Health and social care

Brain-Computer Interfaces (BCIs) measure brain activity and can be used to control digital devices. The focus of BCI development has been on using the technology to allow patients to control assistive equipment such as wheelchairs or prostheses. Beyond medicine they are under development for applications in entertainment, marketing and defence. This POSTnote looks at the underpinning technology, its applications and the associated ethical and regulatory challenges.

Demand for health and social care continues to rise in the UK as people are living longer and a greater proportion have multiple health conditions requiring long-term treatment or care (such as diabetes, heart disease or dementia). Integrating health and social care has been considered as a possible response to these demographic changes, with the potential benefits including improved patient experience, and better quality of care through increased coordination and efficiency. It has been argued that effective integration could result in reduced use of hospital beds, lower hospital admissions rates, shorter hospital stays, shorter recovery periods and lower readmission rates. However, evidence on the impact of integration is mixed, with evaluations variously showing positive, negative and no effects. Cost savings have also been cited as a potential benefit, although reviews have noted that the economic evidence is limited and contradictory.

Drones (also known as unmanned aircraft) are flying systems that do not carry a pilot. As the technology has become cheaper and more sophisticated, the use of drones for recreational and commercial purposes has grown, with the Civil Aviation Authority (CAA) reporting a significant increase in the number of permissions obtained for operating commercial drones in the UK. Despite their potential to reduce costs, improve efficiency and provide new services, drones may be misused accidentally or for malicious purposes. For example, reports of drone sightings at Gatwick Airport in December 2018 grounded around 1,000 flights for almost 36 hours, affecting more than 140,000 passengers. In 2018, the Government introduced new limits on where drones can be flown and new registration and education requirements for drone operators and pilots. In January 2020, the new Government introduced an Air Traffic Management and Unmanned Aircraft Bill to Parliament that included new police powers for enforcing aviation laws (such as the power to issue a fixed penalty notice for certain drone offences). This POSTnote looks at civilian drones and their applications, focusing on potential misuse and possible responses.

This document builds on POST's previous publication, Topics of Interest 2018 (POSTbrief 27). The subjects are listed under under six category headings based on the drivers of change identified in POSTnote 500: demographic change and healthcare; social and cultural trends; geopolitical and governance challenges; environmental pressures and climate change; resource security and sustainability; and technological advance.

Witness testimony is a written or oral statement given by an individual who has experienced an incident. It is collected during criminal investigations (including through investigative interviews, facial composites and identity parades). However, inaccurate witness testimony (such as the incorrect identification of a suspect) can lead to innocent people being wrongfully convicted. Wrongfully accused or convicted individuals are at risk of discrimination, relationship damage and poor mental health. Wrongful convictions are also costly, with a miscarriage of justice costing up to £1 million in compensation, and cause reputational damage to the police and legal system. Furthermore, the real perpetrators are not caught and may continue to harm society by committing further crime.

Violent crime includes a range of offences, from assault to murder. It can be any action that intentionally inflicts (or threatens) physical or psychological damage. Over the past decade overall crime has decreased, and violent crime is down by 69% since 1995. However, homicides and crimes involving knives or sharp instruments have risen since 2014. This has been reflected in an increase in hospital admissions for assaults with knives or sharp instruments. Violent offences are disproportionately concentrated in metropolitan areas, such as London and cities in West Yorkshire, Greater Manchester and the West Midlands. This POSTnote outlines types and prevalence of violent crime. It describes risk factors associated with involvement as a victim or perpetrator of violent crime. It then presents evidence on the effectiveness of early interventions to counter these risk factors and prevent violent crime.

A POSTnote that gives an overview of recent advances in cancer treatment, the potential benefits and risks, and considers the opportunities and challenges to using new technologies in the NHS.

A POSTnote that summarises the latest data on vector-borne disease in the UK, explores how climate may influence the geographical distribution of species, examines the consequences for public health, and highlights potential adaptation and mitigation strategies.

Chemical weapons are prohibited, however recent chemical weapons attacks in Malaysia, Syria, Iraq and the UK have raised concerns about their use. In the UK in 2018, four people were taken seriously ill and one person died following exposure to a Novichok, a type of nerve agent. The UK Government recently announced £11m to strengthen the UK’s chemical defences and highlighted chemical, biological, radiological and nuclear (CBRN) threats as an area of focus in the recent Modernising Defence Programme. This briefing provides an overview of chemical weapons including types of chemical weapons and modes of delivery, chemical weapons control and disarmament, investigations of alleged attacks and chemical weapons defence in the UK.

The widespread use of antimicrobials, particularly antibiotics, has accelerated the spread of antimicrobial resistance (AMR) in microbes. A recent report by the Health and Social Care Committee called for AMR to be a ‘top five policy priority’. This POSTnote evaluates the main reservoirs of AMR microbes arising from the use of antimicrobials in both humans and animals.