NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire

Issue No: 64 May 2012

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, you 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: FeatureNet 8429 (External calls 0300 123 1535 ext 8429) E-mail: lindsay.snell@northstaffs.nhs.uk clareh.powell@northstaffs.nhs.uk

North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: health.library@keele.ac.uk

NHS Library and Information Service North Staffordshire

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 Health Technology Assessment (HTA) Database http://www.hta.ac.uk Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/ Department of Health http://www.dh.gov.uk/en/index.htm Kings Fund http://www.kingsfund.org.uk/ NeLM (National Electronic Library for Medicines) news bulletin http://www.nelm.nhs.uk/en/ 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 Asthma and COPD ................................................................................................................... 4 Breast Implants ......................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Cardiovascular Diseases .......................................................................................................... 5 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 6 Dementia .................................................................................................................................. 6 Dental Health ............................................................................................................................ 6 Diabetes.................................................................................................................................... 7 Emergency Care ....................................................................................................................... 7 End of Life Care ........................................................................................................................ 7 Falls prevention ........................................................................................................................ 8 General Practice ....................................................................................................................... 8 Guidance .................................................................................................................................. 8 Health Reforms ....................................................................................................................... 10 Infections ................................................................................................................................ 11 Information and data ............................................................................................................... 12 Integrated Care ....................................................................................................................... 12 Kidney Disease ....................................................................................................................... 13 Long Term Conditions............................................................................................................. 13 Maternal and Infant Health...................................................................................................... 13 Mental Health.......................................................................................................................... 14 Nursing ................................................................................................................................... 14 Obesity.................................................................................................................................... 15 Occupational Health ............................................................................................................... 15 Older People ........................................................................................................................... 15 Pathology ................................................................................................................................ 15 Patient Care and Safety .......................................................................................................... 15 Pharmacy and Prescribing ...................................................................................................... 17 Public Health ........................................................................................................................... 18 Research ................................................................................................................................ 19 Service Management .............................................................................................................. 19 Sexual Health ......................................................................................................................... 20 Social Care ............................................................................................................................. 21 Social Care Workforce ............................................................................................................ 21 Sport and Exercise Medicine .................................................................................................. 22 Stroke ..................................................................................................................................... 22 Substance Misuse .................................................................................................................. 22 Tobacco .................................................................................................................................. 23 Vaccination and Immunisation ................................................................................................ 23 Womens Health ..................................................................................................................... 23 Workforce ............................................................................................................................... 24

NHS Library and Information Service North Staffordshire Alcohol

Statistics on Alcohol: England, 2012 NHS Information Centre This statistical report covers topics such as drinking behaviours among adults (aged 16 and over) and school children (aged 11 to 15), drinking-related ill health and mortality, affordability of alcohol, alcohol related admissions to hospital and alcohol-related costs. http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-onalcohol-england-2012-%5Bns%5D
Items in the Substance Misuse section may also be of interest.

Asthma and COPD

An Outcomes Strategy for COPD and Asthma: NHS Companion Document Department of Health This document sets out best practice for the NHS to achieve the relevant objectives from the Outcomes Strategy. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134000 Physical training for asthma Chandratilleke, M et al. This Cochrane review assessed whether exercise training is beneficial for patients with stable asthma. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001116.pub3/abstract
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Breast Implants
Poly Implant Prothse (PIP) silicone breast implants: Review of the actions of the Medicines and Healthcare products Regulatory Agency (MHRA) and Department of Health Department of Health This report concludes that although the regulator acted appropriately and followed scientific and clinical advice, there is room for improvement and serious lessons must be learned. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134044

Cancer
Low-dose Aspirin and Cancer Mortality: A Meta-analysis of Randomized Trials Mills, EJ The authors of this systematic review concluded that low-dose aspirin can reduce deaths from cancer. American Journal of Medicine vol.125(6) p.560-7
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NHS Library and Information Service North Staffordshire Cardiovascular Diseases

Cost-effectiveness of dabigatran etexilate for the prevention of stroke and systemic embolism in UK patients with atrial fibrillation Kansal, A et al. This economic evaluation compared dabigatran etexilate with other prevention alternatives, including warfarin. Heart 2012 vol.98(7) p.573-578 doi:10.1136/heartjnl-2011-300646 The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomised trials Cholesterol Treatment Trialists Collaborators The authors of this review conclude that current guidelines on statin therapy might need to be reconsidered. The Lancet, Early Online Publication, 17 May 2012 doi:10.1016/S0140-6736(12)60367-5
Items in the Tobacco section may also be of interest. [back to topics]

Children and Young People

Increasing Parental and Community Involvement in Sure Start Childrens Centres Department for Education The aim of the discussion paper is to see how the Department can help parents and communities have more of a say in shaping and delivering children's centre services. http://www.education.gov.uk/childrenandyoungpeople/earlylearningandchildcare/a00209471/c hildrens-centres-discussion-paper Information Requirements for Child Health Information Systems Department of Health This document sets out the information requirements for the delivery of child health services taking account of relevant guidelines, policy, standards, and legislation. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_133870 Therapeutic approaches to social work in residential child care settings Social Care Institute for Excellence Following a regional review of residential child care in 2007, the five Health and Social Care Trusts in Northern Ireland introduced 'therapeutic approaches' in a number of children's homes and in the regional secure units. This report evaluates these approaches. http://www.scie.org.uk/publications/reports/report58/ At a glance briefing: http://www.scie.org.uk/publications/ataglance/ataglance58.asp Video: http://www.scie.org.uk/socialcaretv/videoplayer.asp?v=therapeuticapproachestoresidentialchildcareinnorthernireland
Items in the Emergency Care and Social Care sections may also be of interest. [back to topics]

NHS Library and Information Service North Staffordshire Commissioning

Commissioning Support Bulletin Issue 1 NHS Commissioning Board The Board aims to use this bulletin to share information and ideas, and to provide information about the development of commissioning support services (CSS) in the Board Authority. http://www.commissioningboard.nhs.uk/2012/04/30/cs-bulletin-issue-1/ Smart guides to engagement These guides aim to help CCGs undertake Patient and Public Engagement well and maximise benefits. The final 6 guides in the series are: Practices and patient engagement, Listening, learning and responding, Community development: improving population health; Working with local authority scrutiny; Using social media to engage, listen and learn; and Building public support for change. http://www.networks.nhs.uk/nhs-networks/smart-guides
Items in the Health Reforms, Long Term Conditions, Older People, Pathology and Patient Care and Safety sections may also be of interest.

Dementia
Supporting dementia workers: a case study-based manager's guide to good practice in learning and development for social care workers supporting people with dementia Skills for Care This guide considers how workforce planning and development can best improve the outcomes for people with dementia, supporting managers to work with training providers to deliver service outcomes and implement the Common Core Principles to Support People with Dementia. http://www.skillsforcare.org.uk/nmsruntime/saveasdialog.aspx?lID=12267&sID=2252
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Dental Health
Dental Contractor Loss Analysis Exercise NHS Protect This report describes the findings of a loss analysis exercise to measure the prevalence of suspected fraud in contractor claims within NHS dental services in England. http://www.nhsbsa.nhs.uk/3630.aspx Dentistry: an OFT market study Office of Fair Trading This study examined how dentistry services are sold and the extent to which patients have access to accurate and impartial information to help make informed decisions. It considered patients' ability to assess and act on the information that is provided, as well as the nature of competition between providers of dental services. These issues were considered within the context of both NHS and private dentistry. http://www.oft.gov.uk/OFTwork/markets-work/dentistry/ 6

NHS Library and Information Service North Staffordshire Diabetes

The management of adult diabetes services in the NHS National Audit Office This report concludes that NHS diabetes care is poor, with low achievement of treatment standards, high numbers of avoidable deaths and annual spending reaching an estimated 3.9 billion. http://www.nao.org.uk/publications/1213/adult_diabetes_services.aspx Mortality among inpatients with diabetes Yorkshire and Humber Public Health Observatory The study used data on over 13 million hospital admissions to assess case-mix and risk factors for inpatient mortality and identify trust level variation in the risk of an inpatient with diabetes dying. http://www.yhpho.org.uk/DEFAULT.ASPX?RID=139172 National Diabetes Inpatient Audit (NaDIA) 2011 NHS Information Centre This audit focuses on staffing levels, medication errors and foot care. http://www.ic.nhs.uk/nda State of the Nation 2012 Diabetes UK This report looks at standards of diabetes care across England, and makes recommendations for improvement. http://www.diabetes.org.uk/Professionals/Publications-reports-and-resources/Reportsstatistics-and-case-studies/Reports/State-of-the-Nation-2012/
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Emergency Care
Standards for children and young people in emergency care settings Royal College of Paediatrics and Child Health This revised edition provides measurable and auditable standards of care applicable to all urgent and emergency care settings in the UK. http://www.rcpch.ac.uk/emergencycare
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End of Life Care

End of life care modelling tools National End of Life Care Intelligence Network These tools were developed to support organisations to achieve the vision of the National End of Life Care Strategy and the NHS QIPP agenda of improving quality and productivity through innovation. They support commissioning and planning of end of life care. http://www.endoflifecare-intelligence.org.uk/end_of_life_care_models/default.aspx 7

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Primary Care Trust Profiles National End of Life Care Intelligence Network The End of Life Care Profiles present over 40 indicators relating to population; place of death; cause of death; deaths in hospital; care homes; and end of life care spend for each PCT in England. http://www.endoflifecareintelligence.org.uk/end_of_life_care_profiles/primary_care_trust_profiles.aspx What do we know now that we didn't know a year ago? New intelligence on end of life care in England End of Life Care Intelligence Network This report looks at the care received by patients at the end of life, in a variety of settings. It also gives information about staff competence and training levels, and public attitudes to death. http://www.endoflifecare-intelligence.org.uk/resources/publications/what_we_know_now.aspx
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Falls prevention
Falls prevention: new approaches to integrated falls prevention services. NHS Confederation This briefing is intended to help the NHS and local government think about new approaches to the commissioning and provision of comprehensive, integrated falls prevention services. It shows that a focus on prevention and early intervention through joint working has benefits for the whole health and social care system. http://www.nhsconfed.org/Publications/briefings/Pages/FallsPreventionNewApproaches.aspx

General Practice
Primary Care: Today and Tomorrow - Improving general practice by working differently Deloitte This report examines the capacity and capability of general practice now and in the future, with a focus on GPs and general practice nurses. http://www.deloitte.com/view/en_GB/uk/research-and-intelligence/deloitte-researchuk/deloitte-uk-centre-for-healthsolutions/bb6e38f609817310VgnVCM3000001c56f00aRCRD.htm
Items in the Health Reforms and Pharmacy and Prescribing sections may also be of interest. [back to topics]

Guidance
NICE Clinical Guidelines Opioids in palliative care CG140 http://guidance.nice.org.uk/CG140 8

NHS Library and Information Service North Staffordshire

NICE Technology Appraisals Atrial fibrillation (stroke prevention) - rivaroxaban TA256 http://guidance.nice.org.uk/TA256 Prostate cancer - cabazitaxel TA255 http://guidance.nice.org.uk/TA255 NICE Quality Standards Ovarian cancer quality standard http://www.nice.org.uk/guidance/qualitystandards/ovariancancer/home.jsp NICE Consultation Documents Cystic fibrosis - mannitol: appraisal consultation Closing date for comments: 3 July 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=59372 Psoriasis: guideline consultation To comment, register as a stakeholder organisation, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 26 June 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=59181 Fertility (update): guideline consultation To comment, register as a stakeholder organisation, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 3 July 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=59277 Other Guidance Responding to domestic abuse: Guidance for general practices RCGP http://www.rcgp.org.uk/pdf/DV_practice_guidance_June_2012.pdf
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Other Health Technology Assessments Screening for cystic fibrosis-related diabetes: a systematic review Waugh, N et al. This report finds some evidence suggesting that harm to pulmonary function in patients with cystic fibrosis-related diabetes (CFRD) occurs at lower blood glucose levels than those used for defining other types of diabetes, and suggests that the definition of CFRD should be based on pulmonopathy risk, rather than the classical definition of diabetes. Health Technol Assess 2012:16(24)

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A methodological study to compare survey-based and observation-based evaluations of organisational and safety cultures and then compare both approaches with markers of the quality of care Freeth, D et al. This study found safety climate provides a partial indicator of performance, but qualitative data are needed to understand discrepant results. Safety climate (surveys) and, to a lesser degree, teamwork culture (observations) are better indicators of performance than organisational climate (surveys) or attempts to evaluate organisational culture from timelimited evaluations. Health Technol Assess 2012;16(25) Clinical effectiveness, cost-effectiveness and service users perceptions of early, wellresourced communication therapy following a stroke: a randomised controlled trial (the ACT NoW Study) Bowen, A et al. This report found that there is no evidence to support enhanced provision of early speech and language therapy for people with communication problems after stroke, and instead recommended evaluation of service reorganisation. Health Technol Assess 2012;16(26)
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Health Reforms
Care Quality Commission registration - What you need to know BMA This guidance aims to aid GPs by providing a straightforward explanation of the registration process, to help providers determine whether they are compliant with the CQCs essential standards, and to explain what will happen once providers are registered. http://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcreg.jsp Clinical Commissioning Groups HR Guide NHS Commissioning Board This guide provides practical advice about how CCGs can approach the main HR issues that they are likely to encounter as they become established. http://www.commissioningboard.nhs.uk/files/2012/05/ccg-hr-guide.pdf FAQs available at http://www.commissioningboard.nhs.uk/files/2012/05/ccg-hr-guide-faq.pdf Commissioning support services: Outcome of Checkpoint 2 NHS Commissioning Board The objective of Checkpoint 2 is to assess whether emerging CSSs are on a viable and secure path. Staffordshire CSS is assessed as Scenario A: CSS proceeds with medium to low issues as part of development plan. http://www.commissioningboard.nhs.uk/2012/05/14/outcome-of-checkpoint-2/ Checkpoint 2 customer survey of CCGs and CSS organisations: http://www.commissioningboard.nhs.uk/2012/05/28/checkpoint-2-customer-survey/

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Healthy Places: Councils leading on public health New Local Government Network This report calls for a range of new statutory powers for Health and Wellbeing Boards, to ensure they are able to fulfil their role following the current health reforms. http://www.nlgn.org.uk/public/2012/healthy-places-councils-leading-on-public-health/ How to maintain quality during the transition: preparing for handover guide Department of Health This guide includes timetables, templates, and the requirements for a good handover. http://www.dh.gov.uk/health/2012/05/handover-guide/ Proposed CCG configuration and member practices published NHS Commissioning Board The list includes CCGs, member practices, populations, and indicative running costs allowances. http://www.commissioningboard.nhs.uk/2012/05/24/ccg-configuration/ Briefing note on CCG indicative running costs allowances: http://www.commissioningboard.nhs.uk/2012/05/28/briefing-note-rca/ Transition Programme Risks Department of Health This document sets out key information relating to the areas of risks in the original Risk Register. The original register will not be disclosed. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_133945 A Departmental statement on the decision not to disclose the register is available at http://www.dh.gov.uk/health/2012/05/statement-transition-register/ What we know so far BMA This series includes briefings on: The Health and Social Care Act at a glance; The NHS Commissioning Board; Local accountability; Choice and any qualified provider; Foundation trusts; Monitor and regulation; and New providers. http://www.bma.org.uk/healthcare_policy/nhs_white_paper/whatweknowsofar.jsp
Items in the Patient Care and Safety and Public Health sections may also be of interest. [back to topics]

Infections
Latest results for MRSA, MSSA, E. coli, CDI and GRE Health Protection Agency http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/HCAI/LatestPublicationsFrom MandatorySurveillanceMRSACDIAndGRE/

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Seasonal flu plan: Winter 2012/13 Department of Health This document provides healthcare professionals with comprehensive information on best practice to prepare for flu in 2012/13. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_133886
Items in the Sexual Health section may also be of interest.

Information and data

Alive and clicking: information that benefits all NHS Confederation This paper explores the potential for using and sharing information in the NHS. It looks at the costs and benefits of informing and communicating with patients through web and social media platforms versus the costs of not doing so effectively. http://www.nhsconfed.org/Publications/discussion-paper/Pages/Alive-clicking.aspx The power of information: putting all of us in control of the health and care information we need Department of Health This information strategy sets a ten-year framework for transforming information for the NHS, public health and social care. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134181
Items in the Children and Young People section may be of interest. [back to topics]

Integrated Care
Factors that promote and hinder joint and integrated working between health and social care services Social Care Institute for Excellence This update of a previous systematic review demonstrates some positive outcomes of joint and integrated working for people who use services, carers and organisations delivering services. http://www.scie.org.uk/publications/briefings/briefing41/
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NHS Library and Information Service North Staffordshire Kidney Disease

Kidney Disease Health Investment Education Packs (HIEPS) NHS Kidney Care These packs highlight variations in care between Primary Care Trusts and GP consortia. http://www.kidneycare.nhs.uk/our_work_programmes/commissioning/health_investment_edu cation_packs/ Pack for NHS North Staffordshire: http://www.kidneycare.nhs.uk/document.php?o=923 Pack for NHS Stoke: http://www.kidneycare.nhs.uk/document.php?o=920 Community based service for CKD patients NHS Kidney Care This guide looks at setting up a community based service for patients with CKD stage 3b. http://www.kidneycare.nhs.uk/howto_guides1/community_based_service/
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Long Term Conditions

Long Term Conditions Compendium of Information (Third Edition) Department of Health This compendium is aimed at commissioners as well as health and social care professionals, to provide the evidence for improving care and outcomes for people with long term conditions. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134487 Long Term Conditions Strategy: Have your say Department of Health Closing date for comments: 15 June 2012 http://longtermconditions.dh.gov.uk/have-your-say/
Items in the Sport and Exercise Medicine sections may also be of interest.

Maternal and Infant Health

Home uterine monitoring for detecting preterm labour Urquhart, C et al. This Cochrane Review is based on 15 studies (total number of enrolled participants 6008) of the use of home uterine activity monitors, and their impact on various outcomes including perinatal mortality and admission to special care baby units. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006172.pub2/abstract Information Service for Parents NHS Choices Parents who sign up for this service receive regular emails and/or text messages tailored to their stage of pregnancy or baby's age. https://www.nhs.uk/InformationServiceForParents/pages/home.aspx
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NHS Library and Information Service North Staffordshire Mental Health

Doing good? Altruism and wellbeing in an age of austerity Mental Health Foundation This report highlights the impact that helping others has on mental health and wellbeing. http://www.mentalhealth.org.uk/publications/doing-good-report/ Executive summary: http://www.mentalhealth.org.uk/publications/doing-good-executivesummary/ Doing good does you good: a pocket guide to helping others: http://www.mentalhealth.org.uk/publications/doing-good-guide/ Race equality in mental health NHS Confederation This Briefing summarises the findings and recommendations from a recent report, commissioned by the Department of Health, into race equality in mental health http://www.nhsconfed.org/Publications/briefings/Pages/RaceEqualityinMentalHealth.aspx
Items in the Integrated Care, Social Care and Workforce sections may also be of interest. [back to topics]

Nursing
Frontline first: Congress 2012 Update RCN This update looks at changes in nurse staffing levels in the past two years, and considers the implications for patients and nursing staff. http://www.rcn.org.uk/__data/assets/pdf_file/0008/450539/10.12_Frontline_First,_Congress_2 012_Update.pdf Multimedia: Using technology to complement nursing practice RCN This range of publications has been developed to help nursing staff utilise technology to complement their clinical practice. Summary guide: http://www.rcn.org.uk/__data/assets/pdf_file/0019/450244/004_228_eHealth_Using_technology_V3.pdf Using telephone advice for patients with long-term conditions: http://www.rcn.org.uk/__data/assets/pdf_file/0020/450245/004_229_eHealth_Using_telephone.pdf Using text messaging services: http://www.rcn.org.uk/__data/assets/pdf_file/0003/450246/004_230_Using_text_messaging_ V2.pdf Developing and using websites: http://www.rcn.org.uk/__data/assets/pdf_file/0004/450247/004_231_technology_websites_V3 .pdf Using telehealth to monitor patients remotely: http://www.rcn.org.uk/__data/assets/pdf_file/0018/450252/004_232_Using_telehealth_V3.pdf
Items in the Workforce section may also be of interest.

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NHS Library and Information Service North Staffordshire Obesity

Adult obesity map National Obesity Observatory This map shows the change in prevalence of adult obesity for sub-national geographies from 1993-2010. The data are from the Health Survey for England (HSE). http://www.noo.org.uk/visualisation/adult_obesity
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Occupational Health
Items in the Workforce section may also be of interest.

Older People
Failing the Frail: A Chaotic Approach to Commissioning Healthcare Services for Care Homes British Geriatrics Society This report is based on analysis of data collected by CQC about PCT support for the healthcare of older people living within nursing and residential care homes. http://www.bgs.org.uk/pdf_cms/reference/Failing_the_frail_full_report.doc
Items in the Social Care section may be of interest.

Pathology
The Pathology Services Commissioning Toolkit Department of Health This toolkit has been developed specifically to support commissioners who have undertaken a strategic review of their existing community pathology services, and who wish to improve the quality, effectiveness, affordability and value for money of these services, in line with locally determined objectives and priorities. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134385
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Patient Care and Safety

Case study: Principia Rushcliffe patient and public involvement Department of Health This document describes the arrangements for testing the structure of patient and public involvement across the Rushcliffe area in the transitional period ahead of the authorisation process for CCGs. http://healthandcare.dh.gov.uk/case-study-principia-2/

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Delivering the NHS safety thermometer CQUIN 2012/13: A preliminary guide to measuring harm free care Department of Health This document shares learning about the best ways to use the thermometer and what support is available. It offers technical support in validating data and enables readers to start to understand their data. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134331 Improving hospital admission and discharge for people who are homeless Homeless Link This report found that NHS staff can improve health outcomes for homeless people and save money by ensuring all patients have somewhere appropriate to stay when they are discharged from hospital. http://homeless.org.uk/sites/default/files/attacheddownloads/HOSPITAL_ADMISSION_AND_DISCHARGE._REPORTdoc.pdf Related guide: From hospital to home: steps for hospital staff - identify need and take action http://homeless.org.uk/sites/default/files/attached-downloads/Take-a-step-tipsHospital%20Admission%20and%20Discharge.pdf No decision about me, without me: further consultation on proposals to secure shared decision-making Department of Health This document sets out the governments final policy proposals which aim to give patients greater choice and control. It seeks views on whether the government have identified the right areas as well as the right levers for making sure the NHS delivers real choice across the majority of services. Closing date for comments: 20 July http://consultations.dh.gov.uk/choice/choice-future-proposals Patients preferences matter: stop the silent misdiagnosis Kings Fund This report shows that when they are well informed, patients make different choices about treatment; what patients want often differs from what doctors think they want; and there are significant variations in care across geographic regions. http://www.kingsfund.org.uk/publications/patients_preferences.html
Items in the Information and Data section may also be of interest. [back to topics]

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NHS Library and Information Service North Staffordshire Pharmacy and Prescribing
Falsified Medical Products Strategy 2012-5 Medicines and Healthcare products Regulatory Agency This strategy outlines the MHRAs approach to reducing the risks to patients and consumers in the UK from the threats posed by counterfeit medical products, and increasing the risk to those behind this illegal activity. http://www.mhra.gov.uk/Safetyinformation/Generalsafetyinformationandadvice/Adviceandinfor mationforconsumers/counterfeitmedicinesanddevices/Falsifiedmedicalproductsstrategy/index. htm Investigating the prevalence and causes of prescribing errors in general practice: The PRACtICe study GMC This research aimed to determine the prevalence and nature of prescribing (and monitoring) errors in general practice, and to explore potential defences for mitigating their future occurrence. http://www.gmc-uk.org/about/research/12996.asp Medicines use review Department of Health This guidance looks at changes in reporting and notifying GPs about medicine reviews. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134178 An NHS Employers Briefing on upcoming changes to the community pharmacy Medicines Use Review (MUR) service is available at http://www.nhsemployers.org/SiteCollectionDocuments/MUR_changes_briefing_mh180512.p df Report of the APPG inquiry into medicines shortages All Party Parliamentary Pharmacy Group This report looks at the causes and impact of medicines shortages due to export of medicines and makes recommendations for improvement. http://www.appg.org.uk/Medicine-Shortages-report.htm A single competency framework for all prescribers National Prescribing Centre This single prescribing competency framework replaces all previous profession specific competency frameworks published by the NPC. http://www.npc.nhs.uk/improving_safety/improving_quality/resources/single_comp_framework .pdf
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NHS Library and Information Service North Staffordshire Public Health

Avoidable Mortality in England and Wales, 2010 Office for National Statistics http://www.ons.gov.uk/ons/rel/subnational-health4/avoidable-mortality-in-england-andwales/2010/stb-avoidable-mortality.html Front of Pack Nutrition Labelling Department of Health This consultation focuses on how provision of nutritional information can help consumers make better informed food choices. Closing date for comments: 6 August http://consultations.dh.gov.uk/food-information-andpromotions/fopnutritionlabelling/consult_view Heatwave Plan for England 2012 Department of Health The purpose of the Plan is to enhance resilience in the event of a heatwave. It is an important component of overall emergency planning and wider health promotion activity. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134152 Inequality in Disability-free life expectancy by area deprivation: England, 200205 and 200609 Office for National Statistics http://www.ons.gov.uk/ons/rel/disability-and-health-measurement/sub-national-healthexpectancies/2002-2005-and-2006-2009/stb-inequality-in-disability-free-life-expectancy-byarea-deprivation.html Sport Participation Measurement: Consultation on proposed changes This consultation looks at proposals to change the way sport is measured in the Taking Part and Active People surveys. Closing date for comments: 7 August http://www.culture.gov.uk/consultations/9062.aspx Public health transfer to local government: treatment of pensions Department of Health This dear colleague letter gives an update on the treatment of pensions in relation to the transfer of public health staff to local authorities. FAQs are also available. http://www.dh.gov.uk/health/2012/05/public-health-pensions World Health Statistics 2012 World Health Organisation Global Health Observatory This document contains WHOs compilation of health-related data for its 194 Member States. http://www.who.int/gho/publications/world_health_statistics/2012/en/index.html
Items in the Cardiovascular Diseases and Maternal and Infant Health sections may also be of interest. [back to topics]

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NHS Library and Information Service North Staffordshire Research

Attributing the costs of health & social care Research & Development Department of Health This guidance establishes a mechanism for the Department to meet some of the costs of charity-funded research in the NHS, for charities that are members of AMRC. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_133882
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Service Management
Accelerating the release of surplus public sector land: Progress report one year on Department for Communities and Local Government This report describes the support mechanisms that have been put in place to help departments dispose of land and the next steps for the Programme in the coming year. http://www.communities.gov.uk/publications/housing/publiclandprogressreport Data and main findings available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_133949 Corporate Plan 2012-13 Department of Health This summary of the Departments business priorities for 2012-13, including the areas of better health, better care, better value and successful change. http://corporateplan2012.dh.gov.uk/ Expenditure on healthcare in the UK 1997 2010 Office for National Statistics http://www.ons.gov.uk/ons/rel/psa/expenditure-on-healthcare-in-the-uk/1997---2010/artexpenditure-on-healthcare-in-the-uk-1997---2010.html Joint Working: A Quick Start Reference Guide for NHS and Pharmaceutical Industry Partners The Association of the British Pharmaceutical Industry This guide aims to address challenges that can arise when initiating Joint Working projects. http://www.abpi.org.uk/our-work/news/2012/Pages/140512.aspx NHS procurement: Raising our game Department of Health This document describes the actions the Department and trusts should take to improve NHS procurement, in six areas: Levers for change; Transparency and data management; NHS Standards of Procurement; Leadership, clinical engagement and reducing variation; Collaboration and use of procurement partners; and Suppliers, innovation and growth. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134376 19

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Payment by Results Q&As for 2012-13 Department of Health The Q&As are provided in response to feedback which the Department were not able to address in the guidance and questions received since the publication of the final PbR package. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_134233 Safe management of healthcare waste (updated version) Department of Health This guidance was previously known as Health Technical Memorandum (HTM) 07-01. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_126345 Thinking about rationing Kings Fund This document provides a guide to the practicalities and controversies surrounding healthcare rationing and identifies what is known about how it works in practice. http://www.kingsfund.org.uk/publications/rationing.html Understanding personal health budgets Department of Health The leaflet explains the concept of a personal health budget being offered to individuals, especially those with a long term condition, and how this can also be used by healthcare professionals, commissioners, and support organisations. http://www.dh.gov.uk/health/2012/05/understanding-personal-health-budgets/ Using the Commissioning for Quality and Innovation (CQUIN) payment framework guidance on new national goals for 2012-13 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_133856
Items in the Children and Young People, Diabetes, Dementia, Dental Health, Nursing and Workforce sections may also be of interest. [back to topics]

Sexual Health
Sexually transmitted infections in England, 2011 Health Protection Agency This report presents the most recent information on trends in STI diagnoses and the provision of sexual health services. This annual publication provides a useful background for interpreting patterns of STIs and their implications for planning and public health policy. http://www.hpa.org.uk/webw/HPAweb&Page&HPAwebAutoListName/Page/1201094610372

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NHS Library and Information Service North Staffordshire Social Care

Introduction to...adult mental health services Social Care Institute for Excellence This brief overview of the adult mental health system, and the legislation and guidance covering the delivery of services, is aimed at people with little or no experience in this area. http://www.scie.org.uk/publications/introductionto/adultmentalhealthservices.asp Introduction to...children's social care Social Care Institute for Excellence This brief overview of Childrens Social Care and the relevant legislation and policy framework is aimed at people who have little or no experience in this area. http://www.scie.org.uk/publications/introductionto/childrenssocialcare.asp Preventing loneliness and social isolation among older people Social Care Institute for Excellence This briefing explains the importance of tackling social isolation and loneliness, particularly among older people. It highlights the adverse effects of feeling isolated and describes a number of services that have been found to help reduce the problem. http://www.scie.org.uk/publications/ataglance/ataglance60.asp Reforming social care: options for funding Nuffield Trust This report highlights the potential future funding gap in social care and draws on the Dilnot Commission review of funding for adult social care to outline the possible options for reform. http://www.nuffieldtrust.org.uk/publications/reforming-social-care-options-funding Sustainable health and social care: a briefing for commissioners and health and wellbeing boards Social Care Institute for Excellence This briefing sets out the key policy and operational drivers for a sustainable development approach to health and social care design and delivery. http://www.scie.org.uk/publications/reports/report59.asp
Items in the Children and Young People, Dementia, Integrated Care, Mental Health, Service Management, Stroke, and Workforce section may also be of interest. [back to topics]

Social Care Workforce

Consultation on social work bursary Department of Health This consultation is to review the social work bursary scheme, to ensure it continues to attract sufficient high quality candidates to study and work as social workers. http://www.dh.gov.uk/health/2012/05/consultation-launched-on-social-work-bursary/

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Growing the Care Market: Turning a demographic challenge into an economic opportunity Carers UK This report looks at problems caused by the growing needs for social care, and considers ways in which this could be used to encourage growth. http://www.carersuk.org/professionals/resources/research-library/item/2570-future-caregrowing-the-care-market-turning-the-demographic-challenge-into-an-economic-opportunity The supply of social work practice placements: Employers views General Social Care Council To investigate how the supply of practice placements is perceived by employers, the GSCC undertook a survey of employers who are involved in the provision of such placements and complemented this by a small number of more detailed case studies. http://www.gscc.org.uk/cmsFiles/News%20items/GSCC_The_supply_of_social_work_practic e_placements_research_report.pdf
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Sport and Exercise Medicine

Sport and Exercise Medicine: a fresh approach NHS Midlands and East This document outlines how Sport and Exercise Medicine delivers improved quality of care and productivity. It emphasises the importance of Sport & Exercise medicine in chronic disease management, the prescription of exercise to those patients with co-morbidity, the diagnosis and management of musculoskeletal injury and the education and training of allied professionals in these skills. http://www.eastmidlands.nhs.uk/about-us/publications/sem/

Stroke
Struggling to recover: life after stroke campaign briefing Stroke Association This briefing looks at 8 stroke survivors experiences of health and social care after discharge from hospital, and a survey of over 2000 patients and carers. It makes recommendations for improving health and social care services for stroke survivors. http://www.stroke.org.uk/news/stroke-survivors-denied-recovery
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Substance Misuse
Estimating the crime reduction benefits of drug treatment and recovery National Treatment Agency for Substance Misuse This report estimates the savings made for the public, business, the criminal justice system and the NHS, through crime prevented by treating dependent drug users. http://www.nta.nhs.uk/news-2012-vfm.aspx

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The Wages of Sin Taxes Adam Smith Institute This report argues that taxing alcohol and cigarettes is regressive, and does not reduce consumption. http://www.adamsmith.org/sites/default/files/research/files/The%20Wages%20of%20Sin%20T axes%20CJ%20Snowdon%20ASI_0.pdf
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Tobacco
Interventions for smoking cessation in hospitalised patients Rigotti, NA et al. This Cochrane review assessed the effectiveness of different behavioural, pharmacological or multicomponent interventions for smoking cessation in current smokers or recent quitters who were in hospital at the time the intervention started. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001837.pub3/abstract Risk of cardiovascular serious adverse events associated with varenicline use for tobacco cessation: systematic review and meta-analysis Prochaska, J, et al. This systematic review looked at results from 22 trials. BMJ 2012; 344 doi: 10.1136/bmj.e2856 Training health professionals in smoking cessation Carson, K et al. This Cochrane review looks at the impact of training health professionals in smoking cessation on the point prevalence of smoking, continuous abstinence, and professional performance. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000214.pub2/abstract
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Vaccination and Immunisation

Items in the Infections section may also be of interest. [back to topics]

Womens Health
Abortion statistics, England and Wales: 2010 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126 769

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Back Pain Management Audit Royal College of Physicians This audit measures how well Occupational Health services are managing NHS staff in England with back pain. http://www.rcplondon.ac.uk/resources/back-pain-management-audit Creating a culture of innovation: Final report Institute for Research and Innovation in Social Services This report provides an overview and analysis of activities and a review of literature on encouraging creativity within organisations. http://www.iriss.org.uk/resources/creating-culture-innovation Education, training and workforce planning House of Commons Health Select Committee This report looks at the challenge of workforce planning, the role of the Centre for Workforce Intelligence, and the organisation and funding of education and training. http://www.publications.parliament.uk/pa/cm201213/cmselect/cmhealth/6/602.htm Leadership and engagement for improvement in the NHS: together we can Kings Fund This report makes the case for engaging staff, patients and boards and for building relationships across systems of care. http://www.kingsfund.org.uk/publications/leadership_review_12.html Minimum Standards for Healthcare Support Workers and Adult Social Care Workers in England Skills for Health This consultation is seeking views on a code of conduct, induction standards and core competences for Healthcare Support Workers and Adult Social Care Workers. Closing date for comments: 29 June 2012 http://www.skillsforhealth.org.uk/about-us/consultations/minimum-standards-consultation/ A Short Guide to the Future Consolidation of NHS Occupational Health Services NHS Health at Work Network The guide sets out the case for change, describes two models of delivery - Managed Clinical Networks and Area Collaborative Services - and utilises a case study example to encourage first steps. http://www.nhshealthatwork.co.uk/future-config.asp
Items in the Health Reforms, Nursing, Public Health, Service Management and Sport and Exercise Medicine sections may also be of interest. [back to topics]

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