Evidence
Alert

Risk of forced marriage among people with learning disabilities: carers provide insights into consent, care needs and the place of marriage in South Asian communities

Under UK law, some people with learning disabilities cannot legally marry. If someone is unable to understand the implications of marriage - or to develop the capacity to understand - they cannot consent to marry. By law, any marriage that goes ahead is considered ‘forced’. Most forced marriages in the UK take place within South ...

Alert

Acting on feedback from national clinical audits: NHS staff describe their motivations and the barriers to engaging with the data

A national clinical audit (NCA) in a specific condition gives a picture of the standard of care provided by NHS Trusts across the country. Hospitals can use NCA data to determine where their service is doing well compared to other Trusts, and where there could be improvements. The aim is to improve the quality of ...

Collection

Improving men’s health outcomes

This Collection brings together evidence from research funded or supported by NIHR about some ways to improve particular men’s health outcomes. Three of the Alerts we have chosen concern prostate cancer, the most commonly-diagnosed cancer in the UK. Across the UK, one in eight men will be diagnosed with prostate cancer in their lifetime and ...

Alert

Extending breast screening to women in their forties may save lives without increasing harms, research suggests

Around 7,600 women in their 40s are diagnosed with breast cancer every year in the UK. But the NHS Breast Screening Programme only starts inviting women once they turn 50. Mammography (X-ray of the breasts) is offered to women every three years between the ages of 50 to 70. There is long-standing debate about the ...

Alert

Being overweight is linked with an increased risk of dementia in new research

People who carry excess weight in midlife have an increased risk of developing dementia, suggests new research from the long-running English Longitudinal Study of Ageing (ELSA). This study included people aged over 50 and followed them for an average of 11 years. Overall, those who were obese at the start of the study had a ...

Alert

Hand strengthening and stretching for people with rheumatoid arthritis: online training helps therapists deliver an exercise programme

A programme of exercises for people with rheumatoid arthritis improves hand strength and function. The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) programme is recommended by NICE following positive results in a large clinical trial. Therapists were initially trained face-to-face to deliver the SARAH programme. To speed up its routine use in ...

Alert

Heart surgery in young children: routine monitoring of complications can help assess the quality of care

The vast majority of young children undergoing heart surgery survive the procedure; the survival rate is 98%. This means that the current practice of monitoring survival alone is a blunt measure that does not give a full picture of childrens’ recovery. New research suggests that complications may be a better indicator of the quality of ...

Themed Review

Living with Covid19 – Second review

A dynamic review of the evidence around ongoing Covid19 (often called Long Covid). You can also download this review as a PDF. Executive summary NIHR Centre for Engagement and Dissemination What are we aiming to achieve with our Living with Covid19 reviews? Framing the evidence What is ‘Long Covid’? How many people who have had ...

Alert

People with chronic fatigue syndrome want to be taken seriously and to receive personalised, empathetic care

Chronic fatigue syndrome (CFS) is a complex, long-term condition that dramatically limits people's activities. It is also known as myalgic encephalomyelitis (ME). People with CFS/ME are exhausted for no reason; rest does not help and it can take days or weeks to recover from any activity. Some describe 'brain fog' and problems with memory, concentration ...

Alert

Physician associates need support to establish their place within the healthcare workforce

The role of physician associate was recently introduced in the UK as a response to staff shortages, growing demand for services and rising costs in the NHS. Physician associates support multidisciplinary healthcare teams in the diagnosis and management of patients. They are supervised by doctors and they take medical histories, carry out physical examinations and ...

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