Evidence review of e-cigarettes and heated tobacco products 2018: A report commissioned by Public Health England

Public Health England, February 2018

This report has been commissioned to summarise evidence to underpin policy and regulation of e-cigarettes/vaping devices.  It finds:

  • The addictiveness of nicotine depends on the delivery system.
  • It is possible that the addictiveness of tobacco cigarettes may be enhanced by compounds in the smoke other than nicotine.
  • As e-cigarettes have evolved, their nicotine delivery has improved. This could mean that their addiction potential has increased, but this may also make them more attractive to smokers as a replacement for smoking. It is not yet clear how addictive e-cigarettes are, or could be, relative to tobacco cigarettes.
  • While nicotine has effects on physiological systems that could theoretically lead to health harms, at systemic concentrations experienced by smokers and e-cigarette users, long-term use of nicotine by ‘snus’ (a low nitrosamine form of smokeless tobacco) users has not been found to increase the risk of serious health problems in adults, and use of nicotine replacement therapy by pregnant smokers has not been found to increase risk to the foetus.
  • Adolescent nicotine use (separate from smoking) needs more research.
  • The long-term impact of nicotine from e-cigarettes on lung tissue is not yet known and may be different from its impact systemically.

Click here to view the report.


Supporting mental health for all

London Assembly, February 2018

Report that identifies four key problems that people in marginalised groups can encounter when trying to get mental health support.

  1. Physical barriers to accessing mental health services, in terms of where, when and how the services operate.
  2. The language used by health professionals can be offputting, intimidating or discriminatory – and this can prevent people from using particular services or discussing sensitive mental health issues with them.
  3. Many GPs and other primary care staff lack the skills and/or the capacity to deal appropriately with mental health issues in ways that are supportive and inclusive of diverse population.
  4. Specialist mental health services are being replaced by generalist services, which lack expertise in dealing with the needs of marginalised groups.

This report calls for the involvement of service users – and potential service users – from marginalised groups in the planning and discussions on developing services.

Click here to view the full report.

Suicide Prevention: Policy and Strategy: (Briefing Paper Number CBP 08221)

House of Commons Library, February 2018

This briefing paper provides a statistical overview of suicide rates throughout the UK over time, using the latest data from the Office of National Statistics, which were published in September 2017. These show that in Great Britain in 2016 there were 5,668 recorded suicides which represented a slight fall since 2015 and the lowest overall number since 2010. The 2016 suicide data for Northern Ireland has not yet been published. It also  provides an overview of suicide prevention policies and strategies in the UK, as well as their various updates.  It considers the interdependent policy areas which are impacted by suicide prevention:

  • Health Services
  • Education
  • Employment and social security
  • Railways
  • Prisons
  • Media
  • The armed forces
  • Coroners conclusions

Click here to read the report.

The risks to care quality and staff wellbeing of an NHS system under pressure

The Picker Institute, February 2018

Report  jointly authored by The Picker Institute and The King’s Fund on the impact of pressure on staff as a result of the current pressures on the NHS.  It finds that staff experience was associated with sickness absence rates, spend on agency staff and staffing levels. This indicates that staff wellbeing is impacted negatively by a workforce that is overstretched and supplemented by temporary staff. The consequence of this is that patient experience is also negatively associated with workforce factors: higher spend on agency staff, fewer doctors and especially fewer nurses per bed, and bed occupancy results in a poorer patient experience.

Click here to view this report.

Left to chance: the health and care nursing workforce supply in England

Royal College of Nursing, February 2018

Report from the Royal College of Nursing that finds the current approach to workforce planning in England is fragmented and incomplete, with no clear national accountability for ensuring that nursing staff with the right skills arrive in the right parts of the health care system at the right time. The lack of comprehensive data on current nursing staff and training numbers means that national workforce planning is incoherent, and credible workforce strategy impossible.  It notes that since nurse bursaries were abolished, the 2018 applications to UCAS for nursing courses have seen a 13% fall compared to the same time last year, a total fall of 33% since the same time in January 2016.

Click here to view the report.

Joint Working Protocol: When a hospital, services or facility closes at short notice –

NHS England, February 2018

Guidance to organisations when a hospital, service or facility closes unavoidably at short notice.  The memorandum gives clear guidance and direction to any organisation involved in a short notice closure to take appropriate and timely action in supporting patients and making sure they get the care and treatment they deserve.

Click here to view the guidance.


British Journal of Clinical Psychology – March 2018

The March edition of British Journal of Clinical Psychology has been published.  This issue includes articles on mindfulness of voices, self-compassion, and secure attachment in relation to the experience of hearing voices, and gender differences in preferences for psychological treatment, coping strategies, and triggers to help-seeking.

Click here to view the table of contents and access articles.