Clinical Effectiveness Bulletin no. 59 December 2011

8/3/2019 Clinical Effectiveness Bulletin no. 59 December 2011

1/23

EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

?

Hfdedhof Iggihpdwieixx Byffipdegar EMX ^rdlort Hori de Earpm

Xpoggar`xmdriDxxyi Ea: 94 @ihilbir 2>??

Obayp pmdx Byffipde:

Dp odlx pa `ro{ oppiepdae pa xali ag pmi cit àhyliepx oe` riwdi{x ae hfdedhof iggihpdwieixxpmop mowi biie ~ybfdxmi` de pmi ~riwdayx laepm%

[miri ~axxdbfi& fdecx pa pmi gyff pi}p àhyliepx ori dehfyì`% Dg pmi orpdhfi dx de o jayreof& tayhoe haepohp pmi Miofpm Fdbrort gar o ha~t%Fdec pa riqyixp garl:mpp~:!!{{{%ciifi%oh%yc!miofpmfdbrort!yxdekpmimiofpmfdbrort!depir,fdbrortfaoex!(`%ie%2;08;S^fioxi eapi , o hmorki ag 2 ~ir riqyixp dx ~otobfi gar laxp ha~dix\

Dg tay eii` gyrpmir oxxdxpoehi& ~fioxi haepohp pmi Miofpm Fdbrort ar pmi EMX AypriohmFdbrordoex& ìpodfx bifa{%

Pmi byffipde hoe bi i,lodfi` pa haffiokyix {ma lot ofxa gde` dp yxigyf%

O fdxp ag {ibxdpix hmihci` de pmi ~ra`yhpdae ag pmdx byffipde dx ae pmi gdrxp ~oki% ^fioxi xykkixpgyrpmir yxigyf xdpix%

Gii`bohc dx of{otx {ifhali` pa degarl gypyri dxxyix ag pmi byffipde%

Haepohp degarlopdae

Byffipde ~ra`yhi` bt EMX Aypriohm FdbrordoexPif: GiopyriEip =024 -I}pireof hoffx >8>> ?28 ?989 i}p =024$

I,lodf: fde`xot%xeiffNearpmxpoggx%emx%yc

hforim%~a{iffNearpmxpoggx%emx%yc

Earpm Xpoggx Miofpm Fdbrort

Pif: >?;=2 7;49>>Go}: >?;=2 7;49=2

I,lodf:miofpm%fdbrortNciifi%oh%yc
http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437


2/23


2

Xayrhix gar Hfdedhof Iggihpdwieixx Byffipde

^fioxi xykkixp gyrpmir xdpix pmop xmayf` bi laedpari` de pmi ~ra`yhpdae ag pmdx byffipde

[ibxdpix

Hahmroei Fdbrort mpp~:!!{{{%pmihahmroeifdbrort%hal!HR@ Hiepri gar Riwdi{x oe` @dxxildeopdae mpp~:!!{{{%hr`%tarc%oh%yc!hr`{ib!

, @ORI -@opoboxi ag Obxprohpx ag Riwdi{x ag Iggihpx$, EMX Ihaealdh Iwofyopdae @opoboxi

Miofpm Pihmeafakt Oxxixxliep -MPO$ @opoboximpp~:!!{{{%mpo%oh%yc@odft Miofpm Byffipdempp~:!!{{{%xmiggdif`%emx%yc!miofpmbyffipde!@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!de`i}%mplCdekx Gye`mpp~:!!{{{%cdekxgye`%ark%yc!EiFL -Eopdaeof Ifihpraedh Fdbrort gar Li`dhdeix$ ei{x byffipdempp~:!!{{{%eifl%emx%yc!ie!EDHImpp~:!!{{{%edhi%ark%yc!XDKEmpp~:!!{{{%xdke%oh%yc!ei{%mplf
http://www.thecochranelibrary.com/http://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.hta.ac.uk/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.sheffield.nhs.uk/healthbulletin/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nelm.nhs.uk/en/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.nice.org.uk/http://www.nelm.nhs.uk/en/http://www.kingsfund.org.uk/http://www.dh.gov.uk/en/index.htmhttp://www.sheffield.nhs.uk/healthbulletin/http://www.hta.ac.uk/http://www.thecochranelibrary.com/


3/23


8

Haepiepx de pmdx dxxyi:

Hoehir %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 0Hor`dawoxhyfor @dxioxi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 9Hmdf`rie oe` Tayek ia~fi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 7

Halldxxdaedek %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 7HA^@ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% =@iliepdo %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% =@dobipix %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 4Kieirof rohpdhi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 4Kydòehi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?>Miofpm Rigarlx %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ??Miofpm Wdxdparx %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8MDW %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8Degihpdaex %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8Lopireof oe` Degoep Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8Liepof Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?0Eiyrafakdhof Hae`dpdaex %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?9Eyrxdek oe` Ld`{dgirt %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?9Eyprdpdae %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?9Aggieìr Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7Afìr ia~fi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7ôffdopdwi oe` Ie` ag Fdgi Hori %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7ôpdiep Hori oe` Xogipt %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7^morloht oe` ^rixhrdbdek %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?;^ybfdh Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?=Xogikyor dek Hmdf`rie oe` Wyfeirobfi O`yfpx %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?4Xirwdhi Loeokiliep %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 2>Xi}yof oe` Ri~ra`yhpdwi Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 22[arcgarhi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 22


4/23


0

Hoehir

[ixp Ld`foe`x Hoehir O{orieixx ^ragdfix[ixp Ld`foe`x Hoehir Depiffdkiehi YedpLaypm Hoehir:

mpp~:!!{{{%{lhdy%emx%yc!àhyliepx!LaypmQhoehirQo{orieixxQ~ragdfiQ2>??Q9trQraffdek%~`g ôehriopdh Hoehir:mpp~:!!{{{%{lhdy%emx%yc!àhyliepx!ôehriopdhQhoehirQo{orieixxQ~ragdfiQ2>??Q9trQraffdek%~`g

Pmi Grohpdae ag Hoehir Opprdbypobfi pa Fdgixptfi oe` Iewdraeliepof Gohparx de pmi YC de2>?>ôrcde& @L ip of%Pmdx xy~~filiep haepodex orpdhfix ae ?0 `dggiriep fdgixptfi oe` iewdraeliepof hoyxix aghoehir& dehfy`dek awir{idkmp oe` abixdpt& ahhy~opdaeof i}~axyri& deohpdwdpt& oe` `dip%Brdpdxm Jayreof ag Hoehir -2>??$ ?>9& Xy~~filiep d% àd:?>%?>8=!bjh%2>??%9>=

Rifopi` degarlopdae dehfy`dek o``dpdaeof `dokrolx:mpp~:!!dega%hoehirrixiorhmyc%ark!ei{x!orhmdwi!~rixxrifioxi!2>??,??,>;,hdkorippix,`dip,ofhamaf,oe`,abixdpt,bimde`,lari,pmoe,?>>>>>,hoehirx

Dl~rawdek ohhixx1 Ri~arp ae pmi dl~filiepopdae ag pmi Hoehir @rykx Gye` oe` pmiìwifa~liep ag o wofyi,boxi` ~rdhdek xtxpilLohldffoe Hoehir Xy~~arpPmi ri~arp gde`x pmop pmi Hoehir @rykx Gye` mox mif~i` lari pmoe ;&9>> ~opdiepx ohhixx`rykx pmop ori eap owodfobfi ae pmi EMX& oe` dx dl~rawdek yeìrxpoe`dek ag `rykx gar rorirhoehirx% Dp ofxa rodxix haehirex obayp rikdaeof wordopdaex de ohhixx pa pmi Gye`& oe`haepdeyi` ohhixx pa pmixi `rykx {mie gye`dek xpa~x de 2>?0%

mpp~:!!{{{%lohldffoe%ark%yc!@ahyliepx!KipDewafwi`!Hol~odkex!Hol~odkex!Hoehir@rykGye`!Dl~rawdekOhhixx%~`g

Dl~rawdek Ayphalix: O Xpropikt gar Hoehir , Gdrxp Oeeyof Ri~arp 2>??@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?74>

Oe depiffdkiehi groli{arc gar hoehir@i~orpliep ag MiofpmPmdx àhyliep xipx ayp ~foex oe` ox~dropdaex pa pohcfi ìgdhdiehdix de hoehir depiffdkiehi%

mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?747

Fyek hoehir de pmi [ixp Ld`foe`x[ixp Ld`foe`x Hoehir Depiffdkiehi YedpPmdx ri~arp faacx op dehdìehi oe` larpofdpt& xyrwdwof& xpoki op `dokeaxdx& rigirrof ~oppirex&priopliep& oe` xyrkdhof hoxifao`%mpp~:!!{{{%{lhdy%emx%yc!àhyliepx!FyekQhoehirQGdeof%~`g
http://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://info.cancerresearchuk.org/groups/cr_common/@nre/@new/@pre/documents/generalcontent/cr_080626.pdfhttp://info.cancerresearchuk.org/groups/cr_common/@nre/@new/@pre/documents/generalcontent/cr_080626.pdfhttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdfhttp://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdfhttp://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/groups/cr_common/@nre/@new/@pre/documents/generalcontent/cr_080626.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdf


5/23


9

Loeyof gar Hoehir Xirwdhix haexyfpopdaex@i~orpliep ag MiofpmX~ihdofdxp ~offdopdwi hori lioxyrixPmdx dx eap o ~ybfdh haexyfpopdae oe` dx odli` op depirixpi` xpocimafìrx aeft%Hfaxdek òpi gar halliepx: 2; Gibryort 2>?2mpp~:!!{{{%`m%kaw%yc!ie!Haexyfpopdaex!Fdwihaexyfpopdaex!@MQ?8?990

Riwdxi` wirxdae ag pmi Hoehir ag Yecea{e ^rdlort LioxyrixHfaxdek òpi gar halliepx: ?0 Lorhm 2>?2mpp~:!!{{{%`m%kaw%yc!ie!Haexyfpopdaex!Fdwihaexyfpopdaex!@MQ?8?4=4

Eopdaeof Fyek Hoehir Oy`dp Ri~arp 2>??EMX Degarlopdae HiepriLioxyrix ag pmi xpoeòr`x ag hori ori forkift xdldfor pa pmaxi xiie foxp tior& oe` {mdfxp xpdffbifa{ pmaxi de apmir [ixpire Iyra~ioe hayeprdix& pmi ko~ dx eorra{dek% Pmiri rilodexwordopdae ohraxx pryxpx oe` eip{arcx%mpp~:!!{{{%dh%emx%yc!hoehiroy`dpx!fyek

Pohcfdek Hoehir Deiqyofdpdix: aei tior aeOff ôrpt ôrfdolieport Kray~ ae HoehirPmdx ri~arp faacx op ~rakrixx xdehi pmi O^^KHx ri~arp de 2>>4& oe` locixrihallieòpdaex gar gyrpmir dl~rawiliep%mpp~:!!{{{%lohldffoe%ark%yc!KipDewafwi`!O^^K!Ri~arpxOeÌwiepx!Pohcfdekhoehirdeiqyofdpdixaeitiorae%ox~}

[arc Ho~obdfdpt Oxxixxliep: ohhayepdek gar pmi iggihpx ag hoehir priopliep degarlofhaexyfpopdae@i~orpliep gar [arc oe` îexdaexPmdx haexyfpopdae xiicx pa kopmir iwdìehi oe` wdi{x obayp ~ra~axi` dl~rawiliepx pa pmi

{ot pmi [arc Ho~obdfdpt Oxxixxliep oxxixxix de`dwd`yofx {ma ori xyggirdek gral hoehir%Hfaxdek òpi: 4 Lorhm 2>?2mpp~:!!{{{%`{~%kaw%yc!haexyfpopdaex!2>??!{ho,oxxixxliep%xmplf

Dpilx de pmi Halldxxdaedek xihpdae lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\

Hor`dawoxhyfor @dxioxi

Hmafixpiraf oe` o miofpmdir eopdae: xmori` rix~aexdbdfdpt gar bippir ~ybfdh miofpmMiorp YC

Pmdx ri~arp gahyxix ae dl~filiepopdae ag EMX Miofpm Hmihcx& oe` locix =rihallieòpdaex gar dehrioxdek eylbirx ag hmihcx oe` dl~rawdek hor`dawoxhyfor miofpm%mpp~:!!{{{%miorpyc%ark%yc!~rixxraal!deì}%~m~1!ei{x!ri~arpQriwiofxQ~ophmtQ~rakrixxQaeQmiofpmQhmihcx!
http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989http://www.ic.nhs.uk/canceraudits/lunghttp://www.ic.nhs.uk/canceraudits/lunghttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.dwp.gov.uk/consultations/2011/wca-assessment.shtmlhttp://www.dwp.gov.uk/consultations/2011/wca-assessment.shtmlhttp://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.dwp.gov.uk/consultations/2011/wca-assessment.shtmlhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.ic.nhs.uk/canceraudits/lunghttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554


6/23


7

Xifg,laedpardek ag arof oepdhaokyfopdae: xtxpilopdh riwdi{ oe` lipo,oeoftxdx agde`dwd`yof ~opdiep òpoMieikmoe& H ip of%Pmi oypmarx haehfyì` pmop xifg,laedpardek oe` xifg,loeokiliep ag arof haokyfopdae dx o xogia~pdae gar xydpobfi ~opdiepx ag off okix% ôpdiepx xmayf` ofxa bi aggiri` pmi a~pdae pa xifg,loeoki pmidr `dxioxi {dpm xydpobfi miofpm,hori xy~~arp ox bohc,y~%

Pmi Foehip& Iorft Aefdei ^ybfdhopdae& ? @ihilbir 2>??% àd:?>%?>?7!X>?0>,7;87-??$7?240,0

Sbohc pa pa~dhx\

Hmdf`rie oe` Tayek îa~fi

Hmdf`rie+x Miofpm Degarlopdae Loppirx: Rixiorhmdek pmi ~rohpdhi ag oe` riqydriliepxgar oki o~~ra~rdopi miofpm degarlopdae gar hmdf`rie oe` tayek ~ia~fi -DL^$Xirwdhi @ifdwirt oe` Arkoedxopdae ^rakrolliPmdx xpy`t odlx pa ~rawdì o gyff ~dhpyri ag pmi degarlopdae eii`x oe` ~rigiriehix ag hmdf`rie

oe` tayek ~ia~fi yeìr ?= {dpm x~ihdgdh miofpmhori eii`x oe` hae`dpdaex& oe` pmidr goldfdix%mpp~:!!{{{%xà%edmr%oh%yc!~rajìpodfx%~m~1rig=,?;?=,?09

Eopdaeof Hmdf` Lioxyriliep ^rakrolli: Iekfoe`& 2>?>!?? xhmaaf tiorEMX Degarlopdae HiepriPmi ri~arp ~rawdìx mdkm,fiwif oeoftxdx ag pmi ~riwofiehi ag yeìr{idkmp+& miofpmt {idkmp+&awir{idkmp+& abixi+ oe` +awir{idkmp oe` abixi halbdei`+ hmdf`rie& de Rihi~pdae -oki` 09tiorx$ oe` Tior 7 -oki` ?>?? tiorx$& lioxyri` de xpopi xhmaafx%mpp~:!!{{{%dh%emx%yc!ehl~

Aggdhdof xpopdxpdhx: Hmdf`rie+x hieprix dex~ihpdaex oe` ayphalix

Agxpi`@opo gar Hieprix dex~ihpi` gral Jyft pa Xi~pilbir 2>?? dx ea{ owodfobfi& dehfy`dek òpo garpmaxi hieprix de Xpaci oe` Earpm Xpoggar`xmdri dex~ihpi` de pmdx pdli ~irda`%mpp~:!!{{{%agxpi`%kaw%yc!rixayrhix!aggdhdof,xpopdxpdhx,hmdf`rie)I2)=>)44x,hieprix,dex~ihpdaex,oe`,ayphalix

Sbohc pa pa~dhx\

Halldxxdaedek

Iggihpdwi Hoehir Halldxxdaedek de pmi Ei{ EMX

Off ôrpt ôrfdolieport Kray~ ae HoehirPmdx ri~arp dx o rix~aexi pa haehirex pmop pmi hmoekix pa halldxxdaedek xpryhpyrix hayf`dl~ohp y~ae pmi Kawireliepx olbdpdaex pa dl~rawi hoehirayphalix%mpp~:!!{{{%lohldffoe%ark%yc!@ahyliepx!KipDewafwi`!Hol~odkex!Hol~odkex!O^^K!BrdpodeOkodexpHoehir2>??!IggihpdwiHoehirHalldxxdaedekdepmiEi{EMX%~`g

Kaa` kawireoehi gar hfdedhof halldxxdaedek kray~x: Oe depra`yhpart kydìCdekx Gye`Pmdx kydì odlx pa mif~ HHKx poci pmidr gdrxp xpi~x pa{or`x oypmardxopdae%mpp~:!!{{{%cdekxgye`%ark%yc!~ybfdhopdaex!orpdhfix!eo~hQhhkQkawireoehi%mplf
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstracthttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstracthttp://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145http://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145http://www.ic.nhs.uk/ncmphttp://www.ic.nhs.uk/ncmphttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.htmlhttp://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.htmlhttp://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.htmlhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.ic.nhs.uk/ncmphttp://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstracthttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstract


7/23


;

Dewafwdek afìr ~ia~fi de xirwdhi halldxxdaedek: lari ~a{ir pa pmidr ifba{1Jaxi~m Ra{eprii Gayeòpdae@arxip oe` Xofgar` {iri dìepdgdi` ox oriox {miri xpryhpyrix oe` ~rahixxix iehayroki oe`gohdfdpopi pmi dewafwiliep ag afìr ~ia~fi de fahof ìhdxdae,locdek% Pmi rixiorhm i}oldei`ma{ afìr ~ia~fi de pmixi oriox {iri dewafwi` de halldxxdaedek oe` xirwdhi ìfdwirt3 {mop`dggiriehi pmidr dewafwiliep loì3 pmi gohparx {mdhm fio` pa xyhhixxgyf iekokiliep3 oe` pmi

borrdirx pa dewafwdek afìr ~ia~fi%mpp~:!!{{{%jrg%ark%yc!~ybfdhopdaex!dewafwdek,afìr,~ia~fi,lari,~a{ir,pa,pmidr,ifba{

îrxae,boxi` Rixayrhi Offahopdae: Ei{ o~~raohmix pa ixpdlopdek halldxxdaedekby`kipx gar K^ ~rohpdhixEyggdif` PryxpPmdx àhyliep aypfdeix îrxae,boxi` Rixayrhi Offahopdae% Dp xyllordxix pmi o~~raohmìwifa~i` de o xirdix ag oeoftxix awir pdli% Pmi oeoftxdx {ox gyeì` bt pmi @i~orpliep agMiofpm oe` pmi rixyfpdek garlyfo {ox yxi` {dpmde pmi godr xmorix paafcdp gar offahopdaex gral~rdlort hori pryxpx -^HPx$ pa ~rohpdhix gar halldxxdaedek& gar 2>?>!?? oe` 2>??!?2% Pmigarlyfo mox biie gyrpmir ìwifa~i` gar yxi de 2>?2!?8 pa mif~ xip porkip offahopdaex gar

xmoà{ hfdedhof halldxxdaedek kray~x%mpp~:!!{{{%eyggdif`pryxp%ark%yc!~ybfdhopdaex!~irxae,boxi`,rixayrhi,offahopdae,ei{,o~~raohmix,ixpdlopdek,halldxxdaedek,by`kipx,k~,~ro

^rakrolli by`kipdek paafx oe` òpo@i~orpliep ag miofpmHalldxxdaeir fiwif ~rakrolli by`kipdek òpo dx ~ybfdxmi` oeeyofft de pmi garl ag obiehmlorcdek paaf pmop ieobfix halldxxdaeirx pa dìepdgt: ma{ pmit x~ie` pmidr offahopdaeawir 28 `dxioxi hopikardix oe` ?2 hori xippdekx& oe` ma{ pmdx hal~orix {dpm apmirhalldxxdaeirx% Pmi fopixp wirxdae ag pmi ^rakrolli By`kipdek ^HP Biehmlorcdek Paafhaepodex ixpdlopix ag i}~ie`dpyri gar pmi 2>?>,?? gdeoehdof tior%

mpp~:!!{{{%`m%kaw%yc!ie!Loeokdektayrarkoedxopdae!Gdeoehioe`~foeedek!^rakrolliby`kipdek!@MQ>;9;08(Q?

Y~òpi pa Bixp ^rohpdhi Pordggx@i~orpliep ag MiofpmPmdx {ib ~oki xipx ayp pmi Bixp ^rohpdhi Pordggx pmop ori de ~fohi gar 2>??,?2 oe` o fdxp ag ei{xirwdhi oriox {mdhm ori bidek haexdìri` gar Bixp ^rohpdhi Pordggx de 2>?2,?8%mpp~:!!{{{%`m%kaw%yc!miofpm!2>??!?2!b~p,y~òpi!

Dpilx de pmi @iliepdo xihpdae lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\
http://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbowhttp://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbowhttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.dh.gov.uk/health/2011/12/bpt-update/http://www.dh.gov.uk/health/2011/12/bpt-update/http://www.dh.gov.uk/health/2011/12/bpt-update/http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbow


8/23


=

HA^@

Dl~rawdek ie` ag fdgi hori de hmraedh abxpryhpdwi ~yflaeort `dxioxi -HA^@$: pixpdekpmi hoxi gar hmoekiEMX Dl~rawiliep: FyekPmdx ri~arp gahyxix ae ~rakeaxpdh de`dhopdae& O`woehi Hori ^foeedek oe` ~offdopdwi horirikdxpirx%mpp~:!!xtxpil%dl~rawiliep%emx%yc!Dl~rawiliepXtxpil!Wdi{@ahyliep%ox~}1~opmag)2>Fdgi)2>,)2>Gdeof%~`g

Dl~rawdek iorfdir `dokeaxdx oe` pmi faek pirl loeokiliep ag HA^@: pixpdek pmi hoxigar HmoekiEMX Dl~rawiliep: FyekPmi Iorfdir `dokeaxdx{arcxpriol odli` pa iexyri off ~opdiepx rihidwi` o pdlift `dokeaxdxoe` o~~ra~rdopi degarlopdae obayp pmidr hae`dpdae& oe` {iri o`ì` pa pmi ~rohpdhi `dxioxirikdxpir% ^rajihp {arc dehfyì` pixpdek xirwdhi laìfx& riwdi{dek rikdxpirx oe` ìwifa~dekpaafx pa dl~rawi oe` laedpar qyofdpt% Pmi Loeokdek HA^@ ox o faek pirl hae`dpdae{arcxpriol gahyxi` ae xy~~arpi` xifg,hori oe` rikyfor riwdi{& ri`yhdek ilirkiehto`ldxxdaex oe` dl~rawdek li`dhdeix loeokiliep% ^rajihp {arc dehfyì` pixpdek {otx paìwifa~ oe` dl~filiep iggihpdwi xifg,hori laìfx oe` aekadek ~opdiep riwdi{%mpp~:!!xtxpil%dl~rawiliep%emx%yc!Dl~rawiliepXtxpil!Wdi{@ahyliep%ox~}1~opm@dokeaxdx)2>Hoxi)2>gar)2>Hmoeki%~`g

Dpilx de pmi Eyprdpdae xihpdae lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\

@iliepdo

Hallae oe` hal~fi}: halldxxdaedek iggihpdwi ìliepdo xirwdhix de pmi ei{ {arfÒfzmidlirx Xahdipt oe` LM^Pmdx ri~arp locix rihallieòpdaex pa dl~rawi ìliepdo ayphalix de pmi haepi}p ag pmiKawireliepx miofpm oe` xahdof hori rigarlx%mpp~:!!{{{%lm~h%hal!bfak!hallae,oe`,hal~fi},halldxxdaedek,iggihpdwi,ìliepdo,xirwdhix,ei{,{arf`

Ri~arp ag pmi Eopdaeof Oy`dp ag @iliepdo Hori de Kieirof Max~dpofx 2>??Ratof Haffiki ag ^xthmdoprdxpx

Pmdx oy`dp xma{x pmop& ofpmaykm pmi lojardpt ag {or`x liip boxdh xogipt riqydriliepx& loetmo` eap o``rixxi` xdl~fi lioxyrix pmop hayf` fixxie pmi `dxprixx hoyxi` pa ìliepdo~opdiepx bt oe yegoldfdor oe` haegyxdek max~dpof iewdraeliep% Pmi ri~arp ofxa locixrihallieòpdaex gar dl~rawiliep%mpp~:!!{{{%rh~xthm%oh%yc!~rixx!~rixxrifioxix2>??!eopdaeofoy`dpagìliepdo%ox~}

Sbohc pa pa~dhx\
http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.rcpsych.ac.uk/press/pressreleases2011/nationalauditofdementia.aspxhttp://www.rcpsych.ac.uk/press/pressreleases2011/nationalauditofdementia.aspxhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdf


9/23


4

@dobipix

Rihakedpdae& priopliep oe` ~riwiepdae ag mt~akfthoildo de pmi hallyedptEMX @dobipixPmdx kydì dx depieì` pa xirwi ox o mif~gyf rixayrhi gar o roeki ag kray~x& dehfy`dek pmaxi

hordek gar ~ia~fi {dpm `dobipix de pmi hallyedpt& halldxxdaeirx& ìxdkeirx ag xirwdhix oe`miofpmhori ~ragixxdaeofx%mpp~:!!{{{%`dobipix%emx%yc!ei{xQoe`Qiwiepx!ei{Q~ybfdhopdaeQrihakedpdaeQpriopliepQoe`Q~riwiepdaeQagQmt~akfthoildoQdeQpmiQhallyedpt!

Eopdaeof @dobipix Oy`dp Larpofdpt Oeoftxdx 2>>;,2>>=: Cit gde`dekx ae larpofdpt ropixgar ~ia~fi {dpm `dobipix de IekfoeÈMX Degarlopdae HiepriPmdx oy`dp oeoftxix larpofdpt bt pt~i ag `dobipix& oki oe` xi}& ipmedhdpt& ì~rdwopdae& XMO&oe` ^HP% Dp ofxa locix rihallieòpdaex gar dl~rawiliep%mpp~:!!{{{%dh%emx%yc!{ibgdfix!Xirwdhix!EHOX^!@dobipix!2>>4?>)2>oeeyof)2>ri~arp)2>àhyliepx!EMXQ@dobipixQOy`dpQLarpofdptQRi~arpQ2>??QGdeof%~`g

Sbohc pa pa~dhx\

Kieirof rohpdhi

2>?2!?8 KLX Haeprohp Eikapdopdaex@i~orpliep ag MiofpmPmdx fippir xipx ayp pmi ayphali ag eikapdopdaex bip{iie pmi BLO Kieirof ^rohpdpdaeirxHalldppii oe` EMX Il~fatirx ae hmoekix pmop {dff o~~ft pa KLX haeprohpyof orroekiliepxde Iekfoe` gral O~rdf 2>?2%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!Fippirxoe`hdrhyforx!@iorhaffiokyifippirx!@MQ?8>42>

K^ ôpdiep Xyrwit@i~orpliep ag MiofpmPmi laxp rihiep ri~arpx oe` òpo pobfix hawir Jyft,Xi~pilbir 2>??%mpp~:!!{{{%k~,~opdiep%ha%yc!rixyfpx!

Laìffdek De`dwd`yof ôpdiep Max~dpof I}~ie`dpyri gar Kieirof ^rohpdhi By`kipxHiepri gar Miofpm Ihaealdhx% Yedwirxdpt ag TarcPmdx ~o~ir laìfx de`dwd`yof i}~ie`dpyri yxdek `dokeaxpdh degarlopdae gral ~riwdayx max~dpofx~iffx& ~fyx o forki xip ag opprdbypi` wordobfix lioxyrdek ~a~yfopdae& kieirof ~rohpdhi& oe`fahof max~dpof hmorohpirdxpdhx% Dp ìxhrdbix o ~rahi`yri gar xippdek by`kipx gar kieirof~rohpdhix {mdhm ri`yhix pmi ~rabfil ag pmi fokx de pmi owodfobfi òpo% Dp ofxa i}oldeix pmi`dxpdehpdae bip{iie eii` oe` eaeeii` wordobfix oe` pmi dehiepdwi dl~fdhopdaex ag offa{dek~oxp eylbirx ag max~dpof iehayepirx pa ìpirldei ~rohpdhi by`kipx%mpp~:!!{{{%tarc%oh%yc!li`do!hmi!àhyliepx!~o~irx!rixiorhm~o~irx!HMIR^;8QLaìffdekQDe`dwd`yofQôpdiepQMax~dpofQI}~ie`dpyriQgarQK^QBy`kipx%~`g
http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/


10/23


?>

Eopdaeof Kieirof ^rohpdhi ^ragdfixEip{arc ag ^ybfdh Miofpm AbxirwopardixYxdek o wordipt ag kro~mdhof `dx~fotx xyhm ox x~dei hmorpx oe` ~a~yfopdae ~trold`x& pmi paaf~rixiepx o roeki ag ~rohpdhi,fiwif de`dhoparx& dehfy`dek: fahof ìlakro~mt3 _yofdpt oeÀyphalix Groli{arc àlodex3 `dxioxi ~riwofiehi ixpdlopix3 o`ldxxdae ropix3 oe` ~opdiepxopdxgohpdae% De o``dpdae pa wdi{dek de`dwd`yof ~rohpdhi ~ragdfix& tay hoe wdi{ xyllort ~ragdfix

gar HHKx% Iohm ~rohpdhi hoe bi hal~ori` {dpm pmi ^HP& HHK oe` Iekfoe`%mpp~:!!{{{%o~ma%ark%yc!^roh^rag!^ragdfi%ox~}Xy~~arpdek àhyliepx ori owodfobfi opmpp~:!!{{{%o~ma%ark%yc!rixayrhi!wdi{%ox~}1RD@ oe` FDÂhmd~ gar pmi `dokeaxdx ag goldfdof mt~irhmafixpirafoildo

@K2mpp~:!!kydòehi%edhi%ark%yc!@K2

Sbohc pa pa~dhx\

EDHI _yofdpt Xpoeòr`xXirwdhi yxir i}~irdiehi de o`yfp liepof miofpmmpp~:!!{{{%edhi%ark%yc!kydòehi!qyofdptxpoeòr`x!xirwdhi,yxir,i}~irdiehi,de,o`yfp,liepof,miofpm!deì}%jx~
http://www.apho.org.uk/resource/view.aspx?RID=96724http://www.apho.org.uk/resource/view.aspx?RID=96724http://guidance.nice.org.uk/CG134http://guidance.nice.org.uk/CG134http://guidance.nice.org.uk/CG135http://guidance.nice.org.uk/CG135http://guidance.nice.org.uk/CG136http://guidance.nice.org.uk/CG136http://guidance.nice.org.uk/TA238http://guidance.nice.org.uk/TA238http://guidance.nice.org.uk/TA239http://guidance.nice.org.uk/TA239http://guidance.nice.org.uk/DG2http://guidance.nice.org.uk/DG2http://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://guidance.nice.org.uk/DG2http://guidance.nice.org.uk/TA239http://guidance.nice.org.uk/TA238http://guidance.nice.org.uk/CG136http://guidance.nice.org.uk/CG135http://guidance.nice.org.uk/CG134http://www.apho.org.uk/resource/view.aspx?RID=96724


11/23


??

EDHI Haexyfpopdae @ahyliepxOhypi y~~ir KD bfii`dekPa halliep& haepohp pmi rikdxpiri` xpocimafìr arkoedxopdae pmop laxp hfaxift ri~rixiepxtayr depirixpx%Hfaxdek òpi gar halliepx: ?0 Gibryort 2>?2mpp~:!!{{{%edhi%ark%yc!kydòehi!deì}%jx~1ohpdae?2mpp~:!!{{{%edhi%ark%yc!kydòehi!deì}%jx~1ohpdae


12/23


?2

Jadedek y~ miofpm oe` xahdof hori: Dl~rawdek wofyi gar laeit ohraxx pmi depirgohiOy`dp HalldxxdaePmdx ri~arp xotx pmop depikropi` {arcdek ohraxx miofpm oe` xahdof hori aggirx a~~arpyedpdix gariggdhdiehdix oe` dl~rawiliepx pa xirwdhix& oe` o fohc ag depikropi` {arcdek lioex pmop~ia~fi ori fixx fdcift pa rihidwi pmi bixp hori% Dp aggirx kydòehi& oe` dehfyìx hoxi xpy`dixoe` o biehmlorcdek paaf gar fahof EMX oe` xahdof hori ~orpeirxmd~x%

mpp~:!!{{{%oy`dp,halldxxdae%kaw%yc!eopdaeofxpy`dix!fahofkaw!ôkix!jadedeky~miofpmoe`xahdofhori%ox~}

Jadep Xpropikdh Eii`x Oxxixxliep oe` jadep miofpm oe` {iffbidek xpropikdix i}~fodei`@i~orpliep ag MiofpmPmdx àhyliep odlx pa xy~~arp ilirkdek miofpm oe` {iffbidek baor`x ox pmit iekoki {dpmpmi rigrixm ag Jadep Xpropikdh Eii`x Oxxixxliepx oe` ìwifa~ pmidr ~ri~oropart jadep miofpmoe` {iffbidek xpropikt% Dp ofxa ìxhrdbix {mop xy~~arp pmi @i~orpliep ag Miofpm {dff ~rawdì&oe` ma{ pmi @i~orpliep {dff bydf` de fioredek gral iorft dl~filiepir miofpm oe` {iffbidekbaor`x%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòeh

i!@MQ?8?;>2

_yixpdaex oe` oex{irxEMX Halldxxdaedek Baor` X~ihdof Miofpm OypmardptPmdx àhyliep oex{irx xali griqyiepft oxci` qyixpdaex obayp pmi Halldxxdaedek Baor`%mpp~:!!{{{%halldxxdaedekbaor`%emx%yc!2>??!?2!22!emx,halldxxdaedek,baor`,qo!

Pmi xiorhm gar fa{,haxp depikropi` miofpmhori: pmi Ofzdro laìf& gral pmi rikdae agWofiehdoEMX HaegiìropdaePmi Ofzdro laìf {ox pmi xybjihp ag oe EMX Haegiìropdae xpy`t wdxdp de Lorhm 2>??% Pmdx

~o~ir i}oldeix pmi laìf de fdkmp ag pmi hyrriep hmoffiekix gohdek pmi EMX de Iekfoe`%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!ri~arpx!ôkix!depikropi`,miofpmhori%ox~}

Xpocimafìr iekokiliep ae pmi fdhiehiLaedparDg pmi Miofpm oe` Xahdof Hori Bdff bihalix fo{& Laedpar {dff bi riqydri` pa dxxyi fdhiehix pa off~rawdìrx ag EMX gyeì` xirwdhix ox ~orp ag dpx rikyfopart gyehpdae% Laedpar mox ~ybfdxmi` xd}àhyliepx {mdhm loci y~ pmi gdrxp proehmi ag fdhiehi hae`dpdaex ae {mdhm pmit ori iekokdek%Hfaxdek òpi gar halliepx: 28 Joeyort 2>?2mpp~:!!{{{%laedpar,emxgp%kaw%yc!mali!laedparx,ei{,rafi!fdhiexdek,~rawdìrx!xpocimafìr,iekokiliep,pmi,fdhiehi

[mt pmi BLO dx a~~axdek pmi {mafi BdffBLOPmdx brdigdek xipx ayp {mt pmi BLO mowi morìei` pmidr ~axdpdae ae pmi Bdff de pmi haepi}p agpmi {dìr EMX rigarl okieò%mpp~:!!{{{%blo%ark%yc!dlokix!emxrigarlbrdigdekbloa~~axixbdffìh2>??Qphl0?,2?>407%~`g

Dpilx de pmi Halldxxdaedek oe` Xirwdhi Loeokiliep xihpdaex lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\
http://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspx


13/23


?8

Miofpm Wdxdparx

O Hoff pa Ohpdae , Aei Tior Ae: Miofpm Wdxdpar Dl~filiepopdae ^rakrixx Ri~arp@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?82>?7

MDW

Dpilx de pmi [arcgarhi xihpdae lot ofxa bi ag depirixp%

Degihpdaex

Koxpradepixpdeof degihpdaex oeeyof ri~arp& 2>?>Miofpm ^rapihpdae OkiehtPmdx ri~arp faacx op aypbriocx ag x~ihdgdh degihpdaex& oe` pmi rafi ag xyrwidffoehi xtxpilx garpmixi `dxioxix%mpp~:!!{{{%m~o%ark%yc!^ybfdhopdaex!Degihpdayx@dxioxix!KoxpradepixpdeofAypbriocxOe`DffeixxRi~arpx!???2Koxpradepixpdeofdegihpdaex2>?>!

Ldkroep Miofpm: Degihpdayx `dxioxix de eae,YC bare ~a~yfopdaex de pmi YCMiofpm ^rapihpdae OkiehtPmi ri~arp haehfyìx pmop pmi lojardpt ag faek,pirl ldkroepx pa pmi YC ori tayek ~ia~fi {dpm~foex pa xpy`t ar {arc& oe` pmit {dff mowi o xdldfor roeki ag miofpm haehirex pa YC bare~ia~fi de pmi xoli oki brohcip% O xloff ~ra~arpdae ag pmi eae,YC bare bior pmi kriopixpbyrìe ag degihpdayx `dxioxi ri~arpi` de pmi YC%mpp~:!!{{{%m~o%ark%yc!^ybfdhopdaex!Degihpdayx@dxioxix!ProwifMiofpm!???2Ldkroepmiofpm!

Pybirhyfaxdx de pmi YC: 2>?? ri~arpMiofpm ^rapihpdae OkiehtPmi oypmarx haehfyì pmop rihiep ~apiepdof ìhfdei de pmi dehdìehi ag pybirhyfaxdx& ogpireiorft p{a ìhoìx ag dehrioxdek ropix& dx iehayrokdek% Pmi ri~arp ofxa faacx op pybirhyfaxdxde x~ihdgdh ~a~yfopdae kray~x& oe` rihallie`x lioxyrix pa gyrpmir xpriekpmie PB haepraf%mpp~:!!{{{%m~o%ark%yc!^ybfdhopdaex!Degihpdayx@dxioxix!Pybirhyfaxdx!???2PybirhyfaxdxdepmiYC2>??ri~arp!

Sbohc pa pa~dhx\

Lopireof oe` Degoep Miofpm

Larpofdpt Laedpardek Byffipde -Degoep larpofdpt& deiqyofdpdix$: y~òpi pa dehfyì òpo gar2>?>@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexXpopdxpdhx!@MQ?8>4??
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016


14/23


?0

EMX Lopiredpt Xpopdxpdhx& Iekfoe`: 2>?>,??EMX Degarlopdae HiepriPmixi xpopdxpdhx dehfyì òpo ae ~fohi ag ìfdwirt3 ~irxae hae`yhpdek ìfdwirt3 oeoixpmipdhx3lipma` ag aexip oe` lipma` ag ìfdwirt3 i~dxdapalt3 oepieopof!~axpeopof xpot3 hal~fdhopdaex3kixpopdae3 bdrpm {idkmp3 ldxhorrdoki oe` ihpa~dh ~rikeoehtmpp~:!!{{{%dh%emx%yc!~ybx!lopiredpt?>??

Sbohc pa pa~dhx\

Liepof Miofpm

@iwifa~dek oe ayphalix,boxi` o~~raohm de liepof miofpmEMX HaegiìropdaePmdx Brdigdek xipx ayp pmi ~afdht haepi}p gar ayphalix de liepof miofpm oe` xyllordxix pmirihallieòpdaex loì de o Liepof Miofpm Eip{arc ri~arp& dehfy`dek pmi eii` pa ìwifa~ oedl~filiepopdae groli{arc de xy~~arp ag pmi liepof miofpm xpropikt& +Ea miofpm {dpmayp liepofmiofpm+%

mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!brdigdekx!ôkix!ayphalix,boxi`,o~~raohm%ox~}

Il~fatii aypfaac: Gahyx ae liepof miofpm de pmi {arc~fohiLde`Pmdx xyrwit oxci` awir 2>>> il~fatiix obayp pmidr i}~irdiehix oe` oppdpyìx obayp liepofmiofpm de pmi {arc~fohi%mpp~:!!{{{%lde`%ark%yc!oxxipx!>>>?!78?9!97=?QIl~AypfaacQLiepofQMiofpmQGahyxQ,

QHD^@Qxyrwit%~`g

Pmi gayrpm tior ag pmi Deì~ieìep Liepof Ho~ohdpt O`wahoht -DLHO$ xirwdhi: 2>?>!2>??

@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?49=

Laedpardek pmi Liepof Miofpm Ohp de 2>?>!??: Pmi Hori _yofdpt Halldxxdaex oeeyofri~arp ae pmi i}irhdxi ag dpx gyehpdaex de cii~dek yeìr riwdi{ pmi a~iropdae ag pmiLiepof Miofpm Ohp ?4=8Hori _yofdpt HalldxxdaePmdx tiorx ri~arp mdkmfdkmpx fohc ag ~opdiep dewafwiliep de pmi hori ~foeedek ~rahixx3 ~opdiepx+ho~ohdpt pa haexiep bidek& de xali hoxix& oxxyli` paa rio`dft bt àhparx3 oe` pmop fikof~a{irx owodfobfi pa ~rawdìrx ori {dìft ldxyeìrxpaa`& iwie olaek liepof miofpm

~ragixxdaeofx%mpp~:!!{{{%hqh%ark%yc!~ybfdh!ei{x!ayr,xihae`,liepof,miofpm,ohp,oeeyof,ri~arp,2>?>!??

Ei{ xirwdhi laìfx de liepof miofpm: ilirkdek fixxaexEMX HaegiìropdaePmdx ri~arp faacx op pmi iwdìehi ae locdek bixp yxi ag ei{ x~ihdofdxp xirwdhix& fdci hrdxdxrixafypdae piolx3 ma{ lyhm hori dx ea{ ~rawdì` bt ofpireopdwix pa max~dpof oe` pmi ~apiepdofgar xowdekx& oe` ma{ xirwdhix ori iekokdek yxirx%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!`dkixpx!ôkix!Rixiorhm,@dkixp,dxxyi,2%ox~}
http://www.ic.nhs.uk/pubs/maternity1011http://www.ic.nhs.uk/pubs/maternity1011http://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspxhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11http://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11http://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspxhttp://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspxhttp://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspxhttp://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspxhttp://www.ic.nhs.uk/pubs/maternity1011


15/23


?9

^riwiepdek xydhdì pmraykm hallyedpt oe` ilirkieht miofpmhoriEMX HaegiìropdaePmdx brdigdek depra`yhix pmi Eopdaeof ôpdiep Xogipt Okieht+x ei{ xydhdì ~riwiepdae paafcdpxgar hallyedpt& ilirkieht oe` kieirof ~rohpdhi xpogg%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!brdigdekx!ôkix!^riwiepdek,xydhdì%ox~}

Pmdec hmdf`& pmdec ~oriep& pmdec goldft: o kydì pa ~oriepof liepof miofpm oe` hmdf`{ifgoriXahdof Hori Dexpdpypi gar I}hiffiehiPmdx kydì faacx op o wordipt ag pa~dhx& dehfy`dek dl~rawdek ohhixx pa xirwdhix& hori ~foex oeòxxixxliepx%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!kydìx!kydì8>!deì}%ox~

Dpilx de pmi Xi}yof oe` Ri~ra`yhpdwi Miofpm oe` [arcgarhi xihpdaex lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\

Eiyrafakdhof Hae`dpdaex

Xirwdhix gar ~ia~fi {dpm eiyrafakdhof hae`dpdaexEopdaeof Oy`dp AggdhiPmdx oy`dp haehfyìx pmop xdehi pmi Eopdaeof Xirwdhi Groli{arc gar Faek,pirl Hae`dpdaex {oxdepra`yhi` de 2>>9& ~ia~fi {dpm eiyrafakdhof hae`dpdaex mowi mo` bippir ohhixx pa miofpmxirwdhix3 byp cit de`dhoparx ag qyofdpt mowi {arxiei`% Dp ofxa haehfyìx pmi @i~orpliep àixeap cea{ {mop pmi Groli{arc oe` o``dpdaeof x~ie`dek ag eiorft 0> ~ir hiep mowi ohmdiwi`%mpp~:!!{{{%eoa%ark%yc!~ybfdhopdaex!?>?2!eiyrafakdhofQhae`dpdaex%ox~}

Sbohc pa pa~dhx\

Eyrxdek oe` Ld`{dgirt

Kieipdhx!Kiealdhx de Eyrxdek oe` Ld`{dgirt@i~orpliep ag MiofpmPmdx ri~arp mox biie ~ra`yhi` pa oxxdxp pmi Eyrxdek ' Ld`{dgirt ^ragixxdaeof O`wdxart Baor`de dìepdgtdek dxxyix oe` ~apiepdof xafypdaex haehiredek pmi gypyri ag kieipdhx!kiealdhx gar pmieyrxdek oe` ld`{dgirt ~ragixxdaeof {arcgarhi%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?407

Sbohc pa pa~dhx\

Eyprdpdae

Pmi Rix~dropart Miofpmhori ^ragixxdaeof+x Eyprdpdaeof HA^@ KydìfdeiPmdx kydì odlx pa rodxi o{orieixx ag eyprdpdae {dpm rix~dropart miofpm ~ragixxdaeofx oe` pmidrHA^@ ~opdiepx% Dp ~rawdìx o paaf pa od` gdrxp fdei eyprdpdaeof loeokiliep ag pmixi ~opdiepx%mpp~:!!{{{%dl~rawiliep%emx%yc!fyek!EopdaeofDl~rawiliep^rajihpx!LoeokdekHA^@!Eyprdpdae%ox~}
http://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspxhttp://www.scie.org.uk/publications/guides/guide30/index.asphttp://www.nao.org.uk/publications/1012/neurological_conditions.aspxhttp://www.nao.org.uk/publications/1012/neurological_conditions.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.nao.org.uk/publications/1012/neurological_conditions.aspxhttp://www.scie.org.uk/publications/guides/guide30/index.asphttp://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspx


16/23


?7

Aggieìr Miofpm

I}~ihpopdaex: Hrdpirdo gar oxxixxdek pmi priopliep ag ~rdxaeirx oe` hae`dpdaex de~rdxaexMir Lojixptx Dex~ihparopi ag ^rdxaex

Pmdx àhyliep xipx ayp pmi boxdx ae {mdhm pmi Dex~ihparopi {dff gyfgdf dpx xpopypart `ypt pari~arp pa pmi rifiwoep Xihriport ag Xpopi ae pmi priopliep ag ~rdxaeirx oe` hae`dpdaex de~rdxaex% Dp dehfyìx xihpdaex ae miofpm oe` miofpm xirwdhix ~rawdì` de ~rdxae%Pmi ri~arp oe` rifopi` àhyliepx ori op:mpp~:!!{{{%jyxpdhi%kaw%yc!kydòehi!dex~ihpdae,oe`,laedpardek!mld,~rdxaex!dex~ihpdaex,kydòehi!dex~ihpdae,oe`,o~~rodxof,hrdpirdo%mpl

Sbohc pa pa~dhx\

Afìr îa~fi

Dpilx de pmi Halldxxdaedek xihpdae lot bi ag depirixp%

ôffdopdwi oe` Ie` ag Fdgi Hori

Ie` ag Fdgi Hori ^ragdfix: 2>?? Y~òpiEopdaeof Ie` ag Fdgi Hori Depiffdkiehi Eip{arcPmi Ie` ag Fdgi Hori ^ragdfix ~rixiep òpo ae ~fohi ag ìopm oe` hoyxi ag ìopm& bt oki oe`xi}& gar iohm Fahof Oypmardpt de Iekfoe` yxdek pmi DexpoepOpfox lo~~dek paaf% Pmi òpo hoe biwdi{i` de lo~& hmorp oe` pobfi garlop%mpp~:!!{{{%ieàgfdgihori,depiffdkiehi%ark%yc!~ragdfix%ox~}

Dpilx de pmi Hoehir oe` HA^@ xihpdaex lot ofxa bi ag depirixp%

ôpdiep Hori oe` Xogipt

Brdpdxm Xahdof Oppdpyìx 2=EopHie Xahdof RixiorhmHmo~pir 4 faacx op pmi EMX ohraxx Brdpode% Dp i}oldeix xopdxgohpdae {dpm pmi EMX oe` dpxhal~aeiep xirwdhix& oe` i}~ihpopdaex oe` ~irhi~pdaex obayp {odpdek pdlix%mpp~:!!dr2%gfdgi%ì!òpo!eophie,xahdof,rixiorhm!dkbQmplf!deì}%~m~1birdhmpQd`>>>>?'deì}


17/23


?;

^rapihpdek oe` ~ralapdek ~opdiepx+ depirixpx: pmi rafi ag Xihpar Rikyfopdae@i~orpliep ag MiofpmPmdx àhyliep xipx ayp pmi kawireliepx ropdaeofi gar xihpar rikyfopdae de pmi EMX& oe`ìxhrdbix Laedparx ~ra~axi` rafi oe` gyehpdaex& oe` dpx rifopdaexmd~x {dpm pmi Hori _yofdptHalldxxdae oe` EMX Halldxxdaedek Baor`%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòeh

i!@MQ?8?7>4

_ydhc kydì pa rodxdek o haehire obayp tayr {arc~fohiH_HPmdx kydì mox biie {rdppie gar miofpm oe` hori ~ragixxdaeofx pmop eii` pa rodxi o haehireobayp pmidr {arc~fohi% Dp kdwix mif~gyf o`wdhi ae x~iocdek ayp obayp ~aar hori oe` {mop~rapihpdae tay {dff mowi gral pmi fo{ dg tay à%mpp~:!!{{{%hqh%ark%yc!~ybfdh!ei{x!qydhc,kydì,rodxdek,haehire,obayp,tayr,{arc~fohi

Dpilx de pmi Kieirof ^rohpdhi xihpdae lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\

^morloht oe` ^rixhrdbdek

EMX Hallyedpt ^morloht Xirwdhix: o xyllort^morlohiypdhof Xirwdhix Eikapdopdek HalldppiiPmdx xyllort dx depieì` gar ~ia~fi {ma ori eap goldfdor {dpm pmi {arc ag hallyedpt~morloht% Pmi àhyliep lot& gar i}ol~fi& bi yxi` bt F^Hx oe` hallyedpt ~morlohdxpx pabrdig fahof oypmardpt xpogg oe` hayehdffarx ae ~morloht xirwdhix%mpp~:!!{{{%~xeh%ark%yc!ei{x%~m~!??49!y~òpi`Qh~hgQxyllortQ~ybfdxmi`

Malihori Li`dhdeix: pa{or`x o Wdxdae gar pmi Gypyri@i~orpliep ag Miofpm Hallirhdof Li`dhdeix YedpPmi @i~orpliep ag Miofpm -@M$ mowi x~aexari` o ro~d` riwdi{ ag Malihori Li`dhdei Xy~~ftpa haexdìr pmi hyrriep a~iropdaeof orroekiliepx oe` dpx gypyri gar pmi bixp wofyi gar ~opdiepx&pmi EMX oe` pmi ~rawdìr lorcip%mpp~:!!hly%`m%kaw%yc!malihori,li`dhdeix,riwdi{,kray~!

Li`dhdeix gar Hmdf`rieRatof ^morlohiypdhof XahdiptPmdx xdpi haepodex degarlopdae pa mif~ ~oriepx {mie pmit eii` pa kdwi li`dhdeix pa pmidrhmdf`rie op mali% Dp hyrriepft ~rawdìx aefdei ar ~rdepi` fiogfipx ae awir ?>> cit li`dhdeix%mpp~:!!{{{%li`dhdeixgarhmdf`rie%ark%yc!

^rixhrdbdek bt K^ ^rohpdhiEMX Degarlopdae HiepriHawirdek off kieirof ~rohpdhix de Iekfoe`& pmi òpo dehfyìx gdkyrix ae pmi eylbir ag~rixhrd~pdae dpilx pmop ori `dx~iexi` iohm laepm oe` degarlopdae rifopdek pa haxpx%mpp~:!!{{{%dh%emx%yc!xirwdhix!proex~orieht!~rixhrdbdek,bt,k~,~rohpdhi
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609http://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplacehttp://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplacehttp://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_publishedhttp://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_publishedhttp://cmu.dh.gov.uk/homecare-medicines-review-group/http://cmu.dh.gov.uk/homecare-medicines-review-group/http://www.medicinesforchildren.org.uk/http://www.medicinesforchildren.org.uk/http://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practicehttp://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practicehttp://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practicehttp://www.medicinesforchildren.org.uk/http://cmu.dh.gov.uk/homecare-medicines-review-group/http://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_publishedhttp://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplacehttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609


18/23


?=

[mdhm ^rdhi dx Rdkmp1 Rikyfopdek pmi haxp ag ~morlohiypdhofx de Iyra~i oe` EarpmOlirdhoXpahcmafl Eip{arcPmdx ri~arp orkyix pmop Iyra~i hyrriepft gde`x dpxifg de o ~axdpdae {miri dp dx kippdek "lari garfixx" de rikor`x pa ~morlohiypdhofx& ofpmaykm de àdek xa dp rifdix ae lari lorcip,boxiìewdraeliepx& xyhm ox pmi Yedpi` Xpopix& pa ~rakrixx pmi rixiorhm depa lyhm eiiì`

deeawopdaex% Dp faacx op xali ag pmi ~rabfilx oe` hmoffiekix de pmdx laìf%mpp~:!!{{{%xpahcmafl,eip{arc%ark!à{efao`x!~ybfdhopdaex![mdhmQ^rdhiQdxQRdkmp%~`g

Sbohc pa pa~dhx\

^ybfdh Miofpm

Miofpm ^ragdfix 2>?? Orio Hal~ordxae HmorpxEip{arc ag ^ybfdh Miofpm AbxirwopardixPmixi Ri`,Olbir,Kriie Hmorpx xma{ pmi òpo yxi` de pmi 2>?? fahof oypmardpt oe` hayeptmiofpm ~ragdfix oe` ~rixiep orio hal~ordxaex% Pmixi hmorpx ori boxi` ae pmi garlir Xpropikdh

Miofpm Oypmardpt oriox%mpp~:!!{{{%o~ma%ark%yc!ìgoyfp%ox~}1_E??

Miofpm Xyrwit gar Iekfoe` 2>?>EMX Degarlopdae HiepriPmi lode gahyx ag pmi MXI de 2>?> {ox rix~dropart miofpm oe` fyek gyehpdae% O``dpdaeofla`yfix ag qyixpdaex {iri ofxa dehfyì`& hawirdek haeprohi~pdae oe` xi}yof miofpm&{iffbidek& cdèit `dxioxi oe` ìepof miofpm%mpp~:!!{{{%dh%emx%yc!~ybx!mxi?>ri~arpPrie` pobfix ori owodfobfi op mpp~:!!{{{%dh%emx%yc!xpopdxpdhx,oe`,òpo,haffihpdaex!miofpm,oe`,fdgixptfix,rifopi`,xyrwitx!miofpm,xyrwit,gar,iekfoe`!miofpm,xyrwit,gar,iekfoe`,,2>?>,prie`,

pobfix

EMX Opfox ag Wordopdae de Miofpmhori 2>??EMX Rdkmp HoriPmdx opfox aggirx hfdedhdoex oe` halldxxdaeirx o grixm a~~arpyedpt pa dìepdgt wordopdae oe`poci ohpdae pa ri`yhi ye{orroepi` wordopdae& oe` mdkmfdkmpx Rdkmp Horix {arc pa xy~~arp pmaxi{oepdek pa ri`yhi ye{orroepi` wordopdae {dpmde pmidr fahofdpt ar bip{iie pmidr fahofdpt oe` apmiroriox ag pmi hayeprt%mpp~:!!{{{%rdkmphori%emx%yc!deì}%~m~!opfox!opfox,ag,wordopdae,2>??!

Ei{ ~ybfdh miofpm xtxpil

@i~orpliep ag MiofpmPmdx xirdix ag gohpxmiipx kdwix lari ìpodf ae pmi ìxdke ag pmi ei{ ~ybfdh miofpm xtxpil&dehfy`dek pmi rafi oe` rix~aexdbdfdpdix ag fahof kawireliep de ~ybfdh miofpm& pmi a~iropdeklaìf gar pmi ei{ i}ihypdwi okieht ^ybfdh Miofpm Iekfoe` oe` oe awirwdi{ ag ma{ pmi {mafixtxpil {dff {arc%mpp~:!!miofpmoe`hori%`m%kaw%yc!~ybfdh,miofpm,xtxpil!
http://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdfhttp://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdfhttp://www.apho.org.uk/default.aspx?QN=HP_COMPARISON_RAGS_2011http://www.ic.nhs.uk/pubs/hse10reporthttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/http://healthandcare.dh.gov.uk/public-health-system/http://healthandcare.dh.gov.uk/public-health-system/http://healthandcare.dh.gov.uk/public-health-system/http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/pubs/hse10reporthttp://www.apho.org.uk/default.aspx?QN=HP_COMPARISON_RAGS_2011http://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdf


19/23


?4

Gdrxp laepmft y~òpi[ixp Ld`foe`x ^ybfdh Miofpm Proexdpdae Xpiirdek Kray~mpp~:!!{{{%{l~ma%ark%yc!fg~m!àhx!ProexdpdaeQBrdigQ@ihQ??%~`g

Dpilx de pmi Miofpm Rigarlx xihpdae lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\

Xogikyor`dek Hmdf`rie oe` Wyfeirobfi O`yfpx

Oxxixxliep: Gdeoehdof hrdli okodexp wyfeirobfi o`yfpxXahdof Hori Dexpdpypi gar I}hiffiehiPmdx ri~arp odli` pa haexdìr pmi i}piep ag pmi ~rabfil ag gdeoehdof hrdli okodexp wyfeirobfio`yfpx& oe` pa loci xpropikdh rihallieòpdaex pa ri`yhi pmi pmriop% Dp ofxa faacx op pmi rafiag pmi ~ybfdh xihpar& pmi EMX oe` miofpmhori ~ragixxdaeofx de xogikyor`dek o`yfpx gralgdeoehdof hrdli%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ri~arpx!ri~arp04%ox~

Baor` Oxxyroehi ^ral~p: xogikyor`dekKaa` Kawireoehi DexpdpypiPmdx ~ral~p dx o gdwi,xpi~ lopyrdpt loprdhix laìf pmop hmoffiekix arkoedxopdaex pa oxxixxpmidr o~~raohm pa ~rapihpdek wyfeirobfi o`yfpx de pmidr hori%mpp~:!!{{{%kaa`,kawireoehi%ark%yc!@a{efao`x!2>??)2>@ih)2>Xogikyor`dek)2>BO^%~`g

Bydf`dek ôrpeirxmd~x& Xpotdek Xogi ,Pmi miofpm xihpar haeprdbypdae pa MLKawireliepx ^riwiep xpropikt: kydòehi gar miofpmhori {arcirx@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòeh

i!@MQ?8?4??

Fahof Hmdf` Xogikyor`dek îrgarloehi Degarlopdae@i~orpliep gar I`yhopdaePmi hmdf` xogikyor`dek ~irgarloehi degarlopdae& {mdhm pmi @i~orpliep rihallie`x fahoforiox haffihp& mox biie rigroli` ox o xip ag qyixpdaex% Fahof oriox xmayf` hmoffiekipmilxifwix pa oex{ir pmixi qyixpdaex de arìr pa yeìrxpoe` oe` dl~rawi pmi ~irgarloehi agpmidr hmdf` ~rapihpdae xirwdhi% Pmi rihallieì` xip ag degarlopdae dx boxi` ae pmi LyeraRiwdi{%mpp~:!!{{{%i`yhopdae%kaw%yc!lyerariwdi{!HX^D%xmplf

Xogikyor`dek o`yfpx op rdxc ag morl: O fikof kydì gar ~rohpdpdaeirxXahdof Hori Dexpdpypi gar I}hiffiehiPmdx kydì dx depieì` pa xirwi ox o ~adepir pa pmi fo{% Dp prdix pa i}~fode pmi fo{ de rioxaeobftxdl~fi pirlx& xa dp dx xifihpdwi oe` àix eap xip ayp gyff ìpodfx ag iohm orio ag fo{ hawiri`%Gyrpmir o`wdhi {dff agpie bi eiiì`& byp oe o{orieixx ag pmi fo{ hoe mif~ ~rohpdpdaeirx oxcpmi rdkmp xarp ag qyixpdae oe` i}~fari ~axxdbfi xafypdaex%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ri~arpx!ri~arp9>%ox~

Sbohc pa pa~dhx\
http://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdfhttp://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdfhttp://www.scie.org.uk/publications/reports/report49.asphttp://www.scie.org.uk/publications/reports/report49.asphttp://www.good-governance.org.uk/Downloads/2011%20Dec%20Safeguarding%20BAP.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.education.gov.uk/munroreview/CSPI.shtmlhttp://www.scie.org.uk/publications/reports/report50.asphttp://www.scie.org.uk/publications/reports/report50.asphttp://www.education.gov.uk/munroreview/CSPI.shtmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.good-governance.org.uk/Downloads/2011%20Dec%20Safeguarding%20BAP.pdfhttp://www.scie.org.uk/publications/reports/report49.asphttp://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdf


20/23


2>

Xirwdhi Loeokiliep

Ohmdiwiliep ag gayeòpdae pryxp xpopyx bt EMX max~dpof pryxpxMayxi ag Hallaex ^ybfdh Ohhayepx HalldppiiPmdx ri~arp faacx op hmoffiekix gohdek max~dpofx {mdhm mowi eap tip oppodei` Gayeòpdae Pryxp

xpopyx%mpp~:!!{{{%~ybfdhopdaex%~orfdoliep%yc!~o!hl2>?>?2!hlxifihp!hl~ybohh!?977!?977>2%mpl

Baor` kawireoehi oxxyroehi groli{arc gar ox~droep gayeòpdae pryxpx@i~orpliep ag MiofpmPa mif~ ~ri~ori ox~droep Gayeòpdae Pryxpx pa liip pmdx hal~ipieht& pmi @i~orpliep moxhalldxxdaei` o loeòpart baor` oxxyroehi groli{arc& ìwifa~i` de ~orpeirxmd~ {dpmi}dxpdek GPx oe` apmir xpocimafìrx%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?90;

Pmi ipmdhx ag xyxpodeobfi miofpm oe` xahdof hori: Pa{or`x o groli{arc gar ìhdxdae,locdekXahdof Hori Dexpdpypi gar I}hiffiehiPmdx ri~arp i}oldeix pmi ipmdhof hmoffiekix ~apiepdofft ~axi` bt gohpardek iewdraeliepofayphalix depa `dggiriep fiwifx ag miofpm oe` xahdof hori ìhdxdae,locdek& dehfy`dek rixayrhioffahopdae oe` priopliepx%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ri~arpx!ri~arp9?%ox~

Deeawopdae& miofpm oe` {iofpm: ohhifiropdek oà~pdae oe` `dggyxdae de pmi EMX@i~orpliep ag MiofpmPmdx àhyliep xipx ayp oe depikropi` xip ag lioxyrix pmop pakipmir {dff xy~~arp pmi oà~pdaeoe` `dggyxdae ag deeawopdae ohraxx pmi EMX oe` xipx o ìfdwirt okieò pmop {dff xdkedgdhoepftrol~ y~ pmi ~ohi oe` xhofi ag hmoeki oe` deeawopdae%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?244

Pmi Depikropi` O~~raohm pa ^foeedek oe` Oxxyroehi bip{iie @M oe` pmi EMX gar2>?2!?8@i~orpliep ag MiofpmPmdx kydì xy~~arpx pmi ohhayepobdfdpt orroekiliepx pmop bt pmi ie` ag Lorhm 2>?2& off ^HPhfyxpirx xmayf` mowi oe depikropi` ~foe ox riqydri` de pmi EMX A~iropdek Groli{arc2>?2!?8%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?4;0

Cii~ dp xdl~fi1 ~ri`dhpdek ~rdlort miofpm hori haxpx {dpm lioxyrix ag larbd`dpt oe`lyfpdlarbd`dptHiepri gar Miofpm Ihaealdhx% Yedwirxdpt ag Tarc%Pmdx ~o~ir dewixpdkopix pmi rifopdaexmd~ bip{iie ~opdiepx ~rdlort hori haxpx -haexyfpopdaex&pixpx& `rykx$ oe` pmidr oki& kieìr& ì~rdwopdae oe` ofpireopdwi lioxyrix ag pmidr larbd`dptoe` lyfpdlarbd`dpt%mpp~:!!{{{%tarc%oh%yc!hmi!ei{x!rixiorhm,~o~ir,;2!
http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htmhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.scie.org.uk/publications/reports/report51.asphttp://www.scie.org.uk/publications/reports/report51.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.york.ac.uk/che/news/research-paper-72/http://www.york.ac.uk/che/news/research-paper-72/http://www.york.ac.uk/che/news/research-paper-72/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.scie.org.uk/publications/reports/report51.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htm


21/23


2?

EMX Ayphalix Groli{arc 2>?2,?8@i~orpliep ag MiofpmPmdx àhyliep xipx ayp pmi hmoekix pmop mowi biie loì pa pmi de`dhoparx de pmi EMXAyphalix Groli{arc oe` dx ìxdkei` pa mif~ EMX arkoedxopdaex pa xporp pa pmdec pmraykm{mop pa gahyx ae ayphalix lioex de ~rohpdhof pirlx%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòeh

i!@MQ?8?;>>

EMX Xpoeòr` Haeprohpx gar 2>?2!?8@i~orpliep ag MiofpmPmi EMX Xpoeòr` Haeprohp xmayf` bi yxi` bt Halldxxdaeirx {mie halldxxdaedek& Ohypi&Liepof Miofpm oe` Fioredek @dxobdfdpt& Hallyedpt ar Olbyfoehi Xirwdhix%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?4==

A~iropdek Groli{arc gar pmi EMX de Iekfoe` 2>?2!?8EMX Haegiìropdae

Pmdx brdigdek xipx ayp pmi cit ~adepx& oe` xali ag pmi x~ihdgdh ~adepx Haegiìropdae lilbirxoxci` gar pmi Groli{arc pa dehfyì%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!brdigdekx!ôkix!A~iropdek,Groli{arc,2>?2,?8%ox~}

Fixxaex fiorei` gral Laedpar+x riwdi{ ag xdkedgdhoep Proexgarldek HallyedptXirwdhix proexohpdaexLaedparPmdx xmarp ri~arp xipx ayp xali ag pmi fixxaex fiorei` gral pmi rdxc iwofyopdae ~rahixx agrihiep xdkedgdhoep Proexgarldek Hallyedpt Xirwdhix -PHX$ proexohpdaex% Dp odlx pa ieobfigayeòpdae pryxpx yeìrpocdek proexohpdaex de pmi gypyri pa ìfdwir ~rajihpx xyhhixxgyfft%mpp~:!!{{{%laedpar,emxgp%kaw%yc!mali!ei{x,iwiepx,oe`,~ybfdhopdaex!ayr,~ybfdhopdaex!bra{xi,

hopikart!kydòehi,gayeòpdae,pryxpx!loeòp

[mafi xtxpil ìlaexpropar ~rakrolli: Mio`fdei gde`dekx@i~orpliep ag MiofpmPmi [mafi Xtxpil @ilaexpropar ~rakrolli {ox xip y~ bt pmi @i~orpliep ag Miofpm paxma{ {mop pifimiofpm oe` pifihori dx ho~obfi ag% Dp ofxa odlx pa ~rawdì o hfior iwdìehi boxipa xy~~arp dl~arpoep dewixpliep ìhdxdaex oe` xma{ ma{ pmi pihmeafakt xy~~arpx ~ia~fi pafdwi deì~ieìepft& poci haepraf oe` bi rix~aexdbfi gar pmidr a{e miofpm oe` hori%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?7=0

Dpilx de pmi Miofpm Rigarlx oe` [arcgarhi xihpdaex lot ofxa bi ag depirixp%

Sbohc pa pa~dhx\
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspxhttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700


22/23


22

Xi}yof oe` Ri~ra`yhpdwi Miofpm

iFioredek: Xi}yof& ri~ra`yhpdwi oe` liepof miofpmXahdof Hori Dexpdpypi gar I}hiffiehiPmixi rixayrhix mowi biie ìwifa~i` gar liepof miofpm ~ragixxdaeofx& ox oe ioxt,pa,yxi

kydì pa cit ox~ihpx ag xi}yof oe` ri~ra`yhpdwi miofpm de pmi haepi}p ag liepof dffeixx%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ifioredek!xi}yofmiofpm!deì}%ox~

EMX Haeprohi~pdwi Xirwdhix: Iekfoe`& 2>?>!??& Hallyedpt Haeprohi~pdwi HfdedhxEMX Degarlopdae HiepriPmdx oeeyof ri~arp ~rixiepx degarlopdae ae EMX hallyedpt haeprohi~pdwi hfdedhx {mdhmdehfyì goldft ~foeedek hfdedhx oe` hfdedhx rye bt wafyeport arkoedxopdaex xyhm ox BraacO`wdxart Hieprix% Degarlopdae ae EMX hallyedpt haeprohi~pdwi hfdedhx i}hfyìx xirwdhix~rawdì` de ayp,~opdiep hfdedhx oe` pmaxi ~rawdì` bt Kieirof ^rohpdpdaeirx%mpp~:!!{{{%dh%emx%yc!xpopdxpdhx,oe`,òpo,haffihpdaex!miofpm,oe`,fdgixptfix!haeprohi~pdae!emx,haeprohi~pdwi,xirwdhix,iekfoe`,2>?>,??,hallyedpt,haeprohi~pdwi,hfdedhx

Sbohc pa pa~dhx\

[arcgarhi

Hiexyx ag haexyfpoep ~mtxdhdoex oe` li`dhof rikdxprorx de pmi YC& 2>?>Ratof Haffiki ag ^mtxdhdoexPmi ri~arp xpopix pmop pmi EMX rilodex rifdoep ae àhparx {arcdek faekir pmoe pmidr haeprohpi`mayrx& oe` pmi eylbir ag mayrx haexyfpoepx ori haeprohpi` pa {arc mox goffie xfdkmpft oxmax~dpofx {arc pa loci iggdhdieht xowdekx% Dp ofxa xma{x haexyfpoepx ori fixx owodfobfi pa prode

jyedar àhparx& {mdhm mox dl~fdhopdaex gar pmi gypyri {arcgarhi%mpp~:!!{{{%rh~faeàe%oh%yc!rixayrhix!2>?>,hiexyx,xyllort

Iekokdek tayr xpogg `yrdek ~irda`x ag hmoekiEMX Il~fatirxPmdx qydhc kydì aggirx xali pd~x oe` pihmedqyix pmop lot bi mif~gyf%mpp~:!!{{{%emxil~fatirx%ark!Il~fatliepâfdhtOe`^rohpdhi!xpogg,iekokiliep!ôkix!Iekokdektayrxpogg`yrdek~irda`xaghmoeki%ox~}

Loeokiliep ag MDW,degihpi` miofpmhori {arcirx@i~orpliep ag MiofpmPmi eopdaeof kydòehi {mdhm ~rixiepft rixprdhpx miofpmhori {arcirx degihpi` {dpm MDW gral~irgarldek i}~axyri ~raei ~rahi`yrix mox biie riwdi{i` bt o jadep {arcdek kray~ ag pmi

I}~irp O`wdxart Kray~ ae OD@X3 pmi YC O`wdxart ôeif gar Miofpmhori [arcirx Degihpi` {dpmBfaa`,barei Wdryxix oe` pmi O`wdxart Kray~ ae Mi~opdpdx% Pmdx haexyfpopdae ~o~ir xiicxwdi{x ae rihallieòpdaex gral pmi {arcdek kray~ gar hmoekix pa pmi hyrriep ~afdht ae MDW,degihpi` miofpmhori {arcirx%Hfaxdek òpi gar halliepx: 4 Lorhm 2>?2mpp~:!!{{{%`m%kaw%yc!ie!Haexyfpopdaex!Fdwihaexyfpopdaex!@MQ?8?982
http://www.scie.org.uk/publications/elearning/sexualhealth/index.asphttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.rcplondon.ac.uk/resources/2010-census-summaryhttp://www.rcplondon.ac.uk/resources/2010-census-summaryhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532http://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.rcplondon.ac.uk/resources/2010-census-summaryhttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.scie.org.uk/publications/elearning/sexualhealth/index.asp


23/23


Loeokdek oe` xy~~arpdek liepof miofpm op {arc: `dxhfaxyri paafx gar loeokirxLde` oe` Hmorpiri` Dexpdpypi ag îrxaeeif oe` @iwifa~liepPmdx kydì odlx pa mif~ il~fatirx iexyri pmop ma{ pmit loeoki ~ia~fi xy~~arpx pmidr liepof{iffbidek oe` rixdfdiehi& oe` ofxa iehayroki lari il~fatiix pa pofc obayp oet liepof miofpmdxxyix pmit lot bi gohdek op oe iorft xpoki%mpp~:!!{{{%lde`%ark%yc!oxxipx!>>>?!78?0!LoeokdekQoe`Qxy~~arpdekQLMQopQ{arc%~`g

Rili`dopdae ri~arp@i~orpliep ag MiofpmPmi gahyx ag pmdx ri~arp dx pa o``rixx hfdedhof hal~ipiehi oe` ho~obdfdpt dxxyix ahhyrrdek deàhparx ea faekir de pmi prodedek kroìx%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexâfdhtOe`Kydòehi!@MQ?8?;48

Sbohc pa pa~dhx\
http://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdfhttp://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdf