Evidence
Themed Review

Better Health and Care for All

Download the PDF  Foreword The last thirty years has seen big changes in health and social care to support people with learning disabilities. This includes a move from long-stay hospitals to supporting more people to live well in the community. But it is not easy – and we still have a long way to go ...

Themed Review

Better Health and Care for All - Easy Read

Health and Care services for people with learning disabilities Easy read summary     This Report is about research into learning disabilities. This research was paid for by the National Institute for Health Research. This is the Easy Read Summary. There is more information in the full report.       Contents Why is this report ...

Themed Review

Staffing on Wards: Making decisions about healthcare staffing

Download the PDF Summary The nature of patient needs and ward activity  is changing. Inpatients tend to be more ill than they used to be, many with complex needs often arising from multiple long-term conditions. At the same time, hospitals face the challenges of a shortage and high turnover of registered nurses. This review presents ...

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London’s Low Emission Zone has not been shown to improve children’s respiratory health

The Low Emission Zone covering much of Greater London was introduced between 2008 and 2012 to improve air quality. Some measures of air pollution have slightly reduced over that time, but measures of children’s respiratory health and lung development have not significantly improved. This NIHR funded study assessed over 2,000 primary school children during the ...

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A reflective group activity supports healthcare staff in England

Regular participation in structured organisation-wide forums, known as Schwartz Center Rounds®, helps support healthcare staff. The forums are linked with increased empathy and compassion for colleagues and patients, and they facilitate practice change. Levels of poor psychological well-being decrease in forum attendees compared with non-attendees. Originating in the US, these forums provide the opportunity for ...

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School-based self-regulation interventions can improve child academic, health and behavioural outcomes

Different types of interventions improve self-regulation in children and young people, which helps children to manage their behaviour and emotions. School curriculum-based interventions show the most consistently positive results. Interventions also improve longer-term academic, health and social outcomes. Self-regulation encompasses a range of skills, including controlling your own emotions, interacting positively with others, avoiding inappropriate ...

Themed Review

Forward Thinking - Support for people with severe mental illness

Severe mental illness (SMI) affects somewhere between one in one hundred and one in two hundred adults. People with severe mental illness, like schizophrenia, psychosis or bipolar disorder, often experience poorer health and, as a result, die sooner than others. Psychotic illnesses can have a profound effect on people and their families, and appropriate and ...

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Social exclusion heightens risk of death across many health conditions

Socially excluded men have a mortality rate that is nearly eight times higher than the average for other men, and it is almost 12 times higher for excluded women. These health inequities in outcomes exist across a wide range of health conditions, particularly in infectious diseases and mental health. These findings suggest the need for ...

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What works to support residents’ health in care homes and why

Long-term relationships and joint working between community health practitioners and care homes are the keys to improving appropriate hospital admissions and access to medications. Additional payments for GPs, jointly agreed protocols, clear role specifications and structured systems have impact only if they trigger and sustain collaborative working. This realist evaluation in 12 English care homes ...

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Supported employment helps people with severe mental illness to obtain work

Adults with schizophrenia and other psychosis receiving supported employment were more than twice as likely to obtain a job in the competitive labour market as those receiving pre-job training, sheltered employment or psychiatric care only. Supported employment seemed most effective when augmented with other interventions such as social or cognitive skills training. Many people with ...

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