NHS Library and Information Service North Staffordshire

Health Inequalities Bulletin

Issue no. 33 June - July 2012
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, you 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: FeatureNet 8429 External calls 0300 123 1535 ext 8429 E-mail: lindsay.snell@northstaffs.nhs.uk 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 Deafness, Blindness and Partial Sight...................................................................................2 Environment...........................................................................................................................3 Ethnicity..................................................................................................................................4 Gender...................................................................................................................................4 Gypsies and Travellers..........................................................................................................4 Housing and homelessness...................................................................................................4 Inequalities.............................................................................................................................4 Mental health..........................................................................................................................6 Multiple Inequalities................................................................................................................6 Older people...........................................................................................................................6 Sexual Orientation..................................................................................................................7

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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.dh.gov.uk Department of Health bulletins http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/ IDeA Healthier Communities section - including Health inequalities briefing papers: http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=77225 Info4local http://www.info4local.gov.uk Joseph Rowntree Foundation http://www.jrf.org.uk/ Kings Fund http://www.kingsfund.org.uk/ NeLM (National Electronic Library for Medicines) news bulletin http://www.nelm.nhs.uk/en/ NICE http://www.nice.org.uk SIGN http://www.sign.ac.uk/new.html

Children and Young People Info4Care Kids Social Care Institute for Excellence This website is designed to help looked-after children and young people with information, advice and useful links to further resources. It includes a section on healthcare. http://www.info4carekids.org.uk/index.aspx Teenage Pregnancy Resources East Midlands Public Health Observatory These resources have been updated. http://www.apho.org.uk/resource/view.aspx?RID=116350
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Deafness, Blindness and Partial Sight Fair care for the future: why social care matters for deafblind people Sense This report is based upon a survey of deafblind peoples experiences of social care in England and Wales. http://www.sense.org.uk/campaigns/walk_with_me/walk_with_me_fair_care.htm Quick wins and missed opportunities: how local authorities can work with blind and partially sighted people to build a better future RNIB This report shows how councils can deliver services that meet their residents' needs by aiming for three simple goals: Delivering a "bedrock" of preventative and rehabilitative services; Working in partnership with and involving blind and partially sighted people in

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the community; and Embedding accessibility through simple steps such as recording residents' preferred communications format. http://www.rnib.org.uk/getinvolved/campaign/localcuts/localservices/Pages/quickwins_repo rt.aspx
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Environment Community health champions: creating new relationships with patients and communities NHS Confederation This factsheet introduces the community health champion approach to engaging communities. http://www.nhsconfed.org/Publications/Factsheets/Pages/community-healthchampions.aspx Healthy transport = Healthy lives BMA This report looks at how transport systems affect health, and makes recommendations for health bodies and local authorities to improve local transport systems to become more healthy. http://bma.org.uk/news-views-analysis/news/2012/july/~/link.aspx? _id=38D62DCCD11F4E9DB92D249A7D14B371&_z=z Public sector innovation and local leadership in the UK and the Netherlands Joseph Rowntree Foundation Exploring the role of place-based leadership in Bristol and Swindon in the UK, and Enschede in The Netherlands, the study found that the narrow vision of cutback management lacks wisdom; that leaders with an emotional commitment to social inclusion enable innovation to flourish and can encourage others; and that 'Innovation Stories' recording practical experiences on the ground offer inspiration to other areas. http://www.jrf.org.uk/publications/public-sector-innovation-uk-netherlands Sustainable Food: Eleventh Report Environmental Audit Committee This report evaluates the governments policy on food, and makes recommendations for ensuring food is healthy and produced sustainably. http://www.publications.parliament.uk/pa/cm201012/cmselect/cmenvaud/879/87902.htm Undetected sight loss in care homes: an evidence review International Longevity Centre UK and Thomas Pocklington Trust This review of sight testing and sight loss in care homes argues that eye care and sight testing are both seriously neglected in care homes, leading to potential discrimination against those living in them compared to those who are cared for in the community. http://www.pocklington-trust.org.uk/Resources/Thomas %20Pocklington/Documents/PDF/Research%20Publications/ILC%20UK%20Undetected %20sight%20loss%20in%20care%20homes.pdf

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Think Local, Act Personal This report explains that people's voluntary and unpaid contributions are crucial to enabling them and others have maximum choice and control over their lives. It calls for continued development of social action in local communities and responds to the Government's Care and Support White Paper, which stresses the value of supportive communities and community connections to improve people's health and wellbeing. http://www.thinklocalactpersonal.org.uk/BCC/Latest/resourceOverview/?cid=9328
Items in the Ethnicity section may be of interest. Back to topics

Ethnicity Tackling the prevalence of Tuberculosis amongst poorly housed minority ethnic communities in London Race Equality Foundation This briefing argues that the spread of tuberculosis (TB) is exacerbated in urban communities where overcrowding, inadequate ventilation, and the presence of mould and smoke in the home are rife. Focussing on the transmission of TB among migrant groups, it explores the need to address factors that make black and minority ethnic communities particularly vulnerable to infection, and discusses measures to improve the provision of housing services targeted specifically at these groups. http://www.better-housing.org.uk/briefings/tackling-prevalence-tuberculosis-amongstpoorly-housed-minority-ethnic-communities-london
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Gender
Items in the Children and Young People sections may be of interest.

Gypsies and Travellers Whooping cough (gypsy and traveller communities) Health Protection Agency This factsheet outlines what whooping cough is, what the risks are, and what members of the public should do if they think they have whooping cough. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317135120210 Housing and homelessness Healthcare for the homeless: homelessness is bad for your health Deloitte Centre for Health Solutions This report presents views on the extent of homelessness and challenges faced by the single homeless, government policy and commissioning challenges, and the need for wider adoption of innovative solutions. http://www.deloitte.com/view/en_GB/uk/research-and-intelligence/deloitte-researchuk/deloitte-uk-centre-for-healthsolutions/0d8433af4cdf7310VgnVCM1000001956f00aRCRD.htm
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2012 Health Profiles Network of Public Health Observatories The profiles give a snapshot overview of health for each local authority in England. http://www.apho.org.uk/default.aspx?RID=49802 Staffordshire Profiles: http://www.apho.org.uk/resource/view.aspx? QN=HP_RESULTS&GEOGRAPHY=41 Assessing the impact and effectiveness of intersectoral action on the social determinants of health National Collaborating Centre for Determinants of Health The purpose of the review is to examine the question, What is the impact and effectiveness of intersectoral action as a public health practice for health equity through action on the social determinants of health? http://nccdh.ca/images/uploads/ISA_Report_EN1.pdf Summary: http://nccdh.ca/images/uploads/Summary_EN1.pdf Atlas of Variation in Healthcare for People with Diabetes RightCare The aim of the Atlas is to identify and quantify the extent of unwarranted variation that may be due to unjustified geographical differences in medical practice and/or patients not gaining access to the appropriate level of intervention for their need. http://www.rightcare.nhs.uk/index.php/atlas/diabetes Birthplace in England: new evidence NHS Confederation This digest provides authoritative findings from the Birthplace Research Programme, commissioned in 2007 to address key gaps in the evidence, including a national prospective cohort study of low-risk women giving birth in different settings. The Birthplace cohort study is the largest study of its kind in the world, designed to inform those who plan, commission and deliver maternity services. http://www.nhsconfed.org/Publications/digests/Pages/birthplace-in-england.aspx Fingertips: adult social care Eastern Region Public Health Observatory The outcomes data has been updated to include 2010/11 data, and to reflect the Social Care Outcomes Framework. http://fingertips.erpho.org.uk/adultsocialcare/england/westmidlands GP Practice level Outcome Indicators, England - June 2012 Release, Experimental Statistics NHS Information Centre These statistics include information about outpatient and emergency attendances in hospitals for each GP practice, and workforce information. http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/general-practice/gppractice-level-outcome-indicators-england--june-2012-release-experimental-statistics Healthy Lives, Healthy People: Update on Public Health Funding Department of Health This document, which is aimed at public health specialists, sets out current thinking on local authority public health finance and in particular moving towards baseline spending allocations for 2013-14; the high level design of the health premium which will be targeted

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towards areas with the worst health outcomes and most need; and conditions on using the ring fenced public health grant. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuid ance/DH_134578 Poverty: the role of institutions, behaviours and culture Joseph Rowntree Foundation This programme paper assesses some of the causes of poverty and examines the role played by family structure; employment and intergenerational worklessness; geographical concentrations of poverty; educational outcomes; addiction to alcohol and drugs; and debt. It also considers health issues. http://www.jrf.org.uk/publications/poverty-role-institutions-behaviours Report of the Commission on the Future of Local Government This report lists five propositions for helping meet the big economic, social, environmental and democratic challenges facing the UK in the 21st century. Proposition 4, Devising a new social contract, looks at delivery of services, including health and social care. http://civicenterpriseuk.org/commission-final-report/ Social inequality and infant health in the UK: systematic review and meta-analyses Weightman, AL et al. This review quantifies the influence of social disadvantage on infant outcomes in the UK. BMJ Open 2012;2:e000964 doi:10.1136/bmjopen-2012-000964
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Mental health Community Mental Health Profiles North East Public Health Observatory The CMHP are designed to give an overview of mental health risks, prevalence and services at a local, regional and national level using an interactive mapping tool. http://www.nepho.org.uk/cmhp/
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Multiple Inequalities Listening to Troubled Families: A report by Louise Casey CB Department for Communities and Local Government This report is based on interviews with 16 troubled families. The primary purpose of carrying out the interviews was to listen directly to families about their lives, the problems they have experienced and caused and to begin to understand the sort of help that will enable them to really change. http://www.communities.gov.uk/publications/communities/listeningtroubledfamilies Older people Care at Home: older peoples experiences of domiciliary care Patient and Client Council The report provides a timely illustration of older peoples perspectives on domiciliary care, within the context of the review of health and social care currently being undertaken in -6-

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Northern Ireland and the existing debate around care provision for a rapidly ageing population. http://www.patientclientcouncil.hscni.net/uploads/research/Care_at_Home.pdf Identifying the health gain from retirement housing Institute of Public Care. Oxford Brookes University This report looks at the health benefits of different types of housing for older people, and how good housing can reduce spending on health and care services for older people. It also looks at incentives that will encourage appropriate development. http://ipc.brookes.ac.uk/publications/index.php?absid=711 Investing to Save: an economic analysis of British Red Cross health and social care services Red Cross This report tells the stories of five people who have recently been supported by British Red Cross staff and volunteers. They show the value of time-limited practical and emotional support which responds to peoples individual needs and wishes at times of transition and vulnerability. http://www.scribd.com/doc/96155047/Investing-to-Save-an-economic-analysis-of-BritishRed-Cross-health-and-social-care-services Loneliness toolkit for Health and Wellbeing Boards Campaign to End Loneliness Social isolation and loneliness is a key determinant of the current and future health and social care needs of the older population. This toolkit is designed to help health and wellbeing boards consider how they might build it into their Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWSs). http://www.campaigntoendloneliness.org.uk/toolkit/
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Sexual Orientation The route to success in end of life care: achieving quality for lesbian, gay, bisexual and transgender people National End of Life care Programme This document gives guidance and advice for those working with lesbian, gay, bisexual and transgender (LGBT) people, and for LGBT people themselves, whether giving or receiving end of life care.It provides case studies, key recommendations and issues for health and social care professionals to consider. http://www.endoflifecareforadults.nhs.uk/publications/rts-lgbt
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