scholarly journals NICE public health guidance update

Author(s):  
Fizzah Ali ◽  
Mark Gabbay ◽  
Nick Baillie

Abstract This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It highlights the organization’s response to the COVID-19 pandemic and then provides a spotlight on workplace health in the context of long-term sickness absence and capability to work. It discusses some of the actions that need to be taken by a range of stakeholders in order to implement NICE guidance in this area and aid employees in ensuring good workplace health. The NICE guidance on workplace health, discussed in this article, predates the current pandemic. Comment is made specifically on fitness for work assessments, where the COVID-19 pandemic has posed a range of unique clinical challenges.

2020 ◽  
pp. 145507252097230
Author(s):  
Jonas Landberg ◽  
Mats Ramstedt

Aim: This study estimated (i) the risk function between different indicators of alcohol use and long-term sickness absence, adjusting for possible confounding factors, (ii) whether the risk function between average volume of consumption and sickness absence is modified by heavy episodic drinking (HED), and (iii) to what extent the risk for sickness absence among abstainers is due to health selection bias. Data and methods: The study was based on data from the Stockholm Public Health Cohort 2006, with an analytical sample of 16,477 respondents aged 18–64 years. The outcome included register-based long-term (> 14 days) sickness absence. Negative binominal regression was used to estimate the association between sickness absence and average weekly volume of consumption, frequency of HED, and both in interaction. Results: Abstainers, chronic heavy drinkers and respondents with the highest frequency of HED had approximately two-fold higher rates of sickness absence relative to the reference groups, i.e., moderate drinkers and those with HED one to 6 times per year. Adjustment for confounding factors did not materially affect the shape of the risk function. After exclusion of abstainers with alcohol-related problems, or poor health, the estimates for abstainers became non-significant. Moderate drinkers with HED did not have significantly higher rates of sickness absence than moderate drinkers without HED. Conclusions: Our results suggest a significant association between alcohol use and sickness absence. There were indications that the U-shaped risk function may largely be due to health selection bias among abstainers. We found no indication of effect modification of HED on moderate drinking.


2019 ◽  
Vol 41 (3) ◽  
pp. 642-644
Author(s):  
Bex Willans ◽  
Monica Desai ◽  
Lesley Owen ◽  
Gillian Leng

Abstract This article covers recent NICE guidance relevant to public health and has a focus on healthy ageing. The article contextualizes NICE guidance on increasing personal capacity, creating supportive environments and developing longer term strategies to reduce chronic disease and disability through primary prevention.


2019 ◽  
Vol 42 (4) ◽  
pp. 857-860
Author(s):  
Susan Roberts ◽  
Kay Nolan ◽  
Peter Shearn ◽  
Michael Raynor ◽  
Gillian Leng

Abstract This article covers recently published National Institute for Health and Care Excellence (NICE) guidance relevant to public health and a review of evidence published since we released the NICE guidance on unintentional injury prevention in under 15 year olds. The article features some of this evidence that was found to reinforce published recommendations on safety in the home and on the roads, indicating the guidance remains up to date and relevant. In addition, it importantly highlights that there is great opportunity to prevent future unintentional injury through integrated and coordinated, evidence and intelligence-informed approaches.


2020 ◽  
Vol 42 (4) ◽  
pp. 799-800
Author(s):  
Ben Fryer ◽  
Hugh McGuire ◽  
Lise Elliott ◽  
Monica Desai ◽  
Judith Richardson

Abstract This article covers recent National Institute for Health and Care Excellence (NICE) guidance relevant to public health, with a focus on indoor air quality. It introduces the evidence behind this guideline, and the actions that need to be taken by a wide range of stakeholders to implement the guidance and help people to achieve good air quality in their homes. It also highlights the inequalities in exposure to poor quality indoor air and identifies groups that are more vulnerable to health impacts.


2019 ◽  
pp. 25-49
Author(s):  
Gillian S. Howard

This chapter looks at the statutory, contractual, and case law aspects of sickness absence and assessing fitness for work. It covers the role an occupational health practitioner/occupational health adviser plays in disability discrimination cases, assessing whether the disability fits the statutory definition and what reasonable adjustments could be recommended. It also covers the role of the occupational health practitioner/adviser in assessing the short-term, persistent, irregular attender and the chronic or long-term sick case. This chapter also covers the role of the occupational health practitioner in cases of malingering. Precedents, model letters, forms, and policies are also included in this chapter, which are relevant for the employer as well as the occupational health practitioner and occupational health adviser.


Author(s):  
Diana Hart

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.


2019 ◽  
Author(s):  
Noora Kanerva ◽  
Paulus Torkki ◽  
Ossi Rahkonen ◽  
Johanna Pekkala ◽  
Olli Pietiläinen ◽  
...  

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