Tag Archives: Guidance

Evidence-based medicine meets democracy: the role of evidence-based public health guidelines in local government

Kelly, M.P. et al (2017) Journal of Public Health. pp. 1–7 doi:10.1093/pubmed/fdx002

In 2013, many public health functions transferred from the National Health Service to local government in England. From 2006 NICE had produced public health guidelines based on the principles of evidence-based medicine. This study explores how the guidelines were received in the new environment in local government and related issues raised relating to the use of evidence in local authoritites.

Methods

In depth, interviews with 31 elected members and officers, including Directors of Public Health, from four very different local government organizations (‘local authorities’).

Results

Participants reported that (i) there were tensions between evidence-based, and political decision-making; (ii) there were differences in views about what constituted ‘good’ evidence and (iii) that organizational life is an important mediator in the way evidence is used.

Conclusions

Democratic political decision-making does not necessarily naturally align with decision-making based on evidence from the international scientific literature, and local knowledge and local evidence are very important in the ways that public health decisions are made.

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Support after a suicide: A guide to providing local services

By Public Health England (2017)

This practical guidance helps commissioners understand why and how they can deliver support after suicide (also known as postvention support) in their local areas.

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Finding the evidence: Research support for public health teams based in Local Authorities

By Public Health England (2016)

Information skills such as literature searching and critical appraisal skills are a key part of the learning and research process, because it helps students to build a case and demonstrate why their research is relevant and required. The PHE Knowledge and Library Services Team have produced this leaflet to support people working in public health teams, and help them embed evidence-informed decision-making in their daily working practice.

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Finding the evidence: Research support for PHE staff undertaking university courses

By Public Health England (2016)

Information skills such as literature searching and critical appraisal skills are a key part of the learning and research process, because it helps students to build a case and demonstrate why their research is relevant and required. The PHE Knowledge and Library Services Team have produced this leaflet to support PHE staff who are undertaking postgraduate courses. It contains links to useful resources related to evidence-based public health, and can be used alongside materials produced by their universities, that the training that is provided as part of their university induction programme and part-time/distance learner support.

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Excellence in continence care: practical guidance for commissioners, providers, health and social care staff and information for the public

By NHS England (2015)

This guidance finds that increased preventative services, good quality, easily available information and advice, as well as integrated health and social care could have a significant impact on the numbers of children and adults suffering with continence issues and the severity of their health and social problems. It brings together the most up-to-date evidence based resources and research to support commissioners and providers of health services to enable them to make real and lasting changes to raise standards of care for continence. It encourages greater collaboration between health and social care, working in partnership with the third sector, as set out in the NHS Five Year Forward View.

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Foot care services for people with diabetes

By London Diabetes Strategic Clinical Network (2015)

This service specification for commissioners aims to deliver equity of access to foot care for people with diabetes. It outlines the care and management to be provided for people with diabetes no matter the severity, urgency or progression of their disease.

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Facing the future: together for child health 2015

By Royal College of General Practitioners (2015)

Children make up more than a quarter of emergency department attendances in the UK and in England alone there has been a 28 per cent increase in admissions for children to hospital over the last ten years. Healthcare professionals are warning that unless there is an overhaul of unscheduled care services, there is a risk that growing demand will result in poorer outcomes for children. This set of standards says that in order to deal with these pressures, and to improve child health outcomes, not only do unscheduled care services need more investment but there also needs to be a shake-up of how services are designed, with more children being cared for outside the hospital, in the community and closer to their home.

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