A trade in people: the inpatient healthcare economy for people with learning disabilities and/or autism spectrum disorder

Centre for Disability Research, University of Lancaster (CeDR), June 2017

This report finds that around half of inpatient services for people with learning disabilities or autism are being run by the independent sector rather than the NHS. Over a quarter of a billion pounds of public money every year is being paid to independent sector companies to run these services.  The report calls for greater scrutiny of these independently provided services to ensure they are providing a high quality of care.

Click here to view this report.

Early discharge hospital at home

Cochrane Database of Systematic Reviews, June 2017

This update of a Cochrane Review aims to determine the effectiveness and cost of managing patients with early discharge hospital at home compared with inpatient hospital care.  The authors conclude that despite increasing interest in the potential of early discharge hospital at home services as a less expensive alternative to inpatient care, this review provides insufficient evidence of economic benefit (through a reduction in hospital length of stay) or improved health outcomes.

Click here to access the full text paper.

Click here to access an easy read summary.

Physical activity, cognitive decline, and risk of dementia: 28 year follow-up of Whitehall II cohort study

BMJ 2017;357:j2709

This prospective cohort study aims to test the hypotheses that physical activity in midlife is not associated with a reduced risk of dementia and that the preclinical phase of dementia is characterised by a decline in physical activity.  The study finds no evidence of a neuroprotective effect of physical activity. Previous findings showing a lower risk of dementia in physically active people may be attributable to reverse causation—that is, due to a decline in physical activity levels in the preclinical phase of dementia.

Click here to view the full text article.  This paper is Open Access.

Enabling change through communities of practice: Wellbeing Our Way

National Voices, June 2017

In June 2014, National Voices set out to explore and test how communities of practice could facilitate the spread of large-scale change across England’s voluntary sector working for health and wellbeing.

This report reflects on their experiences over the last 3 years, and in the spirit of communities of practice, aims to share reflections in order that others can use the learning.

Click here to view the full report.