School And Public Health Nurses Association




In this section you can catch up on all the latest news from SAPHNA and around the profession.

Adrenaline auto injector devices-UPDATE

Sharon White - Friday, September 20, 2019 -

Dear Sharon,

Thank you for your email.

The Medicines Supply Team at the Department of Health and Social Care (DHSC) is aware that there have been recent

supply issues affecting some brands of adrenaline auto-injectors (AAI). DHSC worked closely with the MHRA,

NHS England, National experts and Patient groups and issued advice on management options to the NHS to ensure patients continued to be managed appropriately during that time.

As you are aware, in the UK there are three available brands of AAI devices available, EpiPen, Jext and Emerade.

The different brands of adrenaline auto-injectors are not used in exactly the same way and therefore specific training and advice is required for each of the devices.

We have been in contact with ALK-Abello Ltd, the UK supplier of Jext, who have confirmed they currently have supplies

of the 150 microgram and 300 microgram pens available.

It may be helpful to know that Mylan, the UK supplier of EpiPen, can confirm that the supply situation has much improved

and supplies of EpiPen Junior (150microgram) and EpiPen adult (300 microgram) are currently available in volumes that

are sufficient to meet normal UK requirements.EpiPen Junior and Epipen Adult are currently on a prescription validation

protocol. The prescription validation protocol means that pharmacies will need to order an EpiPen when presented with a

prescription and ensures supplies are managed equitably.

We are aware of a short-term supply issue currently affecting some Emerade devices, supplied by Bausch and

Lomb UK Ltd. This issue has been caused by manufacturing issues at their Swedish manufacturing partner, relating to

the production line, which has led to a temporary decrease in output. Limited supplies of Emerade 150 microgram pens

are currently available, however, Emerade 300 microgram and 500 microgram pens remain out of stock. Bausch and

Lomb expect supplies of Emerade 500 microgram to be available w/c 23rd September and supplies of

Emerade 300 microgram to be available early October.

Comprehensive guidance was issued to healthcare professionals to advise on the clinical management options during

this time (see link below).

DHSC continues to closely monitor the supply position for all AAI's to ensure that patients can continue to receive the treatment that they need and current supplies are sufficient to meet normal UK requirements.

I hope this is helpful.

Kind regards,


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Appropriate testing of incontinence products

Sharon White - Friday, September 20, 2019 -



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HPV wise downloadable resources

Sharon White - Sunday, September 15, 2019 -

Excellent resources to download re HPV re both boys and girls. Useful for professionals, parents and wider  Read More

HPV for year 8 info video for parents and young people

Sharon White - Tuesday, September 10, 2019 -

The NHS HPV vaccination video is now live:


This video is aimed at parents of year 8 children and the children themselves.

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Is too much screen time bad for our children? Perhaps, but how much do we really know? (The Mental Elf)

Sharon White - Monday, September 09, 2019 -

Is too much screen time bad for our children? Perhaps, but how much do we really know? (The Mental Elf)

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Looked-after children: the silent crisis 2019 update (Social Market Foundation)

Sharon White - Monday, September 09, 2019 -

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How stress in childhood affects life-course health outcomes (The Health Foundation)

Sharon White - Monday, September 09, 2019 -

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Dental health

Sharon White - Monday, September 09, 2019 -

Dental surgeons say all schools in England should be encouraged to become sugar free to tackle worrying levels of child tooth decay. The call comes as analysis by the Faculty of Dental Surgery (FDS) at the Royal College of Surgeons of England (RCS) shows more than 100,000 hospital admissions for

children under the age of ten in England due to tooth decay over a three year period1. This is despite the condition being almost entirely preventable.

The FDS has published a new position statement today (15 August) on children's oral health which is an update to their January 2015 report 'The state of children's oral health in England.' The statement also calls on the new Government to stand by previous commitments in the Childhood Obesity Plan and Prevention Green Paper. The FDS says supervised tooth brushing schemes in England should be put in place before 2022 so that more children at risk of decay can benefit.

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Preventing STI's

Sharon White - Monday, September 09, 2019 -

The latest edition of Health Matters, PHE's professional resource, focuses on the prevention of 5 common sexually transmitted infections

(STIs): gonorrhoea, chlamydia, syphilis, genital herpes and genital warts. It also covers the public health challenge of antimicrobial resistant

STIs, and the commissioning and improvement of sexual health services. STIs are a major public health concern, which may seriously impact

the health and wellbeing of affected individuals, as well as being costly to healthcare services. If left undiagnosed and untreated, common

STIs can cause a range of complications and long-term health problems, from adverse pregnancy outcomes to neonatal and infant infections, and cardiovascular and neurological damage.


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Girls attitudes survey

Sharon White - Monday, September 09, 2019 -

This major survey, now in its 11th year, canvasses the opinions of over 2,000 girls and young women aged 7 to 21,

inside and outside guiding across the UK. The findings in 2019 build on those from previous years. They give an insight

into how girls feel about the specific and emerging pressures facing them today, and what these mean for their happiness,

wellbeing and opportunities in life. All the results from this and previous surveys can be found on


Girlguiding's website:



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