The number and incidence rate of violent incidents at work has declined over the last decade.
Findings from the 2013/14 Crime Survey for England and Wales (CSEW) show that:
the risk of being a victim of actual or threatened violence at work is similar to the last five years with an estimated 1.1% of working adults the victims of one or more violent incidents at work (CSEW)
in 2013/14, the survey estimated 257 000 adults of working age in employment experienced work related violence including threats and physical assault
there were an estimated 583 000 incidents of violence at work according to the 2013/14 CSEW, comprising 269 000 assaults and 314 000 threats. This was lower than the estimated 656 000 incidents in the 2012/13 survey but this change is not statistically significant.
the 2013/14 CSEW estimated that 1.0% of women and 1.2% of men were victims of violence at work once or more during the year prior to their interview
New guidelines proposed for courts could mean fines of up to £10 million for the most serious health and safety offences and of more than £20 million for organisations convicted of corporate manslaughter.
The Health and Social Care Information Centre (HSCIC) has developed a new ‘Female Genital Mutilation Prevalence Dataset’. This is a monthly return of aggregated patient data generated by acute hospital providers in England.
Data is now being reported online monthly at regional level.
Public Health England has supported two initiatives to raise awareness and tackle the problem of domestic violence:
the ‘Intervention Initiative toolkit’ – an educational toolkit and programme to encourage students to stand up against and prevent sexual coercion and domestic abuse in university settings. The programme is to be used by universities, ideally as part of their curriculum.
the ‘violence toolkit for business’ – a guide and toolkit aimed at businesses that lack an infrastructure to deal with domestic violence. This provides resources for businesses to take part in the ‘16 Days of Action’ campaign (25 November to 10 December) and to raise awareness of an issue that impacts health, wellbeing, absence and turn over in the workplace.
Public Health England launched the Falls and Fragility Fractures (FFF) Population Healthcare Programme at an event held 4 December in London.
The Programme, involving partnership work between Public Health England, the ‘Better Value Healthcare’s FFF Population Healthcare Programme’ and local stakeholders, aims to support service improvement through the collection and sharing of evidence based outcome data.
‘Commissioning for Value’ data packs have been produced for each Clinical Commissioning Group in England through a collaboration between NHS England, Public Health England and NHS Right Care. New topic-specific ‘Pathways on a page’ packs, first published November 2014, address 13 conditions including a ‘Trauma & Injury Pathway’. The pathways are presented in chart form showing a series of indicators that depict the pathway from initial contact to end of treatment and how the CCG compares with a similar group of CCGs. The pack also picks out ‘headlines for your health economy’ for each CCG.
The Health and Social Care Information Centre has released a set of new ‘Clinical Commissioning Group Indicators’.These include, in ‘Domain 1 – Preventing People Dying Prematurely’, indicator 1.1 ‘Potential years of life lost (PYLL) from causes considered amenable to healthcare’. This provides the ability to compare PYLL due to injuries compared to other causes, by year(s) and sex, at national and clinical commissioning group level
The first annual report on England’s cross-government suicide prevention strategy, ‘Preventing Suicide in England: One Year On’, sets out key actions that local areas can take to prevent suicides.
It highlights the importance of responsive and high quality care for people who self-harm. It also includes a joint statement on better sharing of information between organisations and families to help prevent suicide.
The Public Health Outcomes Framework includes 2 related indicators of emergency hospital admissions in older people: indicator 2.24 – ‘injuries due to falls in people aged 65 and over’ in the ‘Health Improvement’ domain and indicator 4.14 ‘hip fractures in people aged 65 and over’ in the ‘Healthcare and Premature Mortality’ domain. Each is measured separately in age groups 65 and over, 65-79 and 80 and over, and the falls in age 65 and over also includes a males/females split. The indicator is available at both upper and lower tier local authority level and trend data can be viewed for the years 2010/11, 2011/12 and 2012/13. Local Authorities can also be grouped and compared by deprivation level or type of area.
The Office for National Statistics has published the latest annual statistical bulletin: ‘Crime in England and Wales, Year Ending March 2014’ which draws on two principal sources of data: the Crime Survey for England and Wales and police recorded crime. The crime survey covers a broad range of victim based crimes and includes crimes which do not come to the attention of the police.
Key messages include:
a 20% fall in violence compared to the previous year according to the crime survey
a 6% increase in police recorded ‘violence against the person’ thought due to improved recording
Sexual offences recorded by the police saw a 20% rise from the previous year and continues the pattern seen in recent publications. This rise is related to the effect of the Operation Yewtree investigation, connected to the Jimmy Savile inquiry, whereby more victims are coming forward to report offences to the police. Improved compliance with the recording standards for sexual offences in some police forces may also be a factor.
In Autumn 2014, the Centre for Public Health, Liverpool John Moores University, will be publishing a suite of resources to help local areas address and prevent violent behaviour. The resources* focus on the use of health data (e.g. emergency department, ambulance service and hospital admissions data) to inform the development and targeting of violence prevention activities, aiming to:
Detail the health data sources available at a local level and demonstrate how they can be analysed;
Highlight how health data can inform violence prevention, including practical examples of use from areas across England;
Provide guidance on setting up health data sharing systems, including good practice case studies from a range of locality types.
Public Health England (PHE) has launched two new reports on preventing accidents to children and young people in the home and on the road. RoSPA and CAPT were commissioned by PHE to undertake this work and these were launched to coincide with Child Safety Week, which as you know is taking place this week.
The Public Health Outcomes Framework now includes an indicator of admissions due to injury in age group 0-4 years by local authority.This is presented in the ‘Health Improvement’ domain alongside the existing ‘2.07’ indicators for age groups 0-14 years and 15-24 years.The indicator is available for comparisons at both upper and lower tier local authority level and trend data can be viewed for the years 2010/11, 2011/12 and 2012/13.Local Authorities can also be grouped by deprivation level or type of area for comparison.
The need for improved safety for pedestrians and cyclists has been highlighted in the Chief Medical Officer’s annual report. The publication website notes:
‘Safety for pedestrians and cyclists must be improved if we are to encourage people to walk and cycle more and reap the associated health benefits. The risk of serious injury for each kilometre travelled on a bike is 21 times higher than by car. The CMO says that the relative risks of walking and cycling are unacceptably high and must be reduced and that an integrated approach to improving safety for all road users must be taken.’
A new report has been published by the King’s Fund. It’s called ‘Improving the public’s health’ and, although primarily aimed at English local authorities because of their new role in public health, the document offers many recommendations relating to accident prevention for both children and older people.
RoSPA has created a short film, Facing up to Falls, as part of its Safer Homes project in England. The film aims to provide families and older people with practical steps to avoid falls by highlighting key issues that lead to a fall. The film contains advice on preventing a fall and involves real-life experiences of older people. To view this short film click here and please do share it with others.
Children’s centres were established across England to provide a range of services including early education, social care and health to pre-school children and their families. The authors surveyed children’s centres to ascertain the activities they were undertaking to prevent unintentional injuries in the under fives. The authors concluded children’s centres need further support if they are to effectively tackle this important public health area.
The Public Health Outcomes Framework (PHOF) now contains an injury indicator for children and young people – ‘Hospital admissions caused by unintentional and deliberate injuries in children and young people aged 0-14 and 15-24 years’.
The Office for National Statistics have produced a report on trends in avoidable deaths. An underlying data table includes a breakdown of trends for England, Wales and England and Wales combined by cause of death, sex and 5 year age groups. Injury-specific cause categories include: transport accidents; accidental injury (excluding transport); suicide and self-inflicted injuries; homicide/assault; misadventures to patients during surgical and medical care.
An award winning initiative to prevent young people being killed or seriously injured on our roads. A live stage show based around a filmed reconstruction of a road traffic collision delivering hard-hitting messages about the dangers associated with driving.
To help injury practitioners find relevant and up to date injury related statistics; IOBI have produced guides on where to find injury data in the constituent countries of the UK and Ireland. As well providing guidance on where to find general statistics, links to themed statistics (e.g. road accidents, self-harm, falls) are also provided. England and Wales guides also include: injury related strategies, policies and reviews, and further information on selected injury databases.
The government has announced that the definition of domestic violence will be widened to include those aged 16-17 and wording to reflect coercive control. The decision follows a Government consultation which saw respondents call overwhelmingly for this change.
This report presents new figures on the cost of violence, estimating national costs to the NHS and a wider cost to society, in order to provide information and evidence for policy makers and commissioners to use in developing preventative approaches with stra-tegic partners. It aims to increase awareness and strengthen commitment to prevention across government, NHS, local authori-ties, private and voluntary sectors as well as education, employers and other agencies.
The Department of Health has launched a new cross-government strategy ‘Preventing suicide in England’. The strategy will focus on supporting bereaved families and preventing suicide amongst at risk groups and is backed by a call to action led by the Samaritans and up to £1.5 million for new research.
The North West Public Health Observatory has updated the Local Alcohol Profiles for England (LAPE) for 2012. Alcohol indicators are provided at both local authority and primary care trust level. There is also a monthly bulletin, ‘Alcohol e-Shot’, highlighting the latest alcohol research evidence, reports, media articles and other resources.
A huge amount of research on preventing injuries is carried out across the world. It is difficult for injury prevention practitioners to keep up to date with the latest scientific evidence. Increasingly, scientists are pulling together all the high quality studies on particular topics and collating the results in systematic reviews.
Provides annual reported data on mortality statistics by age, sex, and cause of death as obtained from civil registration systems in countries. Mortality data indicate numbers of deaths by place, time and cause. WHO’s mortality data reflect the underlying cause of death coded by the national authority.
Underlying cause of death is defined as “the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury”, in accordance with the rules of the International Classification of Diseases.
Wale’s and England’s figures are combined in this database.
The Centre for Public Innovation has developed a website to provide advice and case studies on ‘Reducing Violence in our Community: Emergency Department Datasharing’. This website is designed to give all the tools needed to understand and set up local Datasharing arrangements using an Anonymised Assault Victim Dataset between your local Emergency Departments (EDs) and the Community Safety Partnership.
Staffordshire firefighters turned their station into a disco to perform a cover of the Sugababes’ hit Push the Button to promote fire alarm testing. The pop song’s lyrics have been adapted to encourage people to regularly test whether their alarms work. To date the video has had more than 66,000 YouTube views from people watching their cover version online.
NHS Bristol, Cycling City and the West of England Road Safety Partnership have been working together to conduct and publicise the results of a survey investigating the causes and circumstances of non-collision incidents (NCI). The survey found slipping on ice to be the main cause of NCIs, accounting for 1 in 4 NCIs. As a result, NHS Bristol has subsequently employed Lifecycle to work with employers to help them raise awareness of the hazards cyclists face when travelling to work in freezing conditions.
NHS Bristol have also been involved in a falls related project ‘Falls—into the future’. This project aims to model trends in fall related emergency admissions of older people, to help predict future needs of falls services. As well as highlighting the need for specialised services to identify and assist people at risk of falling, this analysis also helped make a business case for a Fracture Liaison Service and the development of the Falls/Primary Prevention Services.
Making the Link is networking site and knowledge hub for people working to prevent accidental injury to children and young people across England. The site is open to anyone in policy, frontline children’s services, or the voluntary sector working to reduce accidents and injuries to children and young people. The tool is developed by the Child Accident Prevention Trust and supported by the DCSF.
IOBI welcomes the inclusion of several injury prevention indicators in the new Public Health Outcome Framework. The Public Health Outcome Framework, published in January 2012, sets out the desired outcomes for public health across England and how these will be measured.
The South West Public Health Observatory has been working on a project to define a standard dataset for enhanced injury-related collection in emergency medicine in England, and is currently evaluating the viability of this through a pilot collection. The dataset was defined and refined drawing on: an earlier report commissioned by the Royal Society for the Prevention of Accidents which outlined the requirements of enhanced data collection; a collection already underway in Wales; EU requirements; a steering group comprising experts in the field of injury prevention and members of the College of Emergency Medicine.
The Injury Profiles provide a snapshot of injuries occurring in each local authority in England. Interactive maps and charts enable comparisons to be made regionally and nationally for over 40 injury related indicators.
The Office for National Statistics have conducted a recent analysis and conclude: ‘Since 2001 narrative verdicts have been more widely used by coroners. In some cases it can be difficult to code the underlying cause of death from the information provided by the coroner in the narrative. ONS and other organisations have been concerned about the impact of narrative verdicts on the quality of the statistics on cause of death. The increase in the use of narrative verdicts has not had a statistically significant impact on published suicide rates in England and Wales and so no revision to these rates is needed. However, if current trends in the use of narrative verdicts continue, the effect on mortality rates may become large enough to affect the reliability of National Statistics.’
The Department for Transport established the Neighbourhood Road Safety Initiative (NRSI) in 2002. Fifteen Local Authorities (LAs) in England were funded to develop schemes to reduce road casualties in their most disadvantaged areas. A team led by the University College London (UCL) evaluated the impacts of the NRSI using a mixed methods approach. The evaluation showed a significant reduction in casualties during the NRSI.
Conclusions: The implementation of 20 mph zones targeted at deprived areas has mitigated widening socioeconomic differentials in road injury in London and to some degree narrowed them, but there is limited potential for further gain.
Citation: Rebecca Steinbach, Chris Grundy, Phil Edwards, Paul Wilkinson, Judith Green. J Epidemiol Community Health doi:10.1136/jech.2010.112193.
On 2nd December 2010 a joint press release was issued by ANEC (The European consumer voice in standardisation) and the European Child Safety Alliance. Window blind cords: Time for action. After a child died in the UK from strangulation by a window blind cord, the European safety standard, EN 13120 was improved in 2009, however there were still concerns that the safety standard did not cover some types of window blinds such as Roman shades.
Twenty sites have been selected to lead the way in delivering the new health visiting service. The new service, announced in February 2011, will improve the health and well-being of children, families and communities, and health visitors will play a central role in making this happen. An extra 4,200 health visitors are being recruited over the next 4 years and ex-health visitors are being encouraged to return to the profession.
Countries Covered: England, Wales, and Northern Ireland Date:2011
There is unacceptable variation in the quality of NHS services for the care and prevention of falls and fractures, an audit reveals. The National Audit of Falls and Bone Health in Older People calls for more prevention in this area. It recommends that health and local authority commissioners should provide therapeutic exercise programmes for older people to prevent falls, and says emergency departments and minor injury units should introduce routine screening for falls risk and osteoporosis among older people presenting with falls and fractures.
The Local Alcohol Profiles for England (LAPE 2010) contain 23 alcohol-related indicators for every local authority and 24 for every primary care trust in England. This year, key Indicators in healthcare, criminal justice, benefits claimants, drinking patterns and life lost due to alcohol have been used in combination to identify and map those areas experiencing different overall levels of alcohol-related harms.
A recent report examines variation in deaths by external cause in England in the years 2007-2009, with a particular focus on information relevant to end of life care. Variation is shown by age group, sex, external cause and place of death. The report ‘External Causes of Death’ was produced by the South West Public Health Observatory for the National End of Life Care Intelligence Network.
The Together We Can End Violence Against Women and Girls Strategy signals a new focus on preventing violence from happening. From 2011, preventing violence in relationships w ill be included in personal, social, health and economic education in schools. This w ill ensure that attitudes w hich condone and perpetuate violence against women are addressed before they become entrenched in young people.
Hospital records published by The NHS Information Centre reveal for the first time the pattern of people attending A&E due to assault. Of the nearly 13.8 million recorded attendances at A&E in 2008/09, 1.3 per cent (181,568) were due to assault – with attendances for assault peaking sharply on Friday and Saturday nights.
This NHS annual statistical report presents a range of information on drug misuse amongst both adults and children. It also includes a focus on young adults. The report is primarily concerned with the use of illicit drugs.
To evaluate the results from ‘Sustainable Travel Towns’ carried out in Darlington, Peterborough and Worcester, a full independent report was commissioned. The report shows that the ‘Smarter Choice’ packages which were implemented in these towns, resulted in increases in cycling, walking and bus use, and decreases in car use. The evaluation was led by Transport for Quality of life Ltd, with a team involving TRL, University of Aberdeen, AEA and the University of the West of England.
A Facebook campaign is underway to put Embrace Life, the newest campaign from the Sussex Safer Roads Partnership (SSRP), on TV after it secures the top three search results on Google.com. Released on 20th January 2010, Embrace Life has swept around the internet, pulling hits from across 58 countries around the world. Facebook in particular is driving traffic to the SSRP’s seat belt campaign and a group has been created by one impressed viewer to have it screened on national TV.
The Scottish Occupational Road Safety Alliance (ScORSA) website is a unique initiative to help smaller firms tackle one of the most dangerous activities undertaken by Scottish workers: driving. A third of all road accidents in the UK are estimated to involve someone who is driving for work at the time, which means that in Scotland in 2008, around 18 people were killed or seriously injured in such incidents every week.
The following study has found that the number of car drivers illegally using hand-held mobile phones at the w heel has doubled in the past two years. Similar patterns were observed among taxi and van drivers.
The Chief Medical Officer’s guidance for parents, children and young people is based on the most comprehensive ever review of the scientific evidence and follow s an extensive public consultation. The final guidance is the first time advice on children and alcohol has been set out for parents and will be the basis of a new national campaign on alcohol and children to be launched by the Department for Children School’s and Families. The campaign will provide support and advice to parents and young people on the effects and harms of alcohol.
This report assesses the local implementation of national policy from 1999 to 2009 on the health of children from birth to five years of age in England It examines local service planning and delivery, including priority setting, and how local bodies can improve service delivery and access for vulnerable groups such as black and minority ethnic (BME) communities, lone and teenage parents.
The Department of Health has launched new guidance to help Primary Care Trusts to develop social marketing activity to tackle higher risk drinking behaviour. This guidance is one of a number of tools that are being developed to support PCTs in delivering local and regional programmes to reduce alcohol harm.
CAPT has launched a new online resource aimed at childminders. Mind the Road! has been produced with the support of the Department for Transport, and brings together a broad range of free downloadable resources to support childminders working with children and families
The Child Accident Prevention Trust have published a leaflet for parents and carers: How safe is your child at home? and a guide for practitioners: Accidents and child development which have been licensed by the Department for Children, Schools and Families for free distribution in England.