Leading Large Scale Change

NHS England, September 2017

NHS England have produced a guide to leading large scale change to help all those involved in seeking to achieve transformational change in complex health and care environments. It is relevant to all those involved in transformational change programmes such as Sustainability and Transformation Partnerships (STPs) and the development of new care models, and has relevance across public services.

Click here to access the guide and executive summary.

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Honoring the voices of bereaved caregivers: a Metasummary of qualitative research

BMC Palliative Care, September 2017

Family caregiving in the context of advanced disease in particular, can be physically and emotionally taxing. Caregivers can subsequently face bereavement exhausted with few supports, limited resources and a significant proportion will develop negative psychological and social outcomes. Although some research has attended to the bereavement experiences of family caregivers who had cared for a person requiring palliative care, a comprehensive qualitative understanding of the impact of caregiving on bereavement has not been articulated. The purpose of this study was to conduct a qualitative metasummary to explore the experiences of bereaved family caregivers of people who received palliative care services, regardless of their underlying disease.

Click here to view the full text paper.

The pharmacy contribution to antimicrobial stewardship

Royal Pharmaceutical Society – September 2017

This report looks at the pharmacist’s role in tackling the challenges of inappropriate use of antibiotics as part of a multidisciplinary approach. The report makes recommendations in order to contribute to wider efforts in meeting the challenge set by the UK Government in 2016 of reducing inappropriate antibiotic prescribing by 50 per cent by 2020.

Click here to view the full report.

Pharmacy: a way forward for public health – opportunities for action through pharmacy for public health

Public Health England, September 2017

This document sets out a range of opportunities for pharmacy teams working in communities, and through their daily interactions with patients and the public, to play an important role in protecting and improving the health of the nation.

Click here to view the full report.

Antidepressant use during pregnancy and psychiatric disorders in offspring: Danish nationwide register based cohort study

BMJ 2017;358:j3668

This population based cohort study aims to investigate the association between in utero exposure to antidepressants and risk of psychiatric disorders.  905 383 liveborn singletons born during 1998-2012 in Denmark were followed from birth until July 2014, death, emigration, or date of first psychiatric diagnosis, whichever came first. The children were followed for a maximum of 16.5 years and contributed 8.1×106 person years at risk. The study concludes that in utero exposure to antidepressants was associated with increased risk of psychiatric disorders. The association may be attributable to the severity of underlying maternal disorders in combination with antidepressant exposure in utero. The findings suggest that focusing solely on a single psychiatric disorder among offspring in studies of in utero antidepressant exposure may be too restrictive.

Click here to read the full text paper.

Not by degrees: improving student mental health in the UK’s universities

IPPR, September 2017

This report finds that levels of mental illness, mental distress and low wellbeing among students in higher education in the UK are increasing, and are high relative to other sections of the population. The report calls for universities to make the issue a strategic priority and adopt a ‘whole-university’ approach based on prevention and promotion, early intervention and low-level support, responding to risk and crisis management, and referral into care and treatment.

Click here to read the full report.