Back when it first started, 17% of young pregnant women in the Children of the 90s study reported symptoms severe enough to indicate clinical levels of depression. This figure was already worryingly high in the 1990s, but in their daughters’ generation it is even more common: 25% of the second generation of the study – women under the age of 24 who are becoming pregnant now – are reporting signs of depression and anxiety. Continue reading
Perhaps the central policy question for those of us studying education is: how can we raise levels of attainment? For long, the focus was almost solely on cognitive skills, but a line of recent research has looked at the interaction between such skills and non-cognitive factors (also called psychological traits), motivations, and culture in generating higher student achievement. Continue reading
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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)
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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
One of the toughest subjects in classrooms at the moment is the recruitment and retention of teachers. Their level of pay is often cited as a problem – and possibly part of a solution.
In England, the public sector pay freeze of recent years has meant real terms pay cuts for many teachers. But another part of the picture is the procedure which decides how much an individual teacher gets. Until recently this has been the pervasive public sector approach under which pay has generally increased automatically over time. Continue reading
Couples are being subjected to painful separations, uncertainty about their future and financial hardship by the UK’s strict immigration rules, according to our new research.
Between 2014 and 2017, we followed nearly 30 couples where the man had irregular or insecure immigration status in the UK but his partner or children were citizens of Britain or the European Economic Area (EEA). Continue reading
Social media has once again been a-twitter with discussion about The Archers.
I wrote back in April about the domestic violence and coercive control storyline and how the producers had managed to shine a light on the often hidden aspects of abuse. As the story moves this week into the Courts, the media is once again gripped by the drama, with people posting their pictures of solidari-tea with the central character, Helen. The Mail Online even ran a story with Barristers discussing the fictional case .
Dendy Platt examines the potential for the C-Change approach
Social workers’ assessments of parental capacity to change are becoming increasingly important when working with children in need and children who may be at risk of maltreatment. Expectations from the courts regarding care proceedings in England have increased in the last couple of years, focusing particularly on better analysis in social work assessments, and better exploration of alternative courses of action for the child in question. Assessing the likelihood of a parent being able to make sufficient changes in their lives to ensure the child’s safety and wellbeing is a part of this analysis. And capacity to change is now included in the court report template from the Association of Directors of Children’s Services – requiring assessment of whether a parental capability gap can be bridged (http://adcs.org.uk/care/article/SWET).
Dr Emma Williamson, Senior Research Fellow in The Centre for Gender and Violence Research, School for Policy Studies, discusses how the recent storyline in The Archers highlights the often silent issue of coercive control and its effect on victims/survivors.
I have to admit that I don’t normally listen to The Archers. And people don’t normally talk to me about the story lines. That all changed when the long running series began a story over 18 months ago which looked at the issue of domestic violence and coercive control. One of the most difficult things that victims/survivors of abuse tell us, and have consistently told us since the first women’s refuges in the 1970’s, is that it is the non-physical abuse they experience which is the most difficult to deal with [Williamson, 2000]. The bruises and other injuries victims suffer from physical abuse are visible. They are evidence to other people but also to oneself. There it is in black and blue. What is more difficult to prove and believe, is that someone who purports to love and care for you would bully, undermine, and manipulate you. The women I spoke too after the fact would either say, ‘how could someone treat me like that?’ or more often than not, ‘how could I let someone treat me like that?’ – still blaming themselves.
As the Archers storyline shows, this type of abuse is characteristic of a pattern of ‘low level’ abusive behaviours rather than the explosive incident people tend to think about when they consider ‘a domestic’. It involves small everyday things which result in people staying away, isolating victims from their family, friends, and networks of support. Recent research from Bristol has documented the massive impact of such abuse on friends and family [Gregory et al, 2016], as well as the evidence we know about the impact on victims [Mullender et al, 2005], their children [Mullender et al, 2002], and perpetrators themselves [Hester et al, 2015]. Doctors, the police, courts, social services, all tend to think of interventions in terms of those single incidents which means that the on-going manipulation of victims goes unnoticed.