Use of haloperidol versus atypical antipsychotics and risk of in-hospital death in patients with acute myocardial infarction: cohort study

BMJ 2018;360:k1218

This cohort study aims to compare the risk of in-hospital mortality associated with haloperidol compared with atypical antipsychotics in patients admitted to hospital with acute myocardial infarction.

The results of the study suggest a small increased risk of death within seven days of initiating haloperidol compared with initiating an atypical antipsychotic in patients with acute myocardial infarction. Although residual confounding cannot be excluded, this finding deserves consideration when haloperidol is used for patients admitted to hospital with cardiac morbidity.

Click here to access this paper.

The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms

NHS England, March 2018

From April 2018 all CCGs are expected to expand IAPT by commissioning IAPT services integrated into physical healthcare pathways. This document supports this expansion by setting out the treatment pathway that underpins the access and waiting time standards, which all services should seek to measure themselves against. The guidance also provides evidence on what works, as well as local case studies of service-led examples that describe how to make IAPT-LTC services a reality.

Click here to view the full report.

Everybody active, every day: a framework to embed physical activity into daily life

Public Health England, updated August 2017

‘Everybody active, every day’ is a national, evidence-based approach to support all sectors to embed physical activity into the fabric of daily life and make it an easy, cost-effective and ‘normal’ choice in every community in England.

PHE has co-produced the framework with over 1,000 national and local leaders in physical activity and is calling for action from providers and commissioners in: health, social care, transportation, planning, education, sport and leisure, culture, the voluntary and community sector, as well as public and private employers.

Click here to access the documents and guidance.

Physical inactivity and sedentary behaviour report 2017

British Heart Foundation, April 2017
This report finds that more than 20 million adults in the UK are physically inactive and estimates that this increase risk of heart disease may cost the NHS £1.2 billion annually. The report provides an overview of the levels of physical inactivity and sedentary behaviour in adults across the UK.

Click here to view the report.

Treat as One Bridging the gap between mental and physical healthcare in general hospitals

National Confidential Enquiry into Patient Outcome and Death, January 2017

This report finds that failure by general hospitals to integrate physical and mental healthcare services is leading to poor care for patients with a physical illness who also happen to have a mental health condition. The report calls on general hospitals to integrate physical and mental healthcare services as a matter of urgency and makes recommendations for improvements.

Click here to read the full report.