nhs - Research library - 'We can move' insight2024-03-29T09:12:05Zhttps://www.wecanmoveinsight.net/articles/feed/tag/nhsCore20PLUS5 – An approach to reducing health inequalitieshttps://www.wecanmoveinsight.net/articles/core20plus5-an-approach-to-reducing-health-inequalities2022-03-07T14:22:17.000Z2022-03-07T14:22:17.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/10175603285?profile=RESIZE_400x&width=334"></div><div><p>Source: NHS March 2022</p>
<p><a href="https://www.england.nhs.uk/about/equality/equality-hub/core20plus5/" target="_blank">https://www.england.nhs.uk/about/equality/equality-hub/core20plus5/</a></p>
<p><a href="{{#staticFileLink}}10175617872,original{{/staticFileLink}}">Intro and data sections - Core20slides.pptx</a></p>
<p><a href="{{#staticFileLink}}10175637095,original{{/staticFileLink}}">core20plus5-online-engage-survey-supporting-document-v1.pdf</a></p>
<p> </p>
<h2 style="background-color:transparent;color:#003087;font-size:27px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:32.4px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:13.5px 0px 20.25px 0px;border:0px none #003087;">Core20</h2>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;">The most deprived 20% of the national population as identified by the national <a class="external-link" style="color:#005eb8;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;text-decoration:underline;vertical-align:baseline;padding:0px;margin:0px;border:0px none #005eb8;" href="https://www.gov.uk/government/statistics/english-indices-of-deprivation-2019">Index of Multiple Deprivation (IMD)</a>. The IMD has seven domains with indicators accounting for a wide range of social determinants of health.</p>
<h2 style="background-color:transparent;color:#003087;font-size:27px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:32.4px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:13.5px 0px 20.25px 0px;border:0px none #003087;">PLUS</h2>
<ul style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;list-style-image:none;list-style-position:outside;list-style-type:none;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 19px;border:0px none #202a30;">
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Integrated Care System (ICS)-determined population groups experiencing poorer than average health access, experience and/or outcomes, but not captured in the ‘Core20’ alone. This should be based on ICS population health data.</li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Inclusion health groups include: ethnic minority communities, coastal communities, people with multi-morbidities, protected characteristic groups, people experiencing homelessness, drug and alcohol dependence, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, people in contact with the justice system, victims of modern slavery and other socially excluded groups.
<h2 style="background-color:transparent;color:#003087;font-size:27px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:32.4px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:13.5px 0px 20.25px 0px;border:0px none #003087;">5</h2>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;">The final part sets out five clinical areas of focus. Governance for these five focus areas sits with national programmes; national and regional teams coordinate local systems to achieve national aims.</p>
<ol style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;list-style-image:none;list-style-position:outside;list-style-type:none;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 19px;border:0px none #202a30;">
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:decimal;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><strong style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:bold;line-height:25.2px;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Maternity:</strong> ensuring continuity of care for 75% of women from Black, Asian and minority ethnic communities and from the most deprived groups.</li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:decimal;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><strong style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:bold;line-height:25.2px;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Severe mental illness (SMI):</strong> ensuring annual health checks for 60% of those living with SMI (bringing SMI in line with the success seen in learning disabilities).</li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:decimal;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><strong style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:bold;line-height:25.2px;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Chronic respiratory disease</strong>: a clear focus on Chronic Obstructive Pulmonary Disease (COPD) driving up uptake of COVID, flu and pneumonia vaccines to reduce infective exacerbations and emergency hospital admissions due to those exacerbations.</li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:decimal;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><strong style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:bold;line-height:25.2px;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Early cancer diagnosis:</strong> 75% of cases diagnosed at stage 1 or 2 by 2028.</li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:decimal;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><strong style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:bold;line-height:25.2px;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;">Hypertension case-finding</strong>: to allow for interventions to optimise blood pressure and minimise the risk of myocardial infarction and stroke.</li>
</ol>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"> </p>
</li>
</ul>
<p> </p></div>2022/23 priorities and operational planning guidancehttps://www.wecanmoveinsight.net/articles/2022-23-priorities-and-operational-planning-guidance2022-01-17T11:32:20.000Z2022-01-17T11:32:20.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/10017863671?profile=RESIZE_400x&width=334"></div><div><p>Source: NHS 24.12.21</p>
<p><a href="{{#staticFileLink}}10017864670,original{{/staticFileLink}}">B1160 - 2022-23 priorities and operational planning guidance_24 December 2021.pdf</a></p>
<p><a href="{{#staticFileLink}}10017865284,original{{/staticFileLink}}">Briefing ICS Timetable_.pdf</a></p>
<p>In 2022/23 the NHS will continue to rise to the challenges of restoring services, meeting the new care demands and reducing the care backlogs that are a direct consequence of<br />the pandemic. While the future pattern of COVID-19 transmission and the resulting demands on the NHS remain uncertain, we know we need to continue to increase our<br />capacity and resilience to deliver safe, high quality services that meet the full range of<br />people’s health and care needs.</p>
<p>We will:<br />• accelerate plans to grow the substantive workforce and work differently as we keep our focus on the health, wellbeing and safety of our staff.<br />• use what we have learnt through the pandemic to rapidly and consistently adopt new models of care that exploit the full potential of digital technologies.<br />• work in partnership as systems to make the most effective use of the resources available to us across acute, community, primary and social care settings, to get above pre-pandemic levels of productivity as the context allows.<br />• use the additional funding government has made available to us to increase our capacity and invest in our buildings and equipment to support staff to deliver safe, effective and efficient care.</p></div>NHS to open first specialist clinics for severely obese childrenhttps://www.wecanmoveinsight.net/articles/nhs-to-open-first-specialist-clinics-for-severely-obese-children2021-11-30T13:51:22.000Z2021-11-30T13:51:22.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/9864815469?profile=RESIZE_400x&width=400"></div><div><p>Source: NHS 16.11.2021</p>
<p><a href="https://www.england.nhs.uk/2021/11/specialist-clinics/" target="_blank">https://www.england.nhs.uk/2021/11/specialist-clinics/</a></p>
<p> </p>
<p>The NHS is set to open 15 new specialist clinics in England to provide intensive support for obese children and young people. Obesity affects one in five children in the UK and can increase the likelihood of a child developing serious health issues such as 2 diabetes, liver conditions, and early heart disease. Severely obese children can also develop difficulties such as breathing problems, sleep issues and mental health problems,</p>
<p>A thousand children a year, aged 2-18 and experiencing health complications related to severe obesity, will be helped to lose weight through the new services. Children will also receive specialist treatment and customised care packages developed with their family, including diet plans, mental health treatment and coaching. Group sessions will also be provided by a team of health care professionals to ensure all health needs of each child are met.</p>
<p>In addition to providing expert treatment, the services will identify the factors causing obesity in children, considering their mental and physical health. The new services are modelled on an existing service in Bristol Royal Hospital for Children, which has been supporting children in the region since 2018.</p></div>More than a million children given access to NHS mental health support at schoolhttps://www.wecanmoveinsight.net/articles/more-than-a-million-children-given-access-to-nhs-mental-health-su2021-05-20T08:41:14.000Z2021-05-20T08:41:14.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><p>Source: NHS 08.05.21</p>
<p><a href="/https://www.england.nhs.uk/2021/05/more-than-a-million-children-given-access-to-nhs-mental-health-support-at-school//" target="_blank">http:/https://www.england.nhs.uk/2021/05/more-than-a-million-children-given-access-to-nhs-mental-health-support-at-school//</a></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;"><strong style="margin:0px;padding:0px;border:0px #202a30;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:bold;vertical-align:baseline;">More than a million children and young people will have access to mental health support at school, as the NHS rapidly expands services to help deal with the huge disruption caused by coronavirus and lockdown.</strong></span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">From this year, teams of experts are offering support to children experiencing anxiety, depression, and other common mental health issues.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Around 400 mental health support teams will be up and running covering 3,000 schools in England, offering support to almost three million pupils, by 2023.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The roll-out represents a dramatic acceleration of the programme announced in the <a class="external-link" style="margin:0px;padding:0px;border:0px #005eb8;color:#005eb8;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:400;text-decoration:underline;vertical-align:baseline;" href="https://www.longtermplan.nhs.uk/">NHS Long Term Plan</a>, funded from £79 million to boost mental health support for children and young people in England, which is part of £500 million Government pot for investment in mental health services.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Experts hope that by intervening early they can prevent problems escalating into serious mental health issues, with health chiefs warning that the isolation and upheaval of the pandemic can be compounded by factors like pressure experienced on social media platforms.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The NHS Long Term Plan intensified progress in investment in young people’s mental health services delivered over the past decade, with funding for these services set to rise faster than both overall mental health spending and total NHS funding increases, every year.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Referrals to the teams can be made by teachers or GPs as well as in cases like Gloucestershire by the young person themselves via the texting service they have established.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;"><strong style="margin:0px;padding:0px;border:0px #202a30;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:bold;vertical-align:baseline;">Sir Simon Stevens, chief executive of the NHS, said</strong>: “Coronavirus has taken its toll on us all, not least children who have been stuck at home unable to see their friends and without the routine of school life.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">“So it’s an urgent necessity to expand services as we are doing, after what will have been for many a year of turmoil.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">“Increasing investment in mental health services, particularly for children and young people, is a key part of the NHS Long Term Plan but we are now going even further and faster, because offering help and support early, before problems get worse, can sometimes prevent problems persisting into adulthood.”</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Coronavirus, and the actions necessary to slow its spread, have caused major disruption to children’s school and home lives over the past year.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;"><a class="external-link" style="margin:0px;padding:0px;border:0px #005eb8;color:#005eb8;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:400;text-decoration:underline;vertical-align:baseline;" href="https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2020-wave-1-follow-up">Mental health problems among five to 16-year-olds</a> in England have risen from one in 10 in 2017 to around one in six last summer.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">More than one in four children has had trouble sleeping while one in 10 often or always felt lonely during the pandemic, according to one recent study.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;"><strong style="margin:0px;padding:0px;border:0px #202a30;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:bold;vertical-align:baseline;">Claire Murdoch, Mental Health Director for NHS England, said</strong>: “Children have had their normal routines turned upside down during the pandemic whether it be curbs on their social life, school or their hobbies, and so it is only right that the NHS accelerates its mental health support for young people.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">“As children have returned to the classroom, dedicated NHS mental health support teams will be in place at 3,000 schools across the country ready to listen to any anxieties they may have and I would urge everyone whether you’re a teacher, parent or child to access this help before any issues escalate.”</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;"><strong style="margin:0px;padding:0px;border:0px #202a30;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:bold;vertical-align:baseline;">Minister for Mental Health and Suicide Prevention, Nadine Dorries said:</strong></span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">“This has been an exceptionally difficult year and children and young people have been particularly impacted by disruption to their routine, education and social lives.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">“Mental Health Support teams provide fantastic support not just for our children and young people, but also parents and teachers, which is vital for creating an environment which truly promotes positive mental wellbeing.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">“I remain committed to doing all I can to ensure mental health support is there for those who need it.”</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Experts in the teams will offer children one-to-one and group therapy sessions while helping to improve the whole school’s communities awareness of mental health through training sessions for parents and workshops for teachers.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">There are now over 280 mental health support teams set up or in training. 183 teams are operational and ready to support children and young people in around 3,000 schools and colleges, covering 15% of pupils in England. A further 103 teams are in development with more to be commissioned this year, which will deliver the NHS Long Term Plan commitment to reach 20 – 25% of pupils a year early (2022). 35% of pupils in England are expected to be have access to a mental health support team by 2023.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The first 59 teams began work last March but had to swiftly adapt to provide help during lockdown.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Children in Gloucestershire have been able to text their local mental health support team, with a health professional responding within an hour during the school day offering them advice.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Teams extended support to parents and carers confronted with home schooling as well as remote working, furlough or redundancy, in Essex using an online ‘befriending service’. Parents were offered one-to-one therapy sessions, online parenting courses and given a buddy so they could have a support network to share advice with.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">In Kent, teams have provided 20-minute telephone counselling sessions for parents struggling with the competing demands of life under lockdown alongside virtual drop-in sessions for school staff on how to support children with their mental health.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Teams in Nottingham have been offering parents and teachers at more than 100 schools’ advice on how to spot that the children and young people are struggling with their mental health.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Those with issues are then offered tips on how to cope including workshops on how to sleep better. The teams also run wellbeing sessions for teachers.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">One of those offering advice, is Rebecca Webster, an NHS therapist working in the Nottinghamshire Mental Health Support Team, who quickly adapted services during lockdown:</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">‘Having just finished our training, we had to set up a whole new team while facing an ever-changing environment. But our flexibility and adaptability have allowed us to reach out to more people than expected in our first year of working, thanks to online workshops attended by hundreds of young people, parents and teachers.’</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;"><strong style="margin:0px;padding:0px;border:0px #202a30;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:bold;vertical-align:baseline;">One parent, who benefited from Rebecca and her teams support said</strong>: “Our local Mental Health Support Team provided us with lots of useful strategies, helping us feel confident that we can make a change to our child’s life. We didn’t feel judged that we had been struggling and needed some additional help from a professional – we were at ease and listened to throughout all sessions.”</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The acceleration of mental health support teams in schools is only one part of a wider package of NHS support that will be on offer to children and young people as they come to terms with the impact of the pandemic and lockdown.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The NHS has introduced 24/7 crisis support lines, face to face, telephone or digital appointments so issues can be identified, and help given sooner.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The government’s £79 million boost to children and young people’s mental health will also enable around 22,500 more children and young people to access community health services in 21/22 and around 2,000 more children and young people to access eating disorder services in 21/22.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">This funding is in addition to the significant funding already committed to mental health services as part of the NHS Long Term Plan which will see a further 345,000 children and young people access mental health services by 2024.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">The NHS is also urging parents and carers to be alert to signs that their children may be experiencing anxiety or low mood as they return to school.</span></p>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">Signs that parents should look out for include:</span></p>
<ul style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;list-style-image:none;list-style-position:outside;list-style-type:none;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 19px;border:0px none #202a30;">
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">You might find they are more upset or find it hard to manage their emotions</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">They may appear anxious or distressed</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Increasing trouble with sleeping and eating</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Appearing low in mood, withdrawn or tearful</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Reporting worried or negative thoughts about themselves or their future</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">For younger children, there may be more regressed behaviour such as bed wetting or separation anxiety</span></li>
</ul>
<p style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 0px;border:0px none #202a30;"><span style="font-size:12pt;">If a parent is worried about their child’s mental health, they can help by:</span></p>
<ul style="background-color:transparent;color:#202a30;font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25.2px;list-style-image:none;list-style-position:outside;list-style-type:none;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;vertical-align:baseline;white-space:normal;word-spacing:0px;padding:0px;margin:0px 0px 15px 19px;border:0px none #202a30;">
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Making time to talk to your child</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Allow your child to talk about their feelings</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Try to understand their problems and provide reassurance that you have heard them and are there to help</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Help your child do positive activities including exercise</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Try to keep a routine over the next few months</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Look after your own mental health</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">Talk to a teacher, your GP or health worker about your child’s mental health. They can refer you to the right support.</span></li>
<li style="font-family:'-apple-system';font-size:18px;font-style:normal;font-variant:normal;font-weight:400;line-height:25.2px;list-style-type:disc;vertical-align:baseline;padding:0px;margin:0px;border:0px none #202a30;"><span style="font-size:12pt;">If your child is facing a mental health crisis, contact your local <a class="external-link" style="margin:0px;padding:0px;border:0px #005eb8;color:#005eb8;line-height:25.2px;font-style:normal;font-variant:normal;font-weight:400;text-decoration:underline;vertical-align:baseline;" href="https://www.nhs.uk/mental-health/advice-for-life-situations-and-events/where-to-get-urgent-help-for-mental-health/">24/7 NHS helpline</a></span></li>
</ul></div>Cycling study transforms heart health of dialysis patientshttps://www.wecanmoveinsight.net/articles/cycling-study-transforms-heart-health-of-dialysis-patients2021-05-19T09:14:16.000Z2021-05-19T09:14:16.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/8944646257?profile=RESIZE_400x&width=400"></div><div><p>Source: Kidney International April 21</p>
<p><a href="https://www.kidney-international.org/article/S0085-2538(21)00269-6/fulltext" target="_blank">https://www.kidney-international.org/article/S0085-2538(21)00269-6/fulltext</a></p>
<p> </p>
<p><span style="font-size:12pt;">Cycling at moderate intensity during dialysis could drastically improve the heart health of patients with kidney failure and result in significant savings for the NHS, according to new research by the <a style="background-color:transparent;color:#94197d;font-weight:600;position:relative;text-decoration:underline;" href="https://le.ac.uk/">University of Leicester</a> supported by the charity <a style="background-color:transparent;color:#94197d;font-weight:600;position:relative;text-decoration:underline;" href="https://kidneyresearchuk.org/">Kidney Research UK</a> and <a style="background-color:transparent;color:#94197d;font-weight:600;position:relative;text-decoration:underline;" href="https://www.leicesterbrc.nihr.ac.uk/">National Institute for Health Research (NIHR) Leicester Biomedical Research Centre</a>.</span></p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">Patients in the CYCLE-HD study were offered 30 minutes of moderate intensity exercise on a specially adapted bicycle during their regular dialysis sessions. Dialysis can lead to long-term scarring of the heart, which can accumulate over time and lead to heart failure. The study set out to examine whether exercise could reduce these side-effects.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">After six months, participants’ hearts were assessed with an MRI scan and compared with pre-trial imaging. Patients who had cycled showed improvements in several aspects of heart health – their hearts were more like a ‘normal’ size, they had less scarring, and there was less stiffness of the major blood vessels.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">Analysis of the study also demonstrated a saving in healthcare costs of more than £1,400 per patient which, when balanced against the cost of the exercise equipment, could result in significant savings for the NHS.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">James Burton is a Professor of Renal Medicine and Honorary Consultant Nephrologist at the University Hospitals of Leicester NHS Trust, and was chief investigator on the study. He said: “We know that being more active can help reduce the risk of heart disease, as well as helping to control weight, reduce blood pressure and cholesterol, and improve mental health.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">“For all those reasons – but especially because the risk of heart disease is so high – keeping active is particularly important for people on dialysis. Unfortunately, by the time that someone has travelled to and from the dialysis unit, and spent four hours connected up to the dialysis machine, there’s very little time to do anything else that day, and the reality is that this happens three times a week for most patients.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">“The findings of this study offer significant improvements to the heart health of dialysis patients which may have a major impact on their outlook.”</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">Lord Bethell, Minister for Innovation, said: “Keeping active has a range of health benefits – both physical and mental – and the importance of exercise has become increasingly apparent over recent months with its impact on COVID-19.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">“We have long been aware of the impact of exercise on other diseases and this research by the University of Leicester is testament to the ways we’re constantly looking to improve people’s health – through better understanding of conditions, faster diagnosis and improving treatment.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">“Not only does this research show we can reduce the side effects of dialysis, but it could also mean a significant saving for the NHS.”</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">Professor Jeremy Hughes, kidney doctor and chair of trustees at Kidney Research UK said: “We are delighted to have supported this fascinating study, which shows how exercising while on dialysis can have so many benefits. Cycling can keep patients active and help to pass the long periods of time they spend attached to their dialysis machines.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">“However, this study demonstrates that this simple intervention keeps their hearts healthy and offsets the major heart risk associated with kidney failure. We hope this research will lead to other studies examining how to roll it out to other dialysis units across the country.”</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">Dialysis is a life-saving procedure for people living with kidney failure, removing waste products from the body. More than 24,000 patients in the UK typically undergo haemodialysis therapy three times a week at four hours each time.</p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;"><span style="font-size:12pt;">A quarter of deaths among haemodialysis patients in the UK between 2009 and 2018 were as a result of cardiovascular disease, according to the <a style="background-color:transparent;color:#94197d;font-weight:600;position:relative;text-decoration:underline;" href="https://renal.org/about-us/who-we-are/uk-renal-registry">UK Renal Registry</a>.</span></p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:24px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;"><span style="font-size:12pt;">Researchers will now examine the possibilities of a wider rollout of the scheme to benefit patients across the UK, and it now forms part of the <a style="background-color:transparent;color:#94197d;font-weight:600;position:relative;text-decoration:underline;" href="https://renal.org/">Renal Association’s</a> haemodialysis guidelines.</span></p>
<p style="background-color:transparent;color:#595959;font-family:'myriad-pro', sans-serif;font-size:16px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;margin-bottom:0px;margin-top:0px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;"><span style="font-size:12pt;">The CYCLE-HD study was undertaken by the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre and supported by <a style="background-color:transparent;color:#94197d;font-weight:600;position:relative;text-decoration:underline;" href="https://kidneyresearchuk.org/">Kidney Research UK</a>.</span></p></div>