Foreign Minister Jean-Baptiste Lemoyne on the response to Hurricane Irma.
  • The Foreign and Development Secretaries will be leading an event at the United Nations General Assembly (UNGA) on Monday to discuss the impact of Hurricane Irma on the Caribbean, the response, and to discuss present and future support.
  • Throughout we are working closely with the governments in the Overseas Territories, who are leading most areas of restoration. We are working closely with commercial partners in seeking local and regional solutions.

Police

  • Over 60 UK police deployed to the region, in addition to 16 Caymanian police and 6 Bermudian Police

Aid

  • £32 million already announced for disaster relief with a further £25million committed.
    • The government has made £2.5 million available to the Pan American Health Organisation to ensure critical health services are provided in the region, and to reduce the risk of disease spreading. This is part of the initial £32 million pledged.
  • UK government will aid match public donations to the Red Cross appeal up to £3 million, and so far the British public have helped raise £1.3million, with the UK government matching the £650,000 of private donations.
  • DFID Field Teams have been sent to British Virgin Islands, Anguilla, Turks and Caicos, Antigua, Barbados and the Dominican Republic.
  • Over 60 metric tonnes of DFID aid has now arrived and is being distributed across the region, including nearly 3,000 shelter kits, which can provide shelter for over 13,000 people and 4,990 solar lanterns (which can provide light and power for over 20,000 people), and over 8,000 buckets.
  • HMS Ocean has been loaded with 5,000 hygiene kits, 10,000 buckets and 500,000 Aquatabs, all UK aid funded.
  • 9 tonnes of food and water procured locally on Monday 11 September for onward delivery. Thousands more shelter kits and buckets are on the way from UK shortly.
  • The UK has helped to distribute water bottles to 700 of the most vulnerable households affected by Hurricane Irma on the British Virgin Islands.
  • The UK government is being supported by companies in the private sector, including:
    • Thomson and Thomas Cook who have delivered over 8,000 buckets on commercial flights
    • Virgin, who offered free transport to dispatch relief items including nearly 2,000 shelter kits, to Antigua on Tuesday.

Assisted departure

  • The UK is working hard to provide support in every way it can. We are now making urgent arrangements to help the most vulnerable people affected in this crisis to leave the islands of British Virgin Islands, Turks and Caicos Islands, Anguilla and St Martin as soon as possible. FCO staff both in London and in the region are working with the governments of the territories and putting every effort into identifying and locating vulnerable people, both British and foreign nationals.
  • We have arranged military-assisted departures for a number of eligible persons from the British Virgin Islands and are planning military-assisted departures for further vulnerable eligible persons in the other affected Overseas Territories.
  • Military flights will then transfer these people to Barbados from where they will be able to access urgent medical treatment, if needed, and make arrangements for onward travel. To help those most vulnerable people, we are exceptionally waiving the fees for replacing emergency travel documents.
  • We continue to identify and contact the most vulnerable affected persons, ahead of military flights from Grand Turk, Providenciales, Tortola, and St Martin on 15 September

Breakdown by Islands

British Virgin Islands

Military

  • Royal Marines from RFA Mounts Bay have got the airfield operating so we can get more aid and personnel in.
  • Over 200 troops are on the ground – including engineers, medics and marines who are working with the local police to provide security

Police

  • 16 Caymanian police and 6 Bermudian deployed to assist with security.
  • There are currently 54 UK police officers on BVI to support law and order.
  • An operation run by British Virgin Island and Cayman Island police officers, alongside the British Royal Marines and police, resulted in the capture of over 100 escaped criminals from Balsam Ghut prison.

Aid

  • 5 tonnes of food and water has been transferred to the British Virgin Islands. A flight carrying 3 tonnes of food and water arrived in the British Virgin Islands. This much-needed aid has already been distributed on Tortola alongside 40 shelters in Road Town.
  • 640 shelter kits are in transit via the RAF

FCO and consular support

  • The UK is assisting the British Virgin Islands government in providing support to affected people of all nationalities.
  • FCO media officer on the ground to support the Governor’s office. Additional 4 consular officers and 1 IT support officer have been deployed.

Anguilla

Military

  • RFA Mounts Bay delivered 6 tonnes of emergency aid; rebuilt and secured the Emergency Operations Centre; restored power to the hospital. Over 70 military personnel and 4 police officers are on the ground. Aid
  • We have delivered an initial 9 tonnes of relief aid, food and water.
  • We have procured a generator to restore the water treatment plant and further generators are being procured to return power to public buildings.
  • DFID has deployed a team that includes 2 humanitarian advisors to support relief efforts, working alongside 3 FCO officers.

Consular support

  • Anguilla has not requested UK consular support. The local government is leading on this. One IT support officer on the ground.
  • Cayman Islands government is arranging a 736-100 aircraft to deliver personnel and equipment (including medical equipment) to Anguilla.

Turks and Caicos

Military

  • Over 120 military personnel are on the ground.
  • 30 troops from the Bermudian regiment will arrive by Saturday.

Aid

  • DFID has deployed a field team to support relief efforts. Two humanitarian advisors are already on the island.
  • On Thursday 15 September a flight carrying aid reached Turks and Caicos Islands delivering over 150 shelter kits and 720 litres of water

Consular support

  • The UK is assisting the Turks and Caicos Islands government in providing support to affected people of all nationalities.

  • A 5 person RDT team has deployed to the Turks and Caicos Islands providing technical, media and consular support.
  • DFID have joined an assessment led by the government of the Turks and Caicos Islands to determine priority needs.

St Martin

Consular support

  • We have over 60 British nationals on both Dutch and French St Maarten including some requiring urgent medical attention. Over 50 British nationals have been assisted to leave.

USA

Consular support

  • We are regularly updating our travel advice.
  • The Foreign Secretary has spoken to Governor of Florida Rick Scott.


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/news/hurricane-irma-uk-government-response-in-numbers-15-september-2017
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News story: PHE experts to aid recovery on storm hit British overseas territories

Last week the British Virgin Islands, The Turks and Caicos Islands and Anguilla 3 of the 6 UK Overseas Territories in the Caribbean, were severely damaged by Hurricane Irma along with a number of other countries in the region.

Recovery efforts are getting underway, aid is heading to the islands from the UK and now the senior medical and healthcare professionals in the territories will be able to receive help from PHE to restore their public health systems.

Dr Jenny Harries, Deputy Medical Director, said:

From recent work on international health issues, PHE has built strong working relationships with the chief medical officers of the UK Overseas Territories in the Caribbean. Seeing the level of damage inflicted by the recent storms, it is imperative we provide whatever support we can to protect public health on the islands.

Events such as hurricanes can significantly damage public health systems. Our staff will assist those on the ground working hard to protect the islanders from infectious disease and other hazards, which can cause further problems in the aftermath of a natural disaster such as Hurricane Irma.

Health Minister, Steve Brine said:

People in the British Territories have been through a truly traumatic experience and they have the full support of this government as they rebuild their lives.

Experts from Public Health England will share their experience with local health leaders in the region to prevent outbreaks of disease – this will help protect citizens in the critical aftermath and play an important role in restoring communities.

PHE is sending 3 staff who will be available to help develop public health guidance if needed and to provide specialist support to local public health professionals. We have also opened a direct emergency response line for local chief medical officers to access public health advice from doctors in the UK at any time.

The work will involve assessing the risks to public health from the damaged infrastructure and disruption to health and social services. The plan is to do this by:

  • monitoring the spread of infectious diseases which may be circulating
  • determining local capacity of laboratories and other services
  • ensuring critical vaccination programmes continue to be delivered
  • reviewing local mosquito control programmes

The staff going are experts in:

  • public health incident management
  • disease monitoring
  • control of disease vectors such as mosquitoes
  • public health system development

It’s expected that while in the region they will assist with supporting health protection work and assessing damaged facilities to see what further work would need to be done to protect people both now and in the longer term.



from Public Health England - Activity on GOV.UK https://www.gov.uk/government/news/phe-experts-to-aid-recovery-on-storm-hit-british-overseas-territories
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Thursday, 14 September 2017

Research and analysis: Sugar reduction and wider reformulation: interim review

This interim review follows on from Sugar reduction: Achieving the 20%, the first technical document relating to the sugar reduction and wider reformulation programme, published in March 2017.

This document details the actions PHE has taken since publication of the technical report in March and covers the period from April to September 2017. It also covers the next steps for the following 6 months (up to end of March 2018).



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Press release: New liver disease atlas shows major variation across England

New data published by Public Health England (PHE) today (14 September 2017) shows a wide variation of premature mortality rates from liver disease across England.

Liver disease is almost entirely preventable with the major risk factors, alcohol, obesity and Hepatitis B and C, accounting for up to 90% of cases. The atlas will help health professionals to allocate their resources to improve patient outcomes.

The atlas shows premature mortality rates – dying before the age of 75 – ranged from 3.9 per 100,000 in South Norfolk clinical commissioning group (CCG) to 30.1 per 100,000 in Blackpool CCG, a 7.7 fold difference.

The atlas paints a mixed picture, with 10 indicators showing improvements including a reduction of premature deaths and fewer alcohol-specific hospital admissions for under 18s.

Nine of the indicators have become worse over time, including a doubling of hospital admission rates for cirrhosis from 54.8 per 100,000 to 108.4 per 100,000 people over the past decade. This indicator also varies significantly across the country with an 8.5 fold variation across CCGs and this gap has widened over the past decade.

Liver disease is responsible for almost 12% of deaths in men aged 40 to 49 years and is now the fourth most common cause of ‘years of life lost’ in people aged under 75, after heart disease and lung cancer.

Professor Julia Verne, Head of Clinical Epidemiology at PHE said:

Chronic liver disease is a silent killer of young adults, creeping up and showing itself when it’s often too late. However, around 90% of liver disease is preventable.

We hope local health professionals will make the most of this rich data source to inform how they reduce the burden of liver disease in their areas.

The atlas also lays bare the impact of the stark health inequalities in England. Inequality plays a role in the significant variation in risk factors of liver disease – excessive alcohol consumption, obesity, and hepatitis B and C.

For example, there is a 7.4 fold difference in the rate of alcohol-specific hospital admissions across the country, with the majority of the higher rates being clustered in the more deprived areas. Also, in the most deprived fifth of the country, people with liver disease die 9 years earlier than those in the most affluent fifth.

These data will underline the importance of developing a strategy to tackle the rising burden of liver disease, especially in younger adults and even children. Liver disease can take 20 years to show up as symptoms.

The atlas is made up of 39 indicators, 19 of which show trend data over time. It shows the degree of variation across the country, a national figure for comparison and commentary providing options for action and a list of evidence based resources for local health systems to improve.

Background

For further information contact PHE:

Sean Kelleher

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.

The 2nd Atlas of Variation in risk factors and healthcare for liver disease in England will be published on the PHE fingertips website.

The 2nd Atlas of Variation in risk factors and healthcare for liver disease in England has been prepared in partnership with a wide range of organisations:



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Wednesday, 13 September 2017

Guidance: Health economics: evidence resource

The health economic evidence resource (HEER) tool shows the key cost-effectiveness and return on investment evidence on activities in the public health grant.

Each piece of evidence is summarised across over 20 criteria to provide details on how the results were created and to highlight the inputs and assumptions used in the original studies. This allows users to understand the relevance and apply the evidence to their local setting.

The HEER brings together recent economic evidence from the literature, which is commonly used and has been quality assured by Public Health England.



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Tuesday, 12 September 2017

Press release: PHE launches Rise Above for Schools programme

Dynamic new resources for teachers will help build crucial life-skills for young people to boost their resilience and improve their mental health and wellbeing, as part of a new evidence-based programme for schools unveiled by Public Health England (PHE).

With around 1 in 5 young people experiencing cyberbullying and 1 in 3 reporting that their body was “too fat”, pupils aged between 11 and 16 will be taught how to cope with some of modern life’s most challenging issues, equipping young people with resilience skills that will help them throughout adulthood.

PHE has developed a series of new resources for secondary school teachers to use in their lesson plans as part of the Rise Above for Schools programme. The resources will help teachers to engage pupils with coping strategies about ‘traditional’ health issues, like smoking and alcohol, while also addressing some of the most challenging pressures young people face today in an ‘always on’ social media generation.

The 7 Personal, Social, Health and Economic Education (PSHE) lesson plans have been accredited by the PSHE Association and piloted with teachers, ensuring they are robust and of the highest quality. The resources include a range of techniques for teachers to employ to enable pupils to safely learn, explore and discuss coping strategies for dealing with issues, such as:

  • bullying and cyberbullying
  • alcohol use and smoking
  • positive relationships and friendships
  • exam stress
  • online stress and social media
  • body image in a digital world

The launch comes as new analysis by PHE shows that a supportive learning environment in schools, including good quality PSHE provision, is associated with improved health and wellbeing. Growing evidence also suggests that the skills and qualities acquired through PSHE have a significant impact on students’ academic achievement, employability and future life chances.

Launching Rise Above for Schools at PHE’s Annual Conference, Prof. John Newton, Director of Health Improvement at PHE said:

As natives of the social media world, young people have to navigate a minefield of challenges while enjoying the benefits of technology.

The new resources will help young people develop coping mechanisms and life-skills to deal with diverse challenges, from cyberbullying and exam stress to body image, in a digital world.

Rise Above for Schools uses relevant content in creative ways, tapping into inspirational video from vloggers and YouTubers to get young people talking about the things that matter to them, helping build a foundation of healthy behaviours that last into adulthood.

Jenny Fox, PSHE Association Subject Specialist said:

Young people today face a range of new pressures that can potentially harm their emotional and physical wellbeing. By addressing these key issues, resources from Rise Above for Schools support the important role PSHE education plays in helping young people to make positive, informed choices throughout their lives.

The lesson plans provide opportunities for students to engage in active learning and to discuss and reflect upon the social and emotional aspects of issues they face on a daily basis. The lessons are consistently well matched to the needs of young people and enable them to demonstrate progress as their understanding and skills develop.

Rise Above for Schools is inspired by Rise Above, a youth campaign and online hub where young people find and share inspirational content.

Teachers can use the exclusive video content from well-known influencers and positive role models to facilitate open and informed conversations on a range of important issues.

PHE press office

Background

Case studies and teachers are available for comment, along with expert commentary on the programme.

About Rise Above

The Rise Above website and social media channels host exclusive content from vloggers and YouTubers, including films, interactive videos, animations and quizzes.

The content tackles topics that young people are most concerned about, such as puberty, relationships, smoking, drinking, alcohol, peer pressure, exam stress and body image.

Rise Above is an evidence-based campaign developed by Public Health England which impacts behaviour change to delay and prevent risky behaviours among adolescents and give young people the best start in life.

To date the YouTube channel has received more than 2.8 million views.

About Rise Above for Schools

Rise Above for Schools from PHE provides new PSHE resources to support secondary school teachers when promoting positive health, wellbeing and resilience among young people aged 11 to 16.

By using video content featuring influential young people, such as vloggers and YouTubers, the resources will help specialist and non-specialist teachers to facilitate open and informed conversations about sensitive topics among their students.

Children and young people today, face increasingly complex lives where they are experiencing many new pressures that can harm their physical health, mental wellbeing and educational attainment. PHE has created Rise Above for Schools to help young people build resilience and cope with the challenges life throws at them.

Public Health England

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.



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Press release: Improving work health for a healthy economy

A healthy population is the engine of a healthy economy, says Public Health England’s (PHE) Chief Executive.

Speaking at the opening of PHE’s annual conference, Duncan Selbie said we must look further than the NHS if we are to ensure everyone has a fair chance of good health.

PHE believes that health and wealth are 2 sides of the same coin. Having a job is the key to a long, happy and healthy life.

Illness among working age people costs the UK economy £100 billion a year. About 330,000 every year become unemployed because of health-related issues.

For every unemployed person who gets a job there is an estimated saving to society of £12,035 in a one-year period.

We take an estimated 137.3 million days of sick leave and more than a third of those (£46 million) are due to poor mental health and lower neck and back pain.

But workplace health and wellbeing programmes such as exercise, healthy eating and stop smoking support can make a real difference. Successful programmes such as these have been found to return £2 to £10 for every £1 spent, benefiting staff wellbeing and economic productivity.

Most big employers already have some plans in place that help to improve and protect their staff’s health but many small and medium enterprises (SMEs) do not currently benefit from such programmes.

PHE and Healthy Working Futures, a workplace health provider, has set out advice for SMEs, which account for 60% of private sector employment.

It gives SMEs a series of questions on health and wellbeing including smoking, fitness and sleep, which staff can answer anonymously, enabling them to assess the specific needs of their workforce and create tailored steps to improve their staff’s health and wellbeing, based on evidence.

Later this week, Federation of Small Businesses (FSB) will also publish new guidelines on how businesses can improve their workers’ health, with advice on physical and mental health.

PHE has also created a series of guidance for employers on important issues, such as musculoskeletal (MSK) and mental health, impacting on employees with Business in the Community. Further advice is being developed covering issues including:

  • physical activity
  • diet and weight
  • drugs
  • alcohol
  • tobacco

Duncan Selbie, Public Health England (PHE) Chief Executive, said:

Work is the key to a long, happy and healthy life. But sickness absence and tackling early retirement due to ill health are still major challenges for the economy.

This new package of support for small businesses will help businesses improve the health of their staff.

We can no longer see the health service as the only solution to our ills. We’ve got individual responsibility, and so do employers. Keeping people healthy not only benefits the individual but also benefits the economy and the local community.

We must do more to improve health outcomes, and in turn the health and economic productivity of the country. I urge employers to take advantage of this support.

Mike Cherry, Chairman of the Federation of Small Businesses, said:

Improved wellbeing benefits individual businesses. But more than that, it helps the wider economy, government and public services, as well as the local communities where small businesses play such an important role. There’s never going to be a ‘one size fits all’ approach and not every idea will work for every business – that’s why we’re very pleased to be working with Public Health England in particular to help smaller businesses and the self-employed.

The FSB will soon launch its first wellbeing campaign aimed at providing some simple ideas and suggestions that smaller firms can look to adopt to support themselves and their staff. This sits alongside the medical and health advice service we already offer our members. We are delighted to receive the support of PHE for our campaign and we hope it acts as a catalyst for a positive conversation on wellbeing and mental health.

Louise Aston, Wellbeing Director, Business in the Community, said:

We are delighted to be working in partnership with Public Health England, taking an innovative co-production, whole person, whole system approach to producing a suite of interconnected toolkits that address the two leading causes of days lost at work – mental and musculoskeletal health.

Our suite of toolkits consolidates the very best evidence with the very best employer practice, aligned with freely available resources that are useful to all employers, wherever they are on their journey.

Background

PHE and Business in the Community have developed a series of toolkits for employers.

Northumbria Healthcare NHS Foundation Trust introduced a physiotherapy service for staff with MSK absence from work because it was the second highest reason for sickness absence among staff, and employees had asked for support in this area in health and wellbeing surveys.

Following a successful pilot of early intervention for staff with MSK absence at Wansbeck General Hospital in 2014, the service was extended trust-wide in January 2016.

An additional whole-time equivalent physiotherapist was provided to deliver the service for staff who can either self-refer using the online referral system or be referred by their manager, ideally on the first day of absence.

Staff are then given an appointment with a physiotherapist within 3 days.

Findings show:

  • 15% of staff (86) on short-term MSK absence were referred to the staff physiotherapy service
  • absence length for staff on short-term absence was reduced by 31% when referred on first day of absence, compared to day 2 or more
  • 25% of staff (44) on long-term MSK absence were referred to physiotherapy
  • absence length for staff on long-term absence was reduced by 11% when referred on first day of absence, compared to day 2 or more

For further information on this case study, please contact Jaclyn Curry, Media and Communications Officer, Northumbria Healthcare NHS Foundation Trust on 0191 203 1654 or jaclyn.curry@northumbria.nhs.uk.

Public Health England press office

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.



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Guidance: Workplace health needs assessment

It can be hard for employers to understand where to prioritise investment in staff health and wellbeing, especially when moving beyond the basic health and safety legislative requirements.

A health needs assessment can be a useful and simple way to gather anonymous information about the health of a company’s workforce, and also provide a baseline of data against which to track progress.

This document provides a tool for carrying out workplace health needs assessments and provides practical workplace health advice. It is for employers of all types and sizes.



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Monday, 11 September 2017

News story: New approach to preventing heart attacks and strokes

The NHS and Public Health England (PHE) will today (Tuesday, 12 September 2017) announce a new drive to save thousands of lives by preventing heart attacks and strokes brought on by cardiovascular disease (CVD).

New PHE analysis suggests that there is an opportunity to prevent more than 9,000 heart attacks and at least 14,000 strokes over the next 3 years with better detection and management of:

  • high blood pressure
  • high cholesterol
  • atrial fibrillation

Simon Stevens, the Chief Executive of NHS England said:

Closer working between NHS organisations and local authorities will create new opportunities to get serious about prevention and bear down on 2 of our biggest killers that between them are responsible for 1 in 4 premature deaths.

Heart attacks and strokes devastate the lives of thousands of people. Tackling a problem of this size requires action across areas. It is not something that the health service can do alone.

Speaking at the NHS Expo conference in Manchester, Mr Stevens will urge the new sustainability and transformation partnerships (STPs) to take coordinated cross-system action to improve identification and treatment of these potentially life-threatening conditions. At the same time Duncan Selbie, the Chief Executive of PHE, will highlight the initiative during his annual conference today.

5.5 million people in England have undiagnosed high blood pressure and nearly half a million have undiagnosed atrial fibrillation, which are both symptomless conditions that substantially increase the risk of stroke and heart attack. Treatment is effective at reducing risk but under-treatment is common among those who are diagnosed.

The new analysis shows the scale of the prevention opportunity across England over 3 years if treatment of these high-risk conditions is optimised. Achieving optimal treatment in all people with diagnosed high blood pressure has the potential to avert up to 9,710 heart attacks and 14,500 strokes, saving up to £274 million. Achieving optimal treatment for those diagnosed with atrial fibrillation has the potential to avert up to 14,220 strokes, saving £241 million.

Duncan Selbie, Chief Executive of PHE, said:

High blood pressure is the invisible killer. We want people to be as familiar with their blood pressure numbers as they are with their credit card PIN or their height.

Too many people are still living in poor health and dying from a largely preventable disease. The good news is that we know how most heart attacks and strokes can be avoided. Scaling up CVD prevention locally is a major part of reducing the overall burden on individuals, families and the NHS, and will help us ensure a person’s health is not defined by where they live.

PHE and NHS England have today written to all 44 STPs, drawing attention to the prevention opportunity in their local areas, and sharing with them the data for their individual STPs.

By working across larger populations, STPs can mobilise clinical leaders across a geography and drive larger-scale improvements such as increasing access to blood pressure testing in the workplace, and using the wider local authority and third sector workforce to carry out health checks in community settings.

The majority of STPs have identified prevention of cardiovascular disease as a priority.

They are likely to drive improvements in 2 ways. Firstly through partnerships that support at scale implementation of initiatives such as healthy workforce schemes, active transport plans, the Active 10 app, and smoking cessation programmes. Secondly, they have the ability to roll out the NHS Right Care CVD Prevention Programme across a much wider area.

The NHS Right Care programme will help GPs and local areas to ensure more patients get proven treatments by organising local services differently. This will include more testing and treatment in pharmacies, increasing uptake of NHS Health Check, more self-monitoring, more access to blood pressure testing in community and workplace settings, and new digital tools such as the One You Heart Age Test.

The NHS Health Check is offered to all eligible people between 40 and 74 every 5 years. As well as supporting people to reduce lifestyle risk factors, it provides a systematic way of identifying people with undiagnosed high-risk conditions like high blood pressure and atrial fibrillation (AF). But currently only a half all eligible people take up the offer.

Dr Matt Kearney, the NHS’s National Clinical Director for Cardiovascular Disease Prevention, added:

We know that there are many ways that people can prevent heart attacks and strokes - by being more active, not smoking and having a healthy diet. What the NHS Right Care programme and the STP partnerships bring is an opportunity for the NHS to improve treatment of the high-risk conditions, at scale across an area, and prevent thousands of heart attacks and strokes.

Some areas across the country have already implemented these approaches with encouraging results which the NHS is hoping to expand and improve in every area in the country.

In West Hampshire, a mix of GP education, diagnostic devices for AF and pharmacist-run anticoagulation services resulted in an estimated 52 strokes being averted in 20 months.

In Lambeth and Southwark, pharmacists were commissioned to manage blood pressure and AF. Over 15 months, an estimated 45 strokes were averted.

Bradford Districts CCG has used at-scale methods to transform primary care pathways, optimising treatment in 21,000 patients. This has delivered improved population-level control in blood pressure, cholesterol and AF, and substantial reduction in heart attacks and strokes (over 200 in 15 months).



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Promotional material: Flu immunisation for social care staff

This information is for social care providers. It gives details on the benefits of providing staff flu vaccination and options for providing the service to increase uptake of the vaccine.



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Thursday, 7 September 2017

Guidance: East Lancashire: breast screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring data collected by the NHS screening programmes
  • data and reports from external organisations as appropriate
  • evidence submitted by the provider(s), commissioner and external organisations as appropriate
  • information collected during pre-review visits: a selection of evidence completed by the programme covering a number of specialist areas within breast screening
  • information shared with SQAS (North) as part of the visit process


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Guidance: Yeovil District Hospital NHS Foundation Trust: cervical screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring of data collected by the NHS screening programmes
  • data and reports from external organisations
  • evidence submitted by the provider(s), commissioner and external organisations
  • information shared with the South regional SQAS as part of the visit process.


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/yeovil-district-hospital-nhs-foundation-trust-cervical-screening-programme
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Guidance: Sheffield Teaching Hospitals NHS Foundation Trust: cervical screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring of data collected by the NHS screening programmes
  • data and reports from external organisations
  • evidence submitted by the provider(s), commissioner and external organisations
  • information shared with the North regional SQAS as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/sheffield-teaching-hospitals-nhs-foundation-trust-cervical-screening-programme
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Guidance: Portsmouth and South East Hampshire: diabetic eye screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring data collected by the NHS screening programmes
  • data and reports from external organisations
  • evidence submitted by the provider(s), commissioner and external organisations
  • information collected during pre-review visits to service management and screening/grading observational visits
  • information shared with the SQAS south as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/portsmouth-and-south-east-hampshire-diabetic-eye-screening-programme
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Guidance: Hampshire and Isle of Wight: abdominal aortic aneurysm screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in abdominal aortic aneurysm screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring data collected by the NHS screening programmes
  • data and reports from external organisations as appropriate
  • evidence submitted by the provider, commissioner and external organisations as appropriate
  • information shared with the south regional SQAS as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/hampshire-and-isle-of-wight-abdominal-aortic-aneurysm-screening-programme
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Guidance: East Sussex: diabetic eye screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring data collected by the NHS screening programmes
  • data and reports from external organisations as appropriate
  • evidence submitted by the provider(s), commissioner and external organisations as appropriate
  • information collected during pre-review visits
  • information shared with the screening quality assurance service (South East) as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/east-sussex-diabetic-eye-screening-programme
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Guidance: Kent and Medway: diabetic eye screening programme

Quality assurance (QA) aims to maintain national standards and promote continuous improvement in diabetic eye screening. This is to ensure that all eligible people have access to a consistent high quality service wherever they live.

QA visits are carried out by the Public Health England screening quality assurance service (SQAS).

The evidence for this report comes from:

  • routine monitoring data collected by the NHS screening programmes
  • data and reports from external organisations
  • evidence submitted by the provider(s), commissioner and external organisations
  • information collected during pre-review visits to service management and screening or grading observational visits
  • information shared with the south regional SQAS as part of the visit process


from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/kent-and-medway-diabetic-eye-screening-programme
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