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NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire


Issue No: 80 September 2013

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

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.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 .................................................................................................................................. 5 Diabetes.................................................................................................................................... 6 General Practice ....................................................................................................................... 6 Guidance .................................................................................................................................. 7 Health Reforms ......................................................................................................................... 8 Heart Disease ........................................................................................................................... 9 Infection Control ........................................................................................................................ 9 Integrated Healthcare ............................................................................................................... 9 Mental Health.......................................................................................................................... 10 Older People ........................................................................................................................... 11 Patient Care and Safety .......................................................................................................... 11 Pharmacy and Prescribing ...................................................................................................... 12 Public Health ........................................................................................................................... 12 Safeguarding Children and Vulnerable Adults ........................................................................ 13 Service Management .............................................................................................................. 13 Social Care ............................................................................................................................. 14 Substance Misuse .................................................................................................................. 15 Tobacco .................................................................................................................................. 15 Vaccination and Immunisation ................................................................................................ 16 Workforce ............................................................................................................................... 16

NHS Library and Information Service North Staffordshire Alcohol


Alcohol and drugs: JSNA support pack-Good practice in planning for alcohol and drugs prevention, treatment and recovery Public Health England The pack has been developed to support the joint strategic needs assessment process and local joint health and wellbeing strategies, and includes: good practice in planning for alcohol and drugs prevention, treatment and recovery. http://www.nta.nhs.uk/healthcare-JSNA.aspx

Cancer
Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: a systematic review and meta-analysis of randomized controlled trials Matsuda et al. This analysis strengthens the evidence of the effectiveness of psychosocial support in improving breast cancer symptoms and psychoeducational support in improving emotional well-being within 6 months post-intervention. http://link.springer.com/article/10.1007%2Fs11136-013-0460-3 National Cancer Patient Experience Survey Quality Health The 2013 survey covered over 116,000 NHS patients in 155 Trusts who had been seen for treatment in hospital in the period 1st September 2012 and 30 November 2012 and who had a primary diagnosis of cancer. The results show that patients reported improved scores on 31 of 63 questions in the survey compared to the 2012 survey. http://www.quality-health.co.uk/cancer-survey-materials
Items in the guidance section may be of interest [back to topics]

Children and Young People


Coordinating epilepsy care: a UK-wide review of healthcare in cases of mortality and prolonged seizures in children and young people with epilepsies Royal College of Paediatrics and Child Health This report covers a themed case review of mortality and serious morbidity in children and young people with epilepsy at all stages of the care pathway, including primary and emergency care. http://www.rcpch.ac.uk/system/files/protected/page/CHRUK_Module%20B%20low%20res.pdf Social and emotional wellbeing for children and young people NICE This briefing summarises NICE's recommendations for local authorities and partner organisations on social and emotional wellbeing for children and young people, specifically, vulnerable children aged under 5 years and all children in primary and secondary education. http://publications.nice.org.uk/social-and-emotional-wellbeing-for-children-and-young-peoplelgb12
Items in the Guidance section may be of interest

NHS Library and Information Service North Staffordshire


[back to topics]

Commissioning
Local price setting and contracting practices for NHS services without a nationally mandated price Monitor This research paper assesses how effective local contracts have been in delivering more for patients. http://www.monitornhsft.gov.uk/sites/default/files/publications/LocalPricingReport23Sept13.pdf Multi Case study of Health Care Commissioning Shaw et al. This article: 'The work of commissioning: a multisite case study of healthcare commissioning in England's NHS' concludes that commissioning for long-term condition services challenges the conventional distinction between commissioners and providers with a significant amount of work focused on redesigning services in partnership with providers. http://bmjopen.bmj.com/content/3/9/e003341.full.pdf+html Transforming Participation in Health and Care, Guidance for Commissioners NHS England The purpose of the guidance is to support commissioners to improve individual and public participation and to better understand and respond to the needs of the communities they serve. http://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf
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Dementia
A Road Less Rocky Supporting Carers of People with Dementia Carers Trust This report found that carers of people with dementia are not getting the support and advice they often desperately need. http://www.carers.org/sites/default/files/dementia_executive_summary_english_only_final_us e_this_one.pdf?dm_i=4O5,1UBOK,AA2BAS,6LH6U,1 Advanced Dementia Service Kings Fund This case study looks at the Oxleas Advanced Dementia Service which provides care coordination, and specialist palliative care and support to patients with advanced dementia living at home. This study examines: strategies used to deliver care co-ordination effectively; barriers and facillitors to successful care co-ordination; key markers for success for the practical application of the tools and techniques of care co-ordination; and identifies lessons in how care co-ordination can best be supported in terms of planning, organisation and leadership. http://www.kingsfund.org.uk/publications/oxleas-advanced-dementia-service

NHS Library and Information Service North Staffordshire


Building Dementia Friendly Communities: A Priority for everyone Alzheimers Society This report concludes that up to 180,000 people with dementia surveyed felt trapped in their own homes and shows that one in three people with dementia surveyed only leave their homes once a week and one in 10 get out just once a month. http://www.alzheimers.org.uk/buildingdfcs World Alzheimer Report 2013: journey of caring- an analysis of long-term care for dementia Alzheimers Disease International This report reveals that, as the world population ages, the traditional system of informal care by family, friends, and community will require much greater support. http://www.alz.co.uk/research/WorldAlzheimerReport2013.pdf

Diabetes
Effectiveness of group medical visits for improving diabetes care: a systematic review and meta-analysis Housden L, Wong ST and Dawes M Group medical visits for patients with diabetes effectively reduced glycated haemoglobin, and wider implementation would have a positive effect on patient outcomes. http://www.cmaj.ca/content/185/13/E635 European Society of Cardiology Guidelines on Diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the European Association Study of Diabetes ESC/EASD These updated guidelines discuss how to prevent and manage the diverse problems associated with the effects of diabetes mellitus on the heart and vasculature. http://eurheartj.oxfordjournals.org/content/early/2013/08/29/eurheartj.eht108.extract Inpatient Management of Diabetic Food Disorders: A Clinical Guide Wukich et al. This review addresses the medical and surgical management of infection, management of fractures and dislocations, medical management of the hospitalised patient with diabetes, perioperative management, diabetes education and discharge planning. http://care.diabetesjournals.org/content/36/9/2862.abstract

General Practice
Language Controls for Doctors Department of Health These new proposals, set out in 'Language controls for doctors: proposed changes to the Medical Act 1983', are designed to complement and strengthen the existing language controls imposed through the responsible officer regulations, performers list regulations and other checks undertaken at a local level. https://www.gov.uk/government/consultations/ensuring-doctors-have-sufficient-englishlanguage-capability

NHS Library and Information Service North Staffordshire


Patient.co.uk Local www.patient.co.uk This website uses the data from the Patient.co.uk website to help alert CCGs and individual GP surgeries to potential localised health outbreaks that could impact on surgery enquiries. The service also enables users to search health trends by city and provides a condition heat map of the UK. http://www.patient.co.uk/local 2013/14 enhanced services Frequently Asked Questions BMA/NHS Employers These FAQs on enhanced services are aimed at area teams and practices http://www.nhsemployers.org/SiteCollectionDocuments/201314_Enhanced_Services_FAQs%20_ja090913.pdf
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Guidance
NICE Clinical Guidelines: Urinary Incontinence: The Management of Urinary Incontinence in Women (CG171) http://publications.nic e.org.uk/urinary-incontinence-cg171 NICE Evidence Updates Obsessive Compulsive Disorder New evidence published since the literature search was last conducted for this guideline is summarised in this update, which is not considered to impact on the current existing guidance. https://www.evidence.nhs.uk/about-evidence-services/bulletins-and-alerts/evidenceupdates/evidence-updates-by-date NICE Quality Standards Atopic Eczema in Children (QS44) http://publications.nice.org.uk/atopic-eczema-in-children-qs44 NICE Quality Standards Depression in Children and Young People (SQ48) http://publications.nice.org.uk/depression-in-children-and-young-people-qs48 NICE Quality Standards Heavy menstrual standards (QS47) http://publications.nice.org.uk/heavy-menstrual-bleeding-qs47 NICE Quality Standards Lower Urinary Tract symptoms in men 7

NHS Library and Information Service North Staffordshire


(QS45) http://publications.nice.org.uk/lower-urinary-tract-symptoms-in-men-qs45 Raising Concerns: Guidance for Nurses and Midwives Nursing and Midwifery Council This guidance sets out broad principles that will help nurses and midwives think through the issues and take appropriate action in the public interest. http://www.nmc-uk.org/Documents/NMC-Publications/NMC-Raising-and-escalatingconcerns.pdf Scottish Intercollegiate Guidelines Network Management of Chronic Pain: a booklet for patients and carers http://www.sign.ac.uk/pdf/Chronic_pain_patv1_consultation.pdf Scottish Intercollegiate Guidelines Network Treatment of Primary Breast Cancer (Sign 134) http://www.sign.ac.uk/guidelines/fulltext/134/index.html UK Vision Strategy Eye Health and Sight Loss JSNA Guidance 2013 http://www.commissioningforeyecare.org.uk/commhome.asp?section=175&sectionTitle= Health+and+Wellbeing+Boards
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Health Reforms
After Francis: making a difference Health Committee In this report the Committee gives its view on the principal recommendations of the report of the public inquiry into the Mid Staffordshire NHS Foundation Trust undertaken by Robert Francis QC. http://www.publications.parliament.uk/pa/cm201314/cmselect/cmhealth/657/65702.htm In Sickness and in health: assessing the transition to a more localist health system. Localis/Pfizer This report assesses the recent move to a more localist health system and examines opinions on this from those in local government. It also takes stock of how councils have adapted to the return of public health to their portfolio, and the dismantling of barriers between health and social care http://www.localis.org.uk/images/LOC_Health_Report_Final_WEB.pdf Irreversible?Health and Social Care Policy in a Post-Coalition Landscape Young Fabians This collection of essays seeks to ask if the health policies of the coalition are irreversible. They highlight the complexity of issues throughout the system ranging from the measurement of NHS performance to the creation of a robust incentive system for prevention of illness. http://youngfabians.org.uk/component/com_edocman/Itemid,0/id,21/task,document.viewdoc/ 8

NHS Library and Information Service North Staffordshire

[back to topics]

Heart Disease
Mediterranean dietary pattern for the primary prevention of cardiovascular disease. Rees et al. This systematic review found that some limited evidence suggests some favourable effects of the dietary pattern on reducing some cardiovascular risk factors. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009825.pub2/pdf 2013 European Society of Cardiology Guidelines on the Management of stable coronary artery disease ESC Discusses the pathophysiology, epiodemiolgy, natural history and prognosis, diagnosis and assessment, lifestyle and pharmacological management, revascularisation, and special groups or considerations. http://eurheartj.oxfordjournals.org/content/early/2013/08/28/eurheartj.eht296.extract
Items in the Diabetes section may be of interest

Infection Control
Antiobiotic Resistance Threats in the United States Centers for Disease Control and Prevention This report gives a first-ever snapshot of the burden and threats posed by the antibioticresistant organisms having the most impact on human health in the US. http://www.cdc.gov/drugresistance/threat-report-2013/
Items in the Vaccination and Immunisation section may be of interest

Integrated Healthcare
Frequently Asked Questions on Integrated Care Monitor These FAQs aim to assist commissioners, providers and health and wellbeing boards to comply with their obligations relating to integrated care and to explain the relationship between these obligations and the other rules that Monitor enforces. http://www.monitor.gov.uk/regulating-health-care-providers-commissioners/enablingintegrated-care/frequently-asked-questions-i Health and Wellbeing Boards: orchestrating the possible for integrated care Office for Public Management This top tips guide is based on OPM's experience of working with health and wellbeing boards and answers the key questions that they need to address to ensure that they reach their full potential. http://www.opm.co.uk/resources/health-wellbeing-boards-orchestrating-the-possible-forintegrated-care/

NHS Library and Information Service North Staffordshire


Joined up care in action: an integrated care map The Kings Fund This map pulls together a number of international case studies to help showcase integrated care in action. http://www.kingsfund.org.uk/projects/integrated-care-making-it-happen/integrated-care-map The quest for integrated health and social care The Kings Fund This paper provides an insight into the District Health Board for Canterbury, New Zealand and its journey towards its goal of providing integrated care for all. http://www.kingsfund.org.uk/publications/quest-integrated-health-and-social-care UK Five Year Antimicrobial Resistance Strategy This new cross-government UK strategy aims to slow the development and spread of antimicrobial resistance by focusing activities around 3 strategic aims: improve the knowledge and understanding of antimicrobial resistance, conserve and steward the effectiveness of existing treatments and stimulate the development of new antibiotics, diagnostics and novel therapies. https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy2013-to-2018
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Mental Health
Approved Mental Health professionals (AMHP) competency mapping tool College of Social Work This tool aims to demonstrate how competencies required by social workers working as AMHPs meet professional development requirements for regulatory registration. http://www.tcsw.org.uk/uploadedFiles/TheCollege/Professional_development/PCF/AMHP%20 Competency%20Mapping.pdf Mental Illness and Unhappiness Centre for Economic Performance This report (part of wider World Happiness Report) argues that mental health is the biggest single predictor of life-satisfaction. Depression and anxiety are more common during working age than in later life, accounting for a high proportion of disability, major economic costs, and financial losses to governments worldwide; in rich countries such as those in the United Kingdom, treatment is likely to have no net cost to the Exchequer due to savings on welfare benefits and lost taxes. http://cep.lse.ac.uk/pubs/download/dp1239.pdf Community Mental Health Survey 2013 Care Quality Commission This national survey of more than 130,000 people who use community mental health services in England shows the care people receive in the community needs to improve. Of particular concern is people's lack of involvement in their care plans and having their views taken into account when deciding which medication to take. http://www.cqc.org.uk/sites/default/files/media/documents/20130911_mh13_national_summar y_final.pdf 10

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Crossing Boundaries: improving integrated care for people with mental health problems Mental Health Foundation Crossing boundaries: improving integrated care for people with mental health problems' sets out the findings from the Mental Health Foundation's Inquiry into integrated health care for people with mental health problem which ran from April 2012 to June 2013. http://www.mentalhealth.org.uk/publications/crossing-boundaries/ Starting Today: Future of Mental Health Services Mental Health Foundation This report explores the findings of the inquiry into the Future of Mental Health Services. This aimed to review the provision of mental health services in the UK in the light of current and future health and socio-economic development, promote debate on the proper aims and ambitions of mental health services, and consider how to make mental health services fit for purpose to deal with challenges 20-30 years in the future. http://www.mentalhealth.org.uk/publications/starting-today-future-of-mental-health-services/
Items in the Dementia, Guidance and Tobacco section may be of interest. [back to topics]

Older People
Living well in care homes College of Occupational Therapists This toolkit helps share expertise, in a practical way,that can raise standards of activity in care homes. http://www.cot.co.uk/living-well-care-homes

Patient Care and Safety


Quality and Safety in the NHS: evaluating progress, problems and promise Lancaster University Management School This study of NHS cultures and behaviours found that the quality of care in the English NHS is too often compromised by a lack of clearly defined goals, too much regulation, and highly variable staff support. http://www.lums.lancs.ac.uk/files/quality-safety-nhs-e.pdf Six-monthly patient safety incident data report National Reporting and Learning System This report includes details of patient safety incidents in England and Wales that occurred between 1 October 2012 and 31 March 2013 and were submitted to the National Reporting and Learning System (NRLS) by the end of May 2013. Data shows that in the six months from October 2012 to March 2013, 683,883 incidents were reported to the system 6.4% more than in the same period in the previous year. http://www.nrls.npsa.nhs.uk/patient-safety-data/organisation-patient-safety-incidentreports/directory/

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NHS Library and Information Service North Staffordshire


Sustaining and spreading self-management support: Lessons from Co-creating Health Phase 2 Health Foundation/Firefly This evaluation provides valuable insight into how to sustain changes in clinical practice to more effectively support people with long-term conditions http://www.health.org.uk/publications/sustaining-and-spreading-self-management-support/
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Pharmacy and Prescribing


A Strategic View of the Future Pharmacist Workforce Centre for Workforce Intelligence This review of 4 plausible future scenarios describing the possible shape of the pharmacist workforce found that supply is likely to exceed demand, regardless of the pharmacists role in healthcare, with a possible surplus supply of pharmacists by as much as 19,000 by 2040. http://www.cfwi.org.uk/publications/a-strategic-review-of-the-future-pharmacistworkforce/@@publication-detail Medicines Optimisation: What does it mean for me: Community pharmacy Royal Pharmaceutical Society This briefing is one of five briefings on medicines optimisation which are specific to an area of pharmacy and detail how they can support medicines optimisation and make it part of routine practice. http://www.rpharms.com/non-member/non-member.asp Professional Standards for Homecare Services Royal Pharmaceutical Society These standards will help patients experience a consistent quality of homecare services, irrespective of homecare provider, that will protect them from incidents of avoidable harm and help them to get the best outcomes from their medicines http://www.rpharms.com/unsecure-support-resources/professional-standards-for-homecareservices.asp UKMi NICE Bites Chronic Hepatitis B NICE NICE Bites is a monthly bulletin which summarises key prescribing points from NICE guidance. This edition includes one topic: Chronic Hepatitis B; CG165. http://www.medicinesresources.nhs.uk/upload/documents/Health%20In%20Focus/NICEBites September2013.pdf
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Public Health
Data and Knowledge Gateway Public Health England This new site provides health professionals with access to a single point of access to data and analysis tools from across Public Health England. This includes: commissioning and planning of services, joint strategic needs assessment, health surveillance, understanding inequalities and variation, research and evidence. 12

NHS Library and Information Service North Staffordshire


http://datagateway.phe.org.uk/ Judging whether public health interventions offer value for money NICE This briefing summarises the economic and health benefits that can be gained from public health interventions and the methods that can be used to measure them http://publications.nice.org.uk/judging-whether-public-health-interventions-offer-value-formoney-lgb10 Populations at risk for severe or complicated influenza illness: Systematic review and meta-analysis Mertz D, Hyong-Kim T and Johnston J et al. This review of 234 studies found limited evidence to support risk factors for influenza related complications and that some well accepted risk factors, including pregnancy and ethnicity, could not be confirmed as risks. http://www.bmj.com/content/347/bmj.f5061
Items in the Tobacco section may be of interest [back to topics]

Safeguarding Children and Vulnerable Adults


Adult Safeguarding: Updated statement of government policy Department of Health This includes the statement of principles for local authority social services and housing, health, the police and other agencies to use, for both developing and assessing the effectiveness of their local safeguarding arrangements. https://www.gov.uk/government/publications/adult-safeguarding-statement-of-governmentpolicy-10-may-2013

Service Management
Performance of the foundation trust sector for quarter ended 30 June 2013 Monitor The report summarises key trends drawn from foundation trusts' individual reports. It covers operational performance, financial performance and regulatory performance. http://www.monitor.gov.uk/performance Local Health Profiles Public Health England These profiles give a snapshot overview of health for each local authority in England. They are intended for local government, health services and partners in helping them to understand community needs, so that they can work to improve people's health and reduce health inequalities. http://www.apho.org.uk/default.aspx?QN=P_HEALTH_PROFILES
Items in the Commissioning and Workforce sections may also be of interest. [back to topics]

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NHS Library and Information Service North Staffordshire Social Care


How is the health and social care system performing? Kings Fund This report suggests the NHS will struggle to meet its target of delivering 20 billion in productivity improvements by 2015. The survey that informs this report highlights the growing pressures on NHS providers and a growing pessimism amongst finance directors that they will meet the Nicholson Challenge. Commissioners are more optimistic, with 72 per cent of CCG finance leads expecting to meet their organisation's targets. http://www.kingsfund.org.uk/publications/how-health-and-social-care-system-performingseptember-2013 Why the Francis Inquiry Matters to Social Care Providers Voluntary Organisations Disability Group This two-part briefing aims to explain why the Francis Inquiry and the resulting reforms are important to social care providers. Part 1 introduces the background to the inquiry and the evolving policy response, while part 2 considers some of the implications of the inquiry and other recent reviews for social care providers. http://www.vodg.org.uk/members/vodg-publications.html Ordinary residence: guidance on the identification of the ordinary residence of people in need of community services in England Department of Health The guidance explains how to decide where a person is ordinarily resident for the purposes of the National Assistance Act 1948 and certain other legislation. It is applicable to local authorities with social services responsibilities and sets out how to identify where responsibility lies between authorities for the funding and/or provision of care for people aged 18 and over who are assessed as needing social care services. https://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-inneed-of-community-care-services Social Care Grants for 2013-15 Department of Health This document sets out the specific revenue and capital grant funding for local authorities for adults personal social services for 2013 to 2014. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/243822/Social_ care_grants_in_13-14_-_explanatory_note.pdf Social Care Jargon Buster Social Care Institute for Excellence This glossary is a plain English guide to the most commonly used social care words and phrases and what they mean. http://www.thinklocalactpersonal.org.uk/_library/AIJargonBusterFINAL.pdf
Items in the Integrated Care and Workforce sections may be of interest

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NHS Library and Information Service North Staffordshire Substance Misuse


Global Drug Survey Findings of Tramadol Use Winstock A, Bell J and Borschmann R. The Global Drug Survey found that of 369 UK respondents on tramadol, 91 used it to get high, 60 (66%) of whom obtained it from friends/dealer, and 18 (20%) obtained it by prescription. The survey also details other types of misuse of tramadol and difficulties coming off it. http://www.bmj.com/content/347/bmj.f5108/rr/660496 National Poisons Service Annual Review

Health Protections Agency


Between April 2012 and March this year phone calls to experts about 'legal highs' went up 49%, from 116 in 2011/12 to 173 in 2012/13, and searches for information on 'legal highs' on NPIS ' online database TOXBASE, climbed by 128%, from 1125 to 2561 in the same period. This year's review also confirmed an increase in calls about, and numbers of patients being treated for, carbon monoxide poisoning. More than 50,000 calls were made to NPIS on a variety of topics and its online database. http://www.hpa.org.uk/Publications/ChemicalsPoisons/NationalPoisonsInformationServiceAnn ualReports/1308NPISannualreport20122013/ No quick fix: exposing the depth of Britain's drug and alcohol problem Centre for Social Justice This report suggests the UK has become a hub for websites peddling dangerous 'legal highs' or 'club drugs' which are being ordered online. http://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/addict.pdf
[back to topics] Items in the Alcohol Section may be of interest.

Tobacco
Stoptober Campaign Launched Public Health England Stoptober provides smokers with a range of free support including a new stop smoking pack, a 28-day mobile phone app and text support with daily updates and quitting advice, detailed tools and tips for coping, as well as the encouragement and support from thousands of people quitting together through Stoptober social media. Stoptober 2013 starts on Tuesday 1 October and runs for 28 days. https://stoptober.smokefree.nhs.uk/ Smoking and Mental Health NHS Confederation This briefing provides the background to smoking prevalence and the consequences for people with mental illness. It examines the evidence of what works to reduce harm from smoking for this group, and how providers are implementing the smoking ban in practice http://www.nhsconfed.org/Publications/briefings/Pages/Smoking-and-mental-health.aspx

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Smoking cessation interventions for smokers with current of past depression Van der Meer et al. This review suggests that adding a psychological mood management component to a standard smoking cessation intervention increases long term cessation rates in smokers with both current or past depression compared to standard intervention alone. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006102.pub2/pdf

Vaccination and Immunisation


Influenza Vaccine and Porcine Gelatine Questions and Answers for Health Professionals Public Health England This Q&A provides more detail on porcine and other animal ingredients in vaccines in relation to faith communities and vegetarianism. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317140022351 Vaccination of health and social care workers against flu, 2013/14. Department of Health/Public Health England NHS and local authorities are being asked to promote important flu messages to all frontline staff across providers of acute, community and social care services. https://www.gov.uk/government/publications/flu-vaccination-increasing-uptake-by-health-andsocial-care-workers [back to topics]

Workforce
District Nursing: who will care in the future? Kings Fund This Policy+ reviews data on the district nursing workforce, looks at the issues to be considered in planning, and considers whether the workforce needed to provide district nursing care in the future will be available http://www.kcl.ac.uk/nursing/research/nnru/policy/Currentissue/Policy--Issue-40.pdf Employee Outlook Chartered Institute of Personnel and Development/Health Care People Management Association This report analyses the results of a survey of employees working in the healthcare sector in the UK to find out their attitudes to working in the sector, the values in NHS organisations, trust within the health service, and culture change to improve patient care in the NHS. http://www.cipd.co.uk/binaries/6333%20Culture%20change%20NHS%20SR%20(WEB).pdf Supporting Staff Wellbeing with digital tools NHS Employers This guide explores how digital tools can be a cost effective and evidence based method that can play a part in organisational support for staff. http://www.nhsemployers.org/Aboutus/Publications/Documents/Briefing_94.pdf

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NHS Library and Information Service North Staffordshire


Updated Locums Guidance Published Primary Care Commissioning NHS Employers has published an updated version of the guidance on the appointment and employment of NHS locum doctors. http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/Latestnews/Pages/Updatedlocumsguidancepublished.aspx
Items in the Vaccination and Immunisation section may be of interest

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