Professional Documents
Culture Documents
About this Bulletin: It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Where possible, links to the full text documents are included. If the article is in a journal, NHS and Public Health staff in Stoke and North Staffordshire can contact the Health Library for a copy. Link to request form: http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/interlibraryloans/#d.en.27437 [Please note - a charge of 2 per request is payable for most copies] If you need further assistance, please contact the Health Library or the NHS Outreach Librarians, details below. The bulletin can be e-mailed to colleagues who may also find it useful. A list of websites checked in the production of this bulletin is on the first page. Please suggest further useful sites. Feedback is always welcomed to inform future issues of the bulletin.
Contact information
Bulletin produced by NHS Outreach Librarians Tel: 01782 679564 or 0300 123 1535 ext/FeatureNet 8429 E-mail: Andrew.Hough@northstaffs.nhs.uk or clareh.powell@northstaffs.nhs.uk
North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: health.library@keele.ac.uk
Sources for Clinical Effectiveness Bulletin Please suggest further sites that should be monitored in the production of this bulletin Websites Cochrane Library http://www.thecochranelibrary.com/ CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/ - DARE (Database of Abstracts of Reviews of Effects) - NHS Economic Evaluation Database Diabetes Type 2 Horizon Scanning Health Technology Assessment (HTA) Database http://www.hta.ac.uk Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/ Department of Health http://www.gov.uk/dh Kings Fund http://www.kingsfund.org.uk/ NICE Medicines awareness service http://www.nice.org.uk/mpc/MedicinesPrescribingAlerts.jsp Social Care Institute for Excellence http://www.scie.org.uk/ Inside Government local government alerts https://www.gov.uk/government/email-signup NICE http://www.nice.org.uk/ SIGN http://www.sign.ac.uk/new.html
NHS Library and Information Service North Staffordshire Contents in this issue:
Alcohol ...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Children and Young People ...................................................................................................... 4 Commissioning ......................................................................................................................... 5 Dementia .................................................................................................................................. 6 Diabetes.................................................................................................................................... 7 General Practice ....................................................................................................................... 7 Guidance .................................................................................................................................. 8 Infection Control ........................................................................................................................ 9 Integrated Healthcare ............................................................................................................... 9 Mental Health.......................................................................................................................... 10 Older People ........................................................................................................................... 11 Palliative Care 12 Patient Care and Safety .......................................................................................................... 12 Pharmacy and Prescribing ...................................................................................................... 12 Public Health........................................................................................................................... 13 Service Management .............................................................................................................. 15 Social Care ............................................................................................................................. 15 Vaccination and Immunisation ................................................................................................ 15 Workforce ............................................................................................................................... 16
Cancer
Improving care for lung cancer patients: a collaborative approach Royal College of Physicians The purpose of this booklet is to give lung cancer teams across the country an overview of the aims, activities and achievements of the Improving Lung Cancer Outcomes Project (ILCOP). It outlines the ILCOP approach to quality improvement and also contains four case studies.
http://www.rcplondon.ac.uk/sites/default/files/improving_lung_cancer_outcomes_project_book let_0.pdf National cancer strategy: third annual report Department of Health/Public Health England The Department of Health and Public Health England has published 'Improving Outcomes: A Strategy for Cancer: Third Annual Report'. This report provides details on: significant developments in cancer screening particularly on the first phase of introducing Bowel Scope Screening (BSS); activity to promote earlier diagnosis of symptomatic cancers through the 'Be Clear on Cancer' campaigns and the associated work with primary and secondary care; progress in ensuring better access for all to the best possible treatment; and significant developments in the collection and reporting of new datasets and the analysis of information to drive improvements and inform patients. https://www.gov.uk/government/publications/the-national-cancer-strategy-3rd-annual-report--2
Items in the guidance section may be of interest
Commissioning
Assurance frameworks for CCGs and direct commissioners NHS England NHS England has published assurance frameworks for CCGs and direct commissioners. The frameworks set out how NHS England will assure that CCGs and NHS Englands own direct commissioning functions are operating effectively to commission safe, high quality and sustainable services within their resources. http://www.england.nhs.uk/ourwork/d-com/assurance/ Commissioning regional and local sexual health services Public Health England Public Health England has collated guidance for commissioners of HIV, sexual and reproductive health services. 'Commissioning regional and local sexual health services' sets out the responsibilities for commissioning sexual health services and lists resources that can help commissioners develop their services and undertake good commissioning, with clear service specifications and contracts. https://www.gov.uk/commissioning-regional-and-local-sexual-health-services Guidance for implementing value-based commissioning in mental health Joint commissioning panel for mental health The Joint Commissioning Panel for Mental Health has published 'Guidance for implementing values-based commissioning in mental health'. Value Based Commissioning (VbC) is an approach where the commissioning process rests on three equal pillars: patient and carer perspectives and values, clinical expertise, and knowledge derived from scientific or other systematic approaches evidence. http://www.jcpmh.info/wp-content/uploads/jcpmh-vbc-guide.pdf
Dementia
CQC review of dementia care Care Quality Commission The Care Quality Commission is carrying out a themed inspection programme looking at the quality of dementia care in England. They will inspect around 150 care homes and acute hospitals looking at the care and support that they provide to people with dementia. The CQC is also asking patients and the public to share their experiences of dementia care. http://www.cqc.org.uk/public/publications/themed-inspections/themed-review-dementia-care [back to topics]
General Practice
Inspecting and regulating GPs and out of hours services Care Quality Commission Professor Steve Field has published his report A fresh start for the regulation and inspection of GP practices and GP out-of-hours services. The report offers guidance for the inspection process and service standards which need to be achieved. http://www.cqc.org.uk/sites/default/files/media/documents/20131211__gp_signposting_statement_-_final.pdf New models of primary care Nuffield Trust An event report from the Nuffield Trust summarises a series of seminars that took place to discuss new and emerging models of primary care. The seminars examined the practical challenges of implementing three of the new organisational models described in ' Securing the Future of General Practice' . This report, 'New models of primary care: practical lessons from early implementers', shares insights about the approaches taken by the case study sites, the experiences of their leaders and their learning to date. The authors hope that the report will inform the many similar discussions that are currently underway amongst practices across the country. http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/131212_new_models_of_general _practice.pdf [back to topics] 7
Guidance
GP Services for older people: a guide for care home managers Social Care Institute for Excellence This guide has been written for managers and senior staff of care homes, but it has also been written with GPs in mind, as well as clinical commissioning groups and joint health and wellbeing boards. http://www.scie.org.uk/publications/guides/guide52/?dm_i=4O5,21F9A,BRKCPX,7CGFZ,1. Local Health watch annual reports: Directions 2013 Department of Health The Department of Health has issued Directions to local Healthwatch organisations on the issues which must be covered in their annual reports. Issues include how the local Healthwatch organisation has gathered the views of people on local health and care services. https://www.gov.uk/government/publications/local-healthwatch-annual-reports-directions-2013 Management of chronic pain Sign Guideline The Scottish Intercollegiate Guidelines Network has published 'SIGN 136: Management of chronic pain'. This guideline provides recommendations and treatment pathways based on current evidence for best practice in the assessment and management of adults with chronic non-malignant pain in non-specialist settings, including self-management, pharmacological, psychological, physical, complementary and dietary therapies http://www.sign.ac.uk/guidelines/fulltext/136/index.html NICE Bites The following bulletins from the North West Medicines Information Service are now available. The aim of these publications is to provide healthcare professionals with a clear and succinct summary of key prescribing points taken from NICE guidance. Familial breast cancer NICE CG164 http://www.elmmb.nhs.uk/newsletters-minutes/nice-bites/?assetdetesctl486923=53547 Urinary incontinence in women NICE CG171 http://www.elmmb.nhs.uk/newsletters-minutes/nice-bites/?assetdetesctl486923=53542 NICE Clinical Guidance Neuropathic pain - pharmacological management (CG173) http://guidance.nice.org.uk/CG173 NICE Public Health Guidance Smoking cessation - acute, maternity and mental health services (PH48) http://guidance.nice.org.uk/PH48 8
Infection Control
Acute trust toolkit: infection control Public Health England Public Health England has published the 'Acute trust toolkit for the early detection, management and control of carbapenemase-producing Enterobacteriaceae'. This toolkit provides practical advice for clinicians, and staff at the frontline in an acute care setting (a similar toolkit is being prepared for the non-acute care setting). It also provides some basic public health risk assessment tools and advice and information for the patient. http://www.hpa.org.uk/Publications/InfectiousDiseases/AntimicrobialAndHealthcareAssociated Infections/1312Toolkitforcarbapenementero/ Gastrointestinal infections Public Health England Public Health England has published 'Gastrointestinal infections: 2011 and 2012 report'. This report summarises developments in the surveillance and investigations of infectious intestinal disease (IID) that occurred during 2011 and 2012. It has been compiled by the Gastrointestinal Infections Section of the Department of Gastrointestinal, Emerging and Zoonotic Infections (GEZI). http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317140455476
Items in the Vaccination and Immunisation section may be of interest
Integrated Healthcare
Integrated care and support exchange (ICASE) ICASE website The ICASE network exists to support efficiency and improvement in the quality of integrated care for patients. It is a social website where you can share your ways of working, your ideas and communicate with other members on the site. http://www.icase.org.uk/pg/cv_blog/content/view/83268/83078?cview=83267&cindex=0
Mental Health
Mental health and community services NHS Confederation The NHS Confederation has published a briefing 'Mental health and community services: a marriage made in heaven?'. This briefing is based on a survey of Mental Health Network members and explores the opportunities and good practice currently developing in combined or integrated trusts, as well as the challenges. It considers whether this growing trend is good for mental health and community services and what the consequences might be. http://www.nhsconfed.org/Publications/Documents/Mental-health-community-services.pdf Mental health dashboard Department of Health The Department of Health has launched a new mental health dashboard which brings together mental health outcomes information from a variety of sources. It shows progress against objectives in the 'No health without mental health strategy'. The annual dashboard covers: mental health services; mental wellbeing of the whole population; physical health of people with mental health problems; peoples experience of care; and experience of stigma and discrimination. https://www.gov.uk/government/publications/mental-health-dashboard Mental health talking therapies Centre for Mental Health The Centre for Mental Health has published a report 'We still need to talk: a report on access to talking therapies'. It highlights that one in ten (12%) people with mental health problems remain on waiting lists for over a year before receiving talking treatments and over half (54%) wait over three months. http://www.mind.org.uk/news-campaigns/campaigns/access-to-talking-therapies/
Items in the Dementia, Guidance and Tobacco section may be of interest.
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Palliative Care
Improvements in end of life care Public Health England A new report published by Public Health Englands National End of Life Care Intelligence Network ( NEoLCIN ), suggests the proportion of people dying at home or in care homes increased from 38% in 2008 to 44% in 2012. What We Know Now suggests that around 24,000 more people died at home or in care homes in 2012 compared to 4 years ago, reflecting the desires of many people to stay at home to die. http://www.endoflifecareintelligence.org.uk/resources/publications/what_we_know_now_2013
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NHS Library and Information Service North Staffordshire Patient Care and Safety
Maternity Survey 2013 Care Quality Commission The CQC has published the results from the latest survey into women's experiences of maternity care. The survey received responses from more than 23,000 women who had a baby in February 2013. It covers antenatal care, care during labour and birth, and postnatal care. There is evidence of improvements since the maternity survey was carried out in 2010. http://www.cqc.org.uk/public/publications/surveys/maternity-services-survey-2013?cqc Putting patients first NHS England This business plan has been published by NHS England and identifies that transparency and listening to patients is essential to improving patient care. http://www.england.nhs.uk/wp-content/uploads/2013/04/ppf-1314-1516.pdf Seven day consultant present care: implementation considerations Academy of Medical Royal Colleges This report argues that most patients in hospital over a bank holiday or a weekend would benefit from a daily review of their care led by a consultant. It also argues that for seven day care proposals to succeed, strong links between hospitals and community care need to be in place, particularly for frail, elderly and vulnerable patients. http://aomrc.org.uk/?forwardOutdatedBrowser=1 Towards whole person care Institute for public policy research This publication reviews the case for change in the English health and care system and considers how to move towards a whole person care approach. It sets out broad themes on creating a health and care system that is fit for the future. It makes a case for a number of person-centred guarantees at the heart of the vision for whole person care, focused on people with long-term conditions and older people. http://www.ippr.org/images/media/files/publication/2013/11/whole-personcare_Dec2013_11518.pdf [back to topics]
Pharmaceutical Price Regulation Scheme Department of Health The Department of Health has published 'Pharmaceutical Price Regulation Scheme 2014'. This is a 5-year voluntary scheme agreed between government and the Association of the British Pharmaceutical Industry effective from 1 January 2014. The scheme ( PPRS ) will provide assurance on almost the entire branded medicines bill for the NHS. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/262821/2014_ PPRS_Final_v3.pdf Polypharmacy and medicines optimisation Kings Fund The King's Fund has published 'Polypharmacy and medicines optimisation: Making it safe and sound. This report proposes a pragmatic approach, offering the terms appropriate and problematic polypharmacy to help define when polypharmacy can be beneficial. http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/polypharmacy-andmedicines-optimisation-kingsfund-nov13.pdf [back to topics]
Public Health
Beating the effects of winter pressures British Medical Association The British Medical Association has published a briefing paper 'Beating the Effects of Winter Pressures'. The paper examines the causes and effects of winter pressures on the NHS by looking at public health pressures, such as seasonal surge in respiratory infections, and pressures that exist within the health system, such as the current strain on emergency services. The BMA says it is possible to create a health system that is sufficiently robust to react to the additional demands placed on services during the winter but this will require the government to take a much longer-term approach to addressing these pressures. http://bma.org.uk/news-views-analysis/news/2013/december/bma-plans-to-tackle-winterpressures Health trainers half year review: 1st April - 30th September 2013
Royal Society for Public Health The latest review of health trainer Services across England demonstrates significant improvements in individuals engaging in health trainer services across a variety of measures including diet, alcohol consumption and self confidence especially among the most deprived communities. It shows that health trainers can be a key asset in tackling health inequalities.
http://www.rsph.org.uk/en/about-us/latest-news/press-releases/pressrelease1.cfm/pid/D402B8FC-98E3-44A7-9CAD8D979C061D80
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http://myhospitalguide.drfosterintelligence.co.uk/downloads/report/Report.pdf Transforming healthcare: the role for the finance team Healthcare Financial Management Association
This briefing looks at how NHS finance practitioners can contribute to the transformation agenda
http://www.hfma.org.uk/publications-and-guidance/
Items in the Commissioning and Workforce sections may also be of interest.
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Social Care
Inquiry into the State of Social Work report British Association of Social workers BASW has published the Inquiry into the State of Social Work report on behalf of the All Party Parliamentary Group on Social Work, outlining the pressures facing the profession. The report contains a series of recommendations to help address these challenges. The MP's inquiry followed on from BASW's 2012 State of Social Work survey. It heard testimonies from experts and evidence from frontline social workers about unmanageable caseloads, rising numbers of children entering care and IT systems that prevent social workers from spending time with vulnerable people. http://cdn.basw.co.uk/upload/basw_90352-5.pdf
Items in the Integrated Care and Workforce sections may be of interest
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TB, BCG and your baby leaflet Public Health England Public Health England has updated their 'TB, BCG and your baby' leaflet. The leaflet describes the vaccination that is given to babies who are considered to be at risk from tuberculosis. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/261068/TB_BC G_leaflet_03_accessible.pdf
Workforce
EU funding for research and innovation 2014-2020: seizing the opportunities for NHS organisations NHS Confederation Horizon 2020, the new European funding programme for research and innovation for the period from 2014 to 2020, aims to improve access to finance for research and innovation so that innovative ideas can ultimately be turned into products and services, creating growth and jobs in Europe. This briefing gives an overview of Horizon 2020 and of the opportunities it offers to the NHS. http://www.nhsconfed.org/Publications/Documents/eu-funding-research-innovation.pdf
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