This week sees the launch of the James Lind Alliance Advanced Heart Failure Priority Setting Partnership Survey to gather research ideas from those living or working with advanced heart failure. Continue reading
In the four years since a change in the law regarding forced marriages in England and Wales, there have been two cases where parents have been convicted of forcing their daughters to marry by taking them out of the country to their countries of origin.
One case, in Birmingham in May 2018, involved taking a daughter to Pakistan, the other – in Leeds, also in May 2018 – involved a couple luring their daughter to Bangladesh for a forced marriage. These were the first convictions of their kind in England. In 2015, a man was jailed for forced marriage (among other offences) after a Welsh court found he had raped and blackmailed a woman into marrying him. Continue reading
Hurricane Irma passed directly over the tiny Caribbean island of Barbuda in September 2017. Irma was the fifth strongest hurricane ever recorded in the Atlantic, and it reached peak intensity just before landfall, when 180mph winds damaged almost every structure on the island, flattening many of them. Continue reading
Eating fish while you’re pregnant does not increase the chance that your child will be autistic or have autistic traits, our latest study shows. In fact, our study suggests that fish may be beneficial for the development of a healthy nervous system.
A possible link between mercury exposure and autism has been the subject of much debate over the years. In pregnancy, mercury travels in the mother’s blood through the placenta and into the foetus, where it acts as a toxin, affecting the development of the foetal nervous system. Continue reading
The appeal of collaborating with a government agency, or an organisation funded by one, seems obvious. It provides researchers with much needed resources and information, while also offering practitioners and policymakers a way of generating the evidence needed to design better programmes. Continue reading
Backgrounding Marx is hard to do, especially when 2018 is the 200th anniversary of his birth and a huge number of global events are focusing on the great man. This is his usual “leader of the orchestra” position, with his life-long friend, constant benefactor and sometime co-author Engels in his usual role as second fiddle. But another 200th anniversary is fast approaching: that of Engels’s birth in 1820. Best to be forewarned and forearmed. Continue reading
Photo Credit: Christopher Gross/Released
Dr Fiona Lithander, Senior Research Associate, NIHR Bristol Biomedical Research Centre.
Fiona explains how a new questionnaire could be used to increase healthy food and drink options in hospital retail outlets
At the National Institute for Health Research (NIHR), Bristol Biomedical Research Centre we are interested in the role the NHS plays in promoting good nutrition and health in children. Recent reports have shown a quarter of children in the UK are overweight or obese; a worrying statistic in itself, and the problem doesn’t appear to be getting any better.
NICE guidelines say that retail outlets in hospitals such as shops, cafes, restaurants and vending machines should offer healthy food and drink options, and that these options should be prominently displayed. They also say that nutritional information about the foods on their menus should be available. These guidelines do not refer to foods served to patients, although patients may have access to foods and drinks for sale onsite.
At NIHR Bristol Biomedical Research Centre we developed a new questionnaire to help NHS Trusts assess how healthy their food and drink options are. This differs from other questionnaires in that it allows Trusts to compare their findings with the NICE guidelines. Trusts can use this questionnaire to measure how healthy prepared foods for sale are, and can make changes accordingly. These changes may involve, replacing sugary drinks with sugar-free options such as water, and replacing chocolate bars with more healthy options such as unsalted nuts.
Using this questionnaire, we measured how healthy the foods and drinks were in two Trusts, and how closely they followed NICE guidelines. Our findings showed a lack of healthy food and drink options for sale in vending machines. Nutritional information on menus was minimal, and there was limited promotion and advertising of healthy foods and drinks. Since the findings were published, both of the Trusts have made improvements.
Our plan is to further develop the questionnaire in conjunction with the NICE guidelines, so that it can be used more widely in NHS Trusts and in local authority settings, such as leisure centres. Making it easier for parents to direct their children to healthier choices should be a central element of our healthcare system.
Disclaimer: This study was supported by the NIHR Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol. The views expressed in this article are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health.
This blog was originally published by the National Institute for Health and Care Excellence (NICE)
As a former clerk of the House of Commons, the recent Newsnight coverage(i) depicting a culture of unchecked bullying and sexual harassment by some MPs took me by surprise. Not because of the allegations: the stories reported, and many more, have long been open secrets in Westminster. But because, for the first time, the corrosive culture of normalising this behaviour was revealed. What is new is that the careful investigation of reporters Chris Cook and Lucinda Day has exposed a pattern of abusive Members not being held to account, and a historic management culture of quietly moving victims who speak out. This is a culture which has normalised the acceptance of bullying behaviour, refused to shine a light on the bullies, and thus tacitly condoned it. This is the same cultural quicksand which led us to Weinstein, Bennell and Saville: a wilful collective blindness. Continue reading
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Marilyn Howard, University of Bristol Law School
The Government’s flagship benefit reform, Universal Credit, could be sailing into choppy waters.
Universal credit aims to simplify benefits and to make work pay. It does this through amalgamating different means-tested benefits and tax credits, paid for different purposes and potentially payable to a different member of a couple. Included in Universal Credit are payments previously paid separately for housing costs and for children (Child Tax Credit). Continue reading