scholarly journals A comprehensive high cost drugs dataset from the NHS in England - An OpenSAFELY-TPP Short Data Report

2021 ◽  
Vol 6 ◽  
pp. 360
Author(s):  
Anna Rowan ◽  
Chris Bates ◽  
William Hulme ◽  
David Evans ◽  
Simon Davy ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Similar Data ◽  
Specific Group ◽  
Long Term Conditions ◽  
Support Unit ◽  
North East ◽  
The North ◽  
Data Coverage ◽  
The Uk

Background: At the outset of the COVID-19 pandemic, there was no routine comprehensive hospital medicines data from the UK available to researchers. These records can be important for many analyses including the effect of certain medicines on the risk of severe COVID-19 outcomes. With the approval of NHS England, we set out to obtain data on one specific group of medicines, “high-cost drugs” (HCD) which are typically specialist medicines for the management of long-term conditions, prescribed by hospitals to patients. Additionally, we aimed to make these data available to all approved researchers in OpenSAFELY-TPP. This report is intended to support all studies carried out in OpenSAFELY-TPP, and those elsewhere, working with this dataset or similar data. Methods: Working with the North East Commissioning Support Unit and NHS Digital, we arranged for collation of a single national HCD dataset to help inform responses to the COVID-19 pandemic. The dataset was developed from payment submissions from hospitals to commissioners. Results: In the financial year (FY) 2018/19 there were 2.8 million submissions for 1.1 million unique patient IDs recorded in the HCD. The average number of submissions per patient over the year was 2.6. In FY 2019/20 there were 4.0 million submissions for 1.3 million unique patient IDs. The average number of submissions per patient over the year was 3.1. Of the 21 variables in the dataset, three are now available for analysis in OpenSafely-TPP: Financial year and month of drug being dispensed; drug name; and a description of the drug dispensed. Conclusions: We have described the process for sourcing a national HCD dataset, making these data available for COVID-19-related analysis through OpenSAFELY-TPP and provided information on the variables included in the dataset, data coverage and an initial descriptive analysis.

scholarly journals Shifting the Goalposts: A Longitudinal Mixed-Methods Study of the Health of Long-Term Incapacity Benefit Recipients during a Period of Substantial Change to the UK Social Security System

2014 ◽  
Vol 43 (2) ◽  
pp. 311-330 ◽  
Author(s):  
KAYLEIGH GARTHWAITE ◽  
CLARE BAMBRA ◽  
JONATHAN WARREN ◽  
ADETAYO KASIM ◽  
GRAEME GREIG
Keyword(s):  
Mixed Methods ◽  
Social Security ◽  
Safety Net ◽  
Health State ◽  
Disabled People ◽  
Welfare Benefits ◽  
North East ◽  
The North ◽  
The Uk

AbstractThe UK social security safety net for those who are out of work due to ill health or disability has experienced significant change, most notably the abolition of Incapacity Benefit (IB) and the introduction of Employment and Support Allowance (ESA). These changes have been underpinned by the assumption that many recipients are not sufficiently sick or disabled to ‘deserve’ welfare benefits – claims that have been made in the absence of empirical data on the health of recipients. Employing a unique longitudinal and mixed-methods approach, this paper explores the health of a cohort of 229 long-term IB recipients in the North East of England over an eighteen-month period, during a time of significant changes to the UK welfare state. In-depth interviews with twenty-five of the survey cohort are also presented to illustrate the lived experiences of recipients. Contributing to debates surrounding the conceptualisation of work-readiness for sick and disabled people, findings indicate IB recipients had significantly worse health than the general population, with little change in their health state over the eighteen-month study period. Qualitative data reinforced the constancy of ill health for IB recipients. Finally, the paper discusses the implications for social policy, noting how the changing nature of administrative definitions and redefinitions of illness and capacity to work can impact upon the lives of sick and disabled people.

In memory of Vera Antonovna Martynenko (1936-2018)

2018 ◽  
pp. 149-154
Keyword(s):  
Vascular Plants ◽  
Ussr Academy ◽  
Vascular Plant ◽  
Plant Cover ◽  
Komi Republic ◽  
Great Contribution ◽  
North East ◽  
The North ◽  
Natural Flora

Vera Antonovna Martynenko (17.02.1936–06.01.2018) — famous specialist in the field of studying vascular plant flora and vegetation of the Far North, the Honored worker of the Komi Republic (2006), The Komi Republic State Scientific Award winner (2000). She was born in the town Likhoslavl of the Kali­nin (Tver) region. In 1959, Vera Antonovna graduated from the faculty of soil and biology of the Leningrad State University and then moved to the Komi Branch of USSR Academy of Science (Syktyvkar). From 1969 to 1973 she passed correspondence postgraduate courses of the Komi Branch of USSR Academy of ­Science. In 1974, she received the degree of candidate of biology (PhD) by the theme «Comparative analysis of the boreal flora at the Northeast European USSR» in the Botanical Institute (St. Petersburg). In 1996, Vera Antonovna received the degree of doctor of biology in the Institute of plant and animal ecology (Ekaterinburg) «Flora of the northern and mid subzones of the taiga of the European North-East». The study and conservation of species and coenotical diversity of the plant world, namely the vascular plants flora of the Komi Republic and revealing its transformation under the anthropogenic influence, was in the field of V. A. Martynenko’ scientific interests. She made great contribution to the study of the Komi Republic meadow flora and the pool of medi­cinal plants. She performed inventorying and mapping the meadows of several agricultural enterprises of the Republic, revealed the species composition and places for harvesting medicinal plants and studied their productivity in the natural flora of the boreal zone. The results of her long-term studies were used for making the NPA system and the Red Book of the Komi Republic (1998 and 2009). Vera Antonovna participated in the research of the influence of placer gold mining and oil development on the natural ecosystems of the North, and developed the method of long-term monitoring of plant cover. Results of these works are of high practical value. V. A. Martynenko is an author and coauthor of more than 130 scientific publications. The most important jnes are «Flora of Northeast European USSR» (1974, 1976, and 1977), «Floristic composition of fodder lands of the Northeast Europe» (1989), «The forests of the Komi Republic» (1999), «Forestry of forest resources of the Komi Republic» (2000), «The list of flora of the Yugyd va national park» (2003), «The guide for vascular plants of the Syktyvkar and its vicinities» (2005), «Vascular plants of the Komi Republic» (2008), and «Resources of the natural flora of the Komi Republic» (2014). She also was an author of «Encyclopedia of the Komi Republic» (1997, 1999, and 2000), «Historical and cultural atlas of the Komi Republic» (1997), «Atlas of the Komi Republic» (2001, 2011). V. A. Martynenko made a great contribution to the development of the botanical investigations in the North. Since 1982, during more than 10 years, she was the head of the Department of the Institute of Biology. Three Ph. D. theses have been completed under her leadership. Many years, she worked actively in the Dissertation Council of the Institute of biology Komi Scientific Centre UrB RAS.  The death of Vera Antonovna Martynenko is a heavy and irretrievable loss for the staff of the Institute of Biology. The memory of Vera Antonovna will live in her numerous scientific works, the hearts of students and colleagues.

scholarly journals ABCD position statement on risk stratification of adult patients with diabetes during COVID-19 pandemic

2021 ◽  
Author(s):  
Dinesh Nagi ◽  
Emma Wilmot ◽  
Karissa Owen ◽  
Dipesh Patel ◽  
Lesley Mills ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Clinical Care ◽  
Position Statement ◽  
Specialist Care ◽  
Long Term Conditions ◽  
Use Of Technology ◽  
Patients With Diabetes ◽  
Long Term Impact ◽  
The Uk

At the time of submission of this manuscript, the COVID-19 pandemic had cost nearly 60,000 lives in the UK. This number currently stands at over 120,000 deaths. A high proportion (one third) of these lived with diabetes. The huge acute and emergency medicine effort to support people with COVID-19 has had a major knock-on impact on the delivery of routine clinical care, especially for long-term conditions like diabetes.Challenges to the delivery of diabetes services during this period include a reduction in medical and nursing staff, limitations placed by social distancing on physical clinical space, and balancing virtual vs face-to-face care. There is a need to re-group and re-organise how we deliver routine out-patient adult diabetes services during the ongoing COVID-19 pandemic. We offer some suggestions for how patients can be stratified into red (urgent), amber (priority) and green (routine) follow up with suggestions of how often people should be seen. We also offer recommendation on how we can identify those at highest risk and try and minimise the long- term impact of COVID on diabetes careDuring the COVID pandemic we have seen things happen in days that previously took years. The restart of diabetes services has triggered a more widespread use of virtual consultations and data management systems, but also offers an opportunity for more joined-up and cohesive working between primary and specialist care. While we do our best to keep our patients and colleagues safe, this pandemic is already proving to be a catalyst for change, accelerating the appropriate use of technology in diabetes care and implementing innovative solutions. To achieve this aspiration, further work – currently led by the Association of British Clinical Diabetologists in collaboration with Diabetes UK and the Primary Care Diabetes Society – to make recommendations on future proofing diabetes care in UK is in progress.

scholarly journals Can social media reduce discrimination and ignorance towards patients with long term conditions? A chronic kidney disease example in the UK and more widely

2016 ◽  
Vol 3 (1) ◽  
pp. 35-41
Author(s):  
Shahid N Muhammad ◽  
Amy J Zahra ◽  
Howard J Leicester ◽  
Heather Davis ◽  
Stephen Davis
Keyword(s):  
Chronic Kidney Disease ◽  
Social Media ◽  
Kidney Disease ◽  
Long Term Conditions ◽  
The Uk

scholarly journals 'Greenfields' and 'Brownfields': automotive industrial development in the UK and in Portugal

Finisterra ◽  
2012 ◽  
Vol 31 (62) ◽  
Author(s):  
Andrew Pike ◽  
Mário Vale
Keyword(s):  
Industrial Policy ◽  
Automobile Industry ◽  
Industrial Development ◽  
Development Strategies ◽  
North West ◽  
Demonstration Effect ◽  
North East ◽  
The North ◽  
The Uk ◽  
The Impact

The industrial policy in the UK and in Portugal, as in most EU countries, seeks to attract new investment capacity, to create jobs and to promote the impact of the so-called "demonstration efect" of "greenfield" development strategies pursued in the new plants of inward investors on existing or "brownfield" plants. This industrial policy focus is particularly evident in the automobile industry.This paper compares the industrial policy oriented towards the automobile industry in the UK and in Portugal. Two recent "greenfield" investments are analised: Nissan in the North-East region (UK) and Ford/VW in the Setúbal Peninsula (Portugal), as well as three "brownfield" plants: Ford Halewood and GM Vauxhall Ellesmere Port in the North-West region (UK) and Renault in Setúbal (Portugal). The first part starts with a discussion of industrial policy in the automobile sector, the role of "greenfield" development strategies and the "demonstration effect" on "brownfield" plants. Then, the limits of new inward investment are pointed out, basically their problems and restrictions. Afterwards, the structural barriers to the "demonstration effect" within "brownfield" plants are outlined and some possabilities for alternative "brownfield" development strategies are presented.

scholarly journals “The way things get done around here…” Exploring spatial biographies, social policy and governance in the North East of England

2017 ◽  
Vol 37 (11-12) ◽  
pp. 655-666 ◽  
Author(s):  
Jon Warren
Keyword(s):  
Social Policy ◽  
Empirical Work ◽  
Social Progress ◽  
Local Conditions ◽  
Content Type ◽  
North East ◽  
The North ◽  
Policy Interventions ◽  
Health Related

Purpose The purpose of this paper is to argue that the application of social policy in the North East of England is often characterised by tension and conflict. The agencies and professionals charged with implementation of Westminster driven policies constantly seek to deploy their knowledge of local conditions in order to make them both practical and palatable. Design/methodology/approach This paper examines the region via established literature from history, geography, sociology and social policy. The paper gives illustrations via empirical work which has evaluated initiatives to improve the health of long term health-related benefit recipients and to sustain individuals in employment in the region. Findings Central to the paper’s argument is the notion of “biographies of place”. The core of this idea is that places have biographies in the same way as individuals and possess specific identities. These biographies have been shaped by the intersections between environment, history, culture and economic and social policy. The paper identifies the region’s economic development, subsequent decline and the alliance of labour politics and industrial employers around a common consensus that sought economic prosperity and social progress via a vision of “modernisation” as a key component of this biography. Originality/value The paper argues that an appreciation of these spatial biographies can result in innovative and more effective social policy interventions with the potential to address issues that affect entire localities.

Information about Antimalarial Chemoprophylaxis in Hospitalised Patients — Is it Adequate?

1997 ◽  
Vol 42 (1) ◽  
pp. 13-15 ◽  
Author(s):  
D. Nathwani ◽  
J Spiteri
Keyword(s):  
Public Health ◽  
Plasmodium Falciparum ◽  
East Coast ◽  
Central Africa ◽  
Public Health Problem ◽  
Oil Boom ◽  
North East ◽  
The North ◽  
Hospitalised Patients ◽  
The Uk

Malaria remains a huge public health problem worldwide, with over 100 million new cases annually, causing one to two million deaths.1 This global problem spills over into the UK, with around 2000 cases of reported annually.2 The proportion of infections due to Plasmodium falciparum (PF) continues to increase and worse still accounts for five to 12 deaths per year. In 1992, Nathwani et al reported the 10 year experience of malaria cases admitted to the Regional Infection Unit, in Aberdeen, Scotland-the “Oil Capital”.3 This study was of interest in that 46% of those British residents who acquired infection had travelled to West or Central Africa on oil related business. The Oil boom of the 1980‘ s appeared to very much centred around Aberdeen and the neighbouring hinterland but did not appear to extend to Dundee which was only 60 miles further down the North-East coast. We, therefore, carried out a retrospective study of patients with malaria admitted to the Regional Infectious Diseases Unit in Dundee over a fifteen year period between 1980 and 1994.

Inequalities in awareness and availability of bereavement services in North-East England

2020 ◽  
pp. bmjspcare-2020-002422
Author(s):  
Donna Wakefield ◽  
Elizabeth Fleming ◽  
Kate Howorth ◽  
Kerry Waterfield ◽  
Emily Kavanagh ◽  
...  
Keyword(s):  
Phase 1 ◽  
Waiting Times ◽  
Financial Strain ◽  
Web Based ◽  
North East ◽  
The North ◽  
Referral Criteria ◽  
National Guidance ◽  
The Uk ◽  
The Impact

ObjectivesNational guidance recommends equality in access to bereavement services; despite this, awareness and availability appears inconsistent. The aim of this study was to explore availability and accessibility of bereavement services across the North-East of England and to highlight issues potentially applicable across the UK, at a time of unprecedented need due to the impact of COVID-19.MethodsPhase 1: an eight item, web-based survey was produced. A survey link was cascaded to all GP practices (General Practitioners) in the region. Phase 2: an email was sent to all services identified in phase 1, requesting details such as referral criteria and waiting times.ResultsAll 392 GP practices in the region were invited to participate. The response rate was 22% (85/392). Twenty-one per cent (18/85) of respondents reported that they do not refer patients, comments included ‘not aware of any services locally’. A total of 36 services were contacted with 72% responding with further information. Most bereavement specific support was reliant on charity-funded services including hospices, this sometimes required a pre-existing link with the hospice. Waiting times were up to 4 months.ConclusionsAlthough multiple different, usually charity-funded services were identified, awareness and accessibility were variable. This survey was conducted prior to the COVID-19 pandemic, where complex situations surrounding death is likely to impact on the usual grieving process and increase the need for bereavement support. Meanwhile, charities providing this support are under severe financial strain. There is an urgent need to bridge the gap between need and access to bereavement services.

Northeast India

2019 ◽  
pp. 156-167
Author(s):  
Kaholi Zhimomi
Keyword(s):  
Identity Politics ◽  
Regional Identity ◽  
Northeast India ◽  
Way Of Life ◽  
North East ◽  
The North ◽  
Indigenous Groups ◽  
The Social ◽  
Military Violence

The north-east has a distinct regional identity, as the land of seven sisters, Assam, Arunachal Pradesh, Meghalaya, Manipur, Mizoram, Nagaland, Tripura and Sikkim; and yet, has been absorbed into the social, cultural and political scheme of the secular nation since independence. The identity politics resulted in dissatisfaction on the part of the indigenous people, which generated long-term military violence in Northeast India. Today, disempowerment among indigenous groups is enormous. For early missionaries, conversion to Christianity also entailed adoption of the Western way of life. Most of the missionaries in Northeast India were American or Welsh among the Protestants and German, Spanish or Italian among the Catholics. Despite exploitation by colonialists that attempted to replace indigenous customs, revivals paved the way for renaissance for those customs. Today, Christianity is the major religion in the states of Nagaland, Mizoram and Meghalaya, with significant growth of indigenous leaders, both secular and religious. Furthermore, there is a rapid growth of educated young tribals who are qualified administrators, educators, academicians, politicians and theologians. With the effects of globalization and modernisation, Christianity must not be assumed to be an agent of acculturation but an agent that helped in the metamorphosis of indigenous norms into authentic tradition.

The context of healthcare

2020 ◽  
pp. 1-34
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Northern Ireland ◽  
Healthcare Services ◽  
Health Profile ◽  
Long Term Conditions ◽  
Key Concepts ◽  
The Uk

This chapter begins by covering the UK health profile, then defines the key concepts in primary care and public health, and outlines the generic long-term conditions model. It provides a brief overview of the National Health Service, including differences in England, Northern Ireland, Scotland, and Wales. It covers current NHS entitlements for people from overseas, commissioning of services, and public health in a broader context. It also describes health needs assessment, and provides an overview of the services in primary care, the role of general practice, and other primary healthcare services. Further services, including those to prevent unplanned hospital admission, aid hospital discharge, those that support children and families, housing, social support, and care homes are all covered.

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