climate change. 79% felt they would be more conscious of the environment if they had more information on climate change. They would like the information delivered in a wide range of ways, including at induction, mandatory training, elearning modules, posters/emails and having a designated Climate change champion in each department. Conclusion The survey results demonstrate that most NHS staff are concerned about Climate change and have incorporated lifestyle measures to reduce this. They are conscious of the NHS' contributions to climate change but they feel less empowered to make greener choices at work and feel frustrated and angry about this. Many staff are unaware of NHS initiatives but the majority are very keen for more information and that further education would enable them to make better choices.Our team is currently writing a short information leaflet aimed at medical students and NHS staff on the issues raised by the respondents which will hopefully educate and empower them to make greener choices.
ConclusionThe findings of this study support 4 main conclusions: 1) increase in femur length and thoracic circumference between 19 and 34 weeks is reduced in the study cohort compared to the SWS cohort, indicating that a prenatal growth deficit occurs in this time period. 2) Mean weight, length and head circumference at birth are all below the HFAC mean (corrected for gestational age), suggesting that prenatal growth impairment affects all growth indices, however linear growth is more heavily affected than weight and head circumference. 3) There are different growth trends in the first year for weight, length and head circumference. Regarding weight and length, the results of this study indicate that catch-up growth occurs in the first year of life. 4) Preand postnatal data indicate that head circumference is less significantly impaired than other growth indices, possibly indicating there is preservation of head circumference despite deficits in other parameters.
5/21 tertiary hospitals and 14/33 DGH participated in this survey. Of the 19 (n) responses, 5 (26%) were tertiary hospitals and 14 (74%) were DGH.All respondents from the tertiary hospitals revealed they had availability of Specialist Clinical Psychologist (SCP) who participated in all CF meetings including MDT (Multi-Disciplinary) and Annual Reviews.3/14 DGH (21%) had availability of SCP locally who saw patients in CF Annual reviews and MDT meetings.In another 3/14 DGH (21%), CF patients had no access to SCP either locally nor in tertiary hospitals. These patients were referred to CAMHS locally for psychological concerns or a Diabetes Psychologist if patient had Cystic Fibrosis Related Diabetes (CFRD).In the remaining 8/14 DGH (58%), CF patients had no access to SCP locally but out of these, SCP from tertiary hospitals visited CF clinics in 2 DGH. CF patients from the remaining 6 DGH visited tertiary hospitals to access psychology services. Conclusions From the analysis of the results from the online survey, we concluded that very few DGH have local SCP services. Where SCP services are not available, patients have to rely on tertiary hospitals or local CAMHS services. It is known that patients with long term physical health problems are likely to have mental health problems. NHS England highlights that prevention of mental health problems is the most cost-effective service that can be provided. Hence, it is recommended that all children and young people with CF should have access to psychological services so that they benefit from early psychological intervention and improved health outcomes through improvement in wellbeing. Our survey indicates that there is an unmet need to develop psychological services within DGH. A major limitation of this survey is the low response rate which we attribute to the work and capacity pressures from COVID-19.
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