Clinical Effectiveness Bulletin no.52 May 2011

8/6/2019 Clinical Effectiveness Bulletin no.52 May 2011

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NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletinfor PCTs in North Staffordshire

Issue No: 52 May 2011

About this Bulletin:

It aims to draw attention to some of the key documents and reviews on clinicaleffectiveness that have been published in the previous month.

Where possible, links to the full text documents are included. If the article is in ajournal, you can contact the Health Library for a copy.Link to request form:http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#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 NHSOutreach Librarians, details below.

The bulletin can be e-mailed to colleagues who may also find it useful.

A list of websites that are checked in the production of this bulletin are listed onthe 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 LibrariansTel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429)

E-mail: [email protected]@northstaffs.nhs.uk

North Staffs Health Library

Tel: 01782 556565Fax: 01782 556582

E-mail:[email protected]

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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.27437mailto:[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.27437mailto:[email protected]


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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.ukDaily Health Bulletinhttp://www.sheffield.nhs.uk/healthbulletin/

Department of Healthhttp://www.dh.gov.uk/en/index.htmKings Fundhttp://www.kingsfund.org.uk/NeLM (National Electronic Library for Medicines) news bulletinhttp://www.nelm.nhs.uk/en/NICEhttp://www.nice.org.uk/SIGNhttp://www.sign.ac.uk/new.html

Contents in this issue

Alcohol MidwiferyCancer Nursing

Cardiovascular Diseases Obesity

Children and Young People Older People

Commissioning Palliativ e Care

Continence Patient Care and Safety

Dental Health Prescribing

Diabetes Public Health

Emergency Care Research

End of Life Care Respiratory

General Practice Safeguarding Children and

Vulnerable AdultsGuidance Service Management

Health Reforms Smoking

HIV Stroke

Influenza Substance Misuse

Learning Disabilities Vaccinatio n andImmunisation

Long Term Conditions Women s Health

Matern al and Infant Health Workforce

Mental Health

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http://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.sign.ac.uk/new.html


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Alcohol

Statistics on Alcohol: England, 2011 [NS]NHS Information CentreThis report covers topics such as drinking habits and behaviours among adults (aged 16 and

over) and school children (aged 11 to 15), and drinking-related ill health and mortality. It alsoincludes up to date information on alcohol related government policies and contains links tofurther useful sources.http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-%5Bns%5D

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Cancer

Ensuring effective commissioning of cancer services: a survey of GPsCancer Campaigning Group

This report makes five key recommendations for the shape of cancer commissioning. It is basedon research into commissioning cancer services and the support needed to enablecommissioners to provide the best possible care, alongside members views and experiences.http://www.cancercampaigninggroup.org.uk/ccg-reports/

Models of care to achieve better outcomes for children and young people living with andbeyond cancerNHS ImprovementThis publication tells the story so far, from testing different models of care. It also articulates theevidence NHS Improvement expect to provide for October 2011. Information is provided toillustrate: the patient perspective; clinically agreed levels of care; clinically agreed paediatric, andteenage and young adult, aftercare pathways; definitions and components of models of care andinterim evidence from prototype sites.http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer%2fNational%2fSurvivorship%20Projects%2fCYP%20Workshop%2fCYP_Models_of_Care.pdf

National Head & Neck Cancer Audit 2010: Key findings for England and Wales for the auditperiod November 2009 to October 2010NHS Information CentreThis report looks at the care of patients with head and neck cancer one of the less commoncancers. Key findings include:

Many patients requiring radiotherapy are still experiencing significant delays.

The percentage of patients who access multi-professional care has improved acrosstrusts.

Biopsy to reporting was less than 10 days for an improved number of cases.

New research into the care of early larynx and oropharynx cancer patients shows wideregional variation in the provision of choice of treatment.

http://www.ic.nhs.uk/headandneck

National Lung Cancer Audit Report 2010NHS Information CentreThis audit covers patients diagnosed with lung cancer who were first seen in 2009.http://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/lung-cancer

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http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://www.cancercampaigninggroup.org.uk/ccg-reports/http://www.cancercampaigninggroup.org.uk/ccg-reports/http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/Survivorship%20Projects/CYP%20Workshop/CYP_Models_of_Care.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/Survivorship%20Projects/CYP%20Workshop/CYP_Models_of_Care.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/Survivorship%20Projects/CYP%20Workshop/CYP_Models_of_Care.pdfhttp://www.ic.nhs.uk/headandneckhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/lung-cancerhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/lung-cancerhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/lung-cancerhttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://www.cancercampaigninggroup.org.uk/ccg-reports/http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/Survivorship%20Projects/CYP%20Workshop/CYP_Models_of_Care.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/Survivorship%20Projects/CYP%20Workshop/CYP_Models_of_Care.pdfhttp://www.ic.nhs.uk/headandneckhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/lung-cancerhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/lung-cancer


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Commissioning

Is the aim of the health care system to maximise QALYS? An investigation of "what elsematters" in the NHSOffice of Health EconomicsThe appraisal of health care technologies by NICE focuses on cost effectiveness, usually

measured in terms of incremental cost per quality adjusted life year (QALY) gained. According tothis research, however, cost effectiveness does not appear to be the dominant consideration inNHS decisions about resource allocation. The authors examine what factors affect NHSdecisions, and suggest the perspectives of NICE and the DH are very different with clearimplications for efficiency across the health care system.http://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////is-the-aim-of-the-health-care-system-to-maximise-qalys-an-investigation-of-what-else-matters-in.htmlRegistration with the Office of Health Economics website needed to access this report.Registration is free.

Changes to Quality and Outcomes Framework (QOF) 2011/12NHS Employershttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/Ch

angestoQOF2011-12.aspx

The National Programme for IT in the NHS: an update on the delivery of detailed carerecords systemsNational Audit OfficeThis report concludes that the rate at which electronic care records systems are being put inplace under the NPfIT is falling below expectations and the core aim that every patient shouldhave an electronic care record under the Programme will not now be achieved. Even wheresystems have been delivered, they are not yet able to do everything the Department intended.Moreover, the number of systems to be delivered has been significantly reduced, without acommensurate reduction in cost.http://www.nao.org.uk/publications/1012/npfit.aspx

NHS costing manual 2010-11Department of HealthThis manual sets out the principles and practice of costing to be applied in the NHS. It is designedto support improved costing and development of the national tariff via reference costs.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126450

Patient choice beyond bordersNHS ConfederationAn EU Directive adopted in March 2011 will extend patient choice beyond national borders, withsignificant implications for both NHS commissioners and providers. An 8 page briefing includingan overview of the EU rules and their implications for a changing NHS is at:http://www.nhsconfed.org/Publications/briefings/Pages/Patient-choice-beyond-borders.aspxA factsheet with key points for commissioners is at:

http://www.nhsconfed.org/Publications/Factsheets/Pages/Cross-border-healthcare-commissioners.aspx

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http://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////is-the-aim-of-the-health-care-system-to-maximise-qalys-an-investigation-of-what-else-matters-in.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////is-the-aim-of-the-health-care-system-to-maximise-qalys-an-investigation-of-what-else-matters-in.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////is-the-aim-of-the-health-care-system-to-maximise-qalys-an-investigation-of-what-else-matters-in.htmlhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nao.org.uk/publications/1012/npfit.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126450http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126450http://www.nhsconfed.org/Publications/briefings/Pages/Patient-choice-beyond-borders.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Patient-choice-beyond-borders.aspxhttp://www.nhsconfed.org/Publications/Factsheets/Pages/Cross-border-healthcare-commissioners.aspxhttp://www.nhsconfed.org/Publications/Factsheets/Pages/Cross-border-healthcare-commissioners.aspxhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////is-the-aim-of-the-health-care-system-to-maximise-qalys-an-investigation-of-what-else-matters-in.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////is-the-aim-of-the-health-care-system-to-maximise-qalys-an-investigation-of-what-else-matters-in.htmlhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nao.org.uk/publications/1012/npfit.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126450http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126450http://www.nhsconfed.org/Publications/briefings/Pages/Patient-choice-beyond-borders.aspxhttp://www.nhsconfed.org/Publications/Factsheets/Pages/Cross-border-healthcare-commissioners.aspxhttp://www.nhsconfed.org/Publications/Factsheets/Pages/Cross-border-healthcare-commissioners.aspx


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Transforming our health care system: ten priorities for commissionersKings Fundhttp://www.kingsfund.org.uk/publications/articles/transforming_our.html

Items in the Cancer, Children and Young People, Continence, Dental Health, Diabetes,Health Reforms, Mental Health, Palliative Care, Service Management and SubstanceMisuse sections may also be of interest.

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Continence

Cost-effective Commissioning For Continence Care: a guide for commissioners written bycontinence care professionalsAll Party Parliamentary Group For Continence CareThis guide provides a framework for implementing and monitoring an integrated continenceservice. It outlines the essential elements needed during each phase of the commissioning cycle.http://www.appgcontinence.org.uk/

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Dental Health

Dental Quality and Outcomes FrameworkDepartment of HealthThe Dental Quality and Outcomes Framework forms part of the arrangements for piloting aspectsof reforms to the NHS dental contract. It will measure the performance and clinical outcomes ofdentists' work. This version supersedes Dental Quality and Outcomes Framework version 1.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126536

NHS Dental Statistics for England 2010/11, Third quarterly report

NHS Information CentreThis quarterly report brings together information on NHS dental activity in England up to Q32010/11 and information on the number of patients seen by an NHS dentist, up to the fourthquarter of 2010/11.http://www.ic.nhs.uk/pubs/dentalstats1011q3

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Diabetes

2010 Diabetes Specialist Nursing Work Force Survey ReportDiabetes UK and NHS DiabetesThis survey gives a picture of how many Diabetes Specialist Nurses (DSNs) there are, wherethey work and what levels of expertise and experience they have. In addition, Diabetes UK andTREND UK have gathered the views and experiences of people with diabetes and their familieswith regard to the contribution that their DSNs make to the management of their diabetes and theimpact this has on their lives.http://www.diabetes.org.uk/Professionals/Publications-reports-and-resources/Reports-statistics-and-case-studies/Reports/Diabetes-Specialist-Nursing-Work-Force-Survey-2010-Report-2011/

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http://www.kingsfund.org.uk/publications/articles/transforming_our.htmlhttp://www.kingsfund.org.uk/publications/articles/transforming_our.htmlhttp://www.appgcontinence.org.uk/http://www.appgcontinence.org.uk/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126536http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126536http://www.ic.nhs.uk/pubs/dentalstats1011q3http://www.diabetes.org.uk/Professionals/Publications-reports-and-resources/Reports-statistics-and-case-studies/Reports/Diabetes-Specialist-Nursing-Work-Force-Survey-2010-Report-2011/http://www.diabetes.org.uk/Professionals/Publications-reports-and-resources/Reports-statistics-and-case-studies/Reports/Diabetes-Specialist-Nursing-Work-Force-Survey-2010-Report-2011/http://www.kingsfund.org.uk/publications/articles/transforming_our.htmlhttp://www.appgcontinence.org.uk/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126536http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126536http://www.ic.nhs.uk/pubs/dentalstats1011q3http://www.diabetes.org.uk/Professionals/Publications-reports-and-resources/Reports-statistics-and-case-studies/Reports/Diabetes-Specialist-Nursing-Work-Force-Survey-2010-Report-2011/http://www.diabetes.org.uk/Professionals/Publications-reports-and-resources/Reports-statistics-and-case-studies/Reports/Diabetes-Specialist-Nursing-Work-Force-Survey-2010-Report-2011/


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General Practice

Care Quality Commission registration toolkitBMAAll GP practices and other NHS primary medical services providers will need to be registered withthe CQC by 1 April 2012. This toolkit aims to reduce the burden of the application process by

providing a straightforward explanation of CQC registration. It also gives suggestions on what youcould be doing to meet the CQC's Essential Standards of Quality and Safety.http://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcregistrationtoolkit.jsp

Productive General Practice: Releasing TimeNHS Institute for Innovation and ImprovementProductive General Practice is an organisation-wide change programme, developed with generalpractice staff, which supports general practices in realising internal efficiencies, while maintainingquality of care and releasing time to spend on more value added activities. It is a practicalapplication of lean based techniques that will vastly increase the organisations capacity andcapability for continuous improvement.http://www.institute.nhs.uk/productive_general_practice/general/productive_general_practice_ho

mepage.html

Items in the Commissioning and Health Reforms sections may also be of interest.

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Guidance

NICE Clinical GuidelinesCommon mental health disorders: identification and pathways to careClinical guidelines CG123http://guidance.nice.org.uk/CG123

Percutaneous tibial nerve stimulation (PTNS) for faecal incontinenceInterventional procedure guidance IPG395http://guidance.nice.org.uk/IPG395

Preventing type 2 diabetes: population and community-level interventions in high-riskgroups and the general populationPublic health guidance PH35http://guidance.nice.org.uk/PH35

Radiation therapy for early Dupuytren's diseaseInterventional procedure guidance IPG368http://guidance.nice.org.uk/IPG368

Sacral nerve stimulation for urge incontinence and urgency-frequencyInterventional procedure guidance IPG64http://guidance.nice.org.uk/IPG64

NICE Technology AppraisalsPeripheral arterial disease - cilostazol, naftidrofyryl oxalate, pentoxifylline and inositolnicotinateTechnology appraisals TA223http://guidance.nice.org.uk/TA223

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http://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcregistrationtoolkit.jsphttp://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcregistrationtoolkit.jsphttp://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcregistrationtoolkit.jsphttp://www.institute.nhs.uk/productive_general_practice/general/productive_general_practice_homepage.htmlhttp://www.institute.nhs.uk/productive_general_practice/general/productive_general_practice_homepage.htmlhttp://www.institute.nhs.uk/productive_general_practice/general/productive_general_practice_homepage.htmlhttp://guidance.nice.org.uk/CG123http://guidance.nice.org.uk/IPG395http://guidance.nice.org.uk/PH35http://guidance.nice.org.uk/IPG368http://guidance.nice.org.uk/IPG64http://guidance.nice.org.uk/TA223http://guidance.nice.org.uk/TA223http://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcregistrationtoolkit.jsphttp://www.bma.org.uk/employmentandcontracts/independent_contractors/cqcregistrationtoolkit.jsphttp://www.institute.nhs.uk/productive_general_practice/general/productive_general_practice_homepage.htmlhttp://www.institute.nhs.uk/productive_general_practice/general/productive_general_practice_homepage.htmlhttp://guidance.nice.org.uk/CG123http://guidance.nice.org.uk/IPG395http://guidance.nice.org.uk/PH35http://guidance.nice.org.uk/IPG368http://guidance.nice.org.uk/IPG64http://guidance.nice.org.uk/TA223


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NICE Consultation DocumentsAntenatal and postnatal mental health: Clinical Guideline CG45To comment, contact the registered stakeholder organisation that most closely represents yourinterests.Closing date for comments: 14 June 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54661

Bipolar; the management of bipolar disorder in adults, children and adolescents, inprimary and secondary care: Clinical Guideline CG38To comment, contact the registered stakeholder organisation that most closely represents yourinterests.Closing date for comments: 15 June 2011http://guidance.nice.org.uk/CG38/ReviewProposal

Caesarean section (update) : guideline consultationTo comment, contact the registered stakeholder organisation that most closely represents yourinterests.Closing date for comments: 22 June 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54526

Dyspepsia: Clinical Guideline CG17To comment, contact the registered stakeholder organisation that most closely represents yourinterests.Closing date for comments: 14 June 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54668

Type 2 diabetes - footcare: Clinical Guideline CG10To comment, contact the registered stakeholder organisation that most closely represents yourinterests.Closing date for comments: 14 June 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54664

Type 2 Diabetes - newer agents (partial update of Clinical Guideline CG66)To comment, contact the registered stakeholder organisation that most closely represents yourinterests.Closing date for comments: 14 June 2011http://guidance.nice.org.uk/CG87/ReviewProposal

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Other GuidanceBritish Guideline on the Management of AsthmaSIGN, British Thoracic Societyhttp://www.sign.ac.uk/guidelines/fulltext/101/index.html

Missed Pill Recommendations (updated guidance)Faculty of Sexual and Reproductive Healthcare Clinical Effectiveness Unithttp://www.ffprhc.org.uk/pdfs/CEUStatementMissedPills.pdf

NICE PathwaysThe National Institute for Health and Clinical Excellence (NICE) has launched 'NICE Pathways' -a new online tool for health and social care professionals. NICE Pathways provide quick and easyaccess, topic by topic, to the range of guidance from NICE, including quality standards,technology appraisals, clinical and public health guidance and NICE implementation tools. The

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http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54661http://guidance.nice.org.uk/CG38/ReviewProposalhttp://guidance.nice.org.uk/CG38/ReviewProposalhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=54526http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54668http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54664http://guidance.nice.org.uk/CG87/ReviewProposalhttp://guidance.nice.org.uk/CG87/ReviewProposalhttp://www.sign.ac.uk/guidelines/fulltext/101/index.htmlhttp://www.sign.ac.uk/guidelines/fulltext/101/index.htmlhttp://www.ffprhc.org.uk/pdfs/CEUStatementMissedPills.pdfhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=54661http://guidance.nice.org.uk/CG38/ReviewProposalhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=54526http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54668http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54664http://guidance.nice.org.uk/CG87/ReviewProposalhttp://www.sign.ac.uk/guidelines/fulltext/101/index.htmlhttp://www.ffprhc.org.uk/pdfs/CEUStatementMissedPills.pdf


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electronic flowcharts are simple to navigate and allow the user to explore in increasing detailNICE recommendations and advice. Individual pathways also link to other related pathways - forexample the diet pathway links with the physical activity pathway. (NHS Sheffield Daily HealthBulletin)http://pathways.nice.org.uk/

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Other Health Technology AssessmentsHysterectomy, endometrial ablation and Mirena for heavy menstrual bleeding: asystematic review of clinical effectiveness and costeffectiveness analysisBhattacharya, S et al.This study found that despite longer hospital stay and time to resumption of normal activities,more women were satisfied after hysterectomy than after endometrial ablation. There is somesuggestion that Mirena is potentially cheaper and more effective than first-generation ablationtechniques, with rates of satisfaction similar to second-generation techniques; there is limitedevidence to suggest that hysterectomy is preferable to Mirena. Although the most cost-effectivestrategy, hysterectomy may not be considered an initial option owing to its invasive nature andhigher risk of complications.

Health Technol Assess 2011:15(19)

A pragmatic single-blind randomised controlled trial and economic evaluation of the useof leukotriene receptor antagonists in primary care at steps 2 and 3 of the national asthmaguidelines (ELEVATE study)Price, D et al.This study found that leukotriene antagonists are unlikely to be a cost-effective alternative toinhaled corticosteroids, at 2005 prices, as initial asthma controller therapy at step 2 of the BritishThoracic Society (BTS) guidelines, but evidence suggests that they are clinically equivalent tolong-acting 2-agonists (LABAs) as add-on to inhaled corticosteroids in terms of quality of life aswell as secondary measures; furthermore, they could be an alternative to LABAs at step 3 of theBTS guidelines.Health Technol Assess 2011;15(21)

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Health Reforms

Comparative case studies of health reform in EnglandHealth Services Management CentreThis research report looks at the combined impact of the Department of Healths 2005 NextSteps Reforms within local health systems. The Next Steps Reforms were intended to lead tobetter care, better patient experiences, and better value for money. This study considers threedifferent tracer conditions/services (orthopaedics, diabetes, and early intervention mental health)and six local health economies as comparative case studies.http://www.hsmc.bham.ac.uk/news/news/2011/5/nhs-reform-report.shtml

The governments health reforms: an analysis of the need for clarification and changeRoyal College of General PractitionersThis paper outlines changes to the Health and Social Care Bill and wider health reform proposalsthat the RCGP believes are necessary.http://www.rcgp.org.uk/policy/government_reforms.aspx

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http://www.hta.ac.uk/project/1616.asphttp://www.hta.ac.uk/project/1616.asphttp://www.hta.ac.uk/project/1204.asphttp://www.hsmc.bham.ac.uk/news/news/2011/5/nhs-reform-report.shtmlhttp://www.hsmc.bham.ac.uk/news/news/2011/5/nhs-reform-report.shtmlhttp://www.rcgp.org.uk/policy/government_reforms.aspxhttp://www.hta.ac.uk/project/1616.asphttp://www.hta.ac.uk/project/1204.asphttp://www.hsmc.bham.ac.uk/news/news/2011/5/nhs-reform-report.shtmlhttp://www.rcgp.org.uk/policy/government_reforms.aspx


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The Health and Social Care Bill: updateCarers UKThis briefing gives Carers UK's views on what should change in the governments health reformpackage.http://www.carersuk.org/professionals/resources/briefings/item/2115-the-health-and-social-care-

bill-update

It can be done: Case studies of successful private sector involvement in education, health,policing and prisonsReformhttp://www.reform.co.uk/Research/ResearchArticles/tabid/82/smid/378/ArticleID/1498/reftab/161/t/It%20can%20be%20done/Default.aspx

Making The Most of Public Services: A systems approach to public innovationThe Work FoundationA productivity miracle is currently being demanded from our public services: services face thetriple lock of shrinking public spending, expanding service demands and a broad reform agenda.Looking at two case studies international education and the NHS this paper highlights that the

government is struggling to understand how to support innovation within public services, and thatthis will impact on the future performance of both public and private sectors.http://www.theworkfoundation.com/research/publications/publicationdetail.aspx?oItemId=288

NHS reform mythbustersKings FundThis document aims to debunk some of the myths that have been generated in the debate on theHealth and Social Care Bill so far.http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/mythbusters/

Where next for the NHS reforms? The case for integrated careKings FundThis paper sets out the challenges facing the NHS and identifies the reforms the authors believe

are needed to meet these challenges. It offers suggestions for revisions to the current Bill andfuture policy development but also lays out a more radical model that the authors believe holdsthe prospect of greater progress towards the vision of integrated care and a health systemsustainable in the longer term.http://www.kingsfund.org.uk/publications/articles/nhs_pause_paper.html

Items in the Children and Young People, Commissioning, Public Health and ServiceManagement sections may also be of interest.

[back to topics]

HIV

Antiretroviral therapy for prevention of HIV transmission in HIV-discordant couplesCochrane ReviewThe authors concluded that in couples in which the infected partner was being treated withantiretroviral drugs the uninfected partners had more than 5 times lower risk of being infectedthan in couples where the infected partner was not receiving treatment. The authors alsoexamined studies that had looked at partners with CD4 counts higher than the level at whichWHO recommends antiretroviral drugs, and found that there was inconclusive evidence that inthis group HIV was less likely to be transmitted.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD009153/frame.html

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http://www.carersuk.org/professionals/resources/briefings/item/2115-the-health-and-social-care-bill-updatehttp://www.carersuk.org/professionals/resources/briefings/item/2115-the-health-and-social-care-bill-updatehttp://www.reform.co.uk/Research/ResearchArticles/tabid/82/smid/378/ArticleID/1498/reftab/161/t/It%20can%20be%20done/Default.aspxhttp://www.reform.co.uk/Research/ResearchArticles/tabid/82/smid/378/ArticleID/1498/reftab/161/t/It%20can%20be%20done/Default.aspxhttp://www.theworkfoundation.com/research/publications/publicationdetail.aspx?oItemId=288http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/mythbusters/http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/mythbusters/http://www.kingsfund.org.uk/publications/articles/nhs_pause_paper.htmlhttp://www.kingsfund.org.uk/publications/articles/nhs_pause_paper.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD009153/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD009153/frame.htmlhttp://www.carersuk.org/professionals/resources/briefings/item/2115-the-health-and-social-care-bill-updatehttp://www.carersuk.org/professionals/resources/briefings/item/2115-the-health-and-social-care-bill-updatehttp://www.reform.co.uk/Research/ResearchArticles/tabid/82/smid/378/ArticleID/1498/reftab/161/t/It%20can%20be%20done/Default.aspxhttp://www.reform.co.uk/Research/ResearchArticles/tabid/82/smid/378/ArticleID/1498/reftab/161/t/It%20can%20be%20done/Default.aspxhttp://www.theworkfoundation.com/research/publications/publicationdetail.aspx?oItemId=288http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/mythbusters/http://www.kingsfund.org.uk/publications/articles/nhs_pause_paper.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD009153/frame.html


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Influenza

Flu vaccine uptake data 2010/11Department of HealthIncludes figures for GP patients and frontline healthcare staff.http://www.dh.gov.uk/en/Publichealth/Immunisation/Keyvaccineinformation/DH_104070#_3

Seasonal flu plan Winter 2011/12Department of HealthThe Plan sets out a coordinated and evidence based approach to planning for and responding tothe demands of seasonal flu across England. It will provide the public and healthcareprofessionals with an overview of coordination of preparation for seasonal flu and signpostswhere further guidance and information can be foundhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127051

The seasonal influenza immunisation programme. Consultation: a review of theprocurement of seasonal vaccine

Department of HealthThe consultation includes considering central procurement of seasonal vaccine.Closing date for comments: 17 August 2011http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_127078

Surveillance of influenza and other respiratory viruses in the UK: 2010-2011 reportHealth Protection AgencyA report on influenza related activity in 2010-11http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1296687412376

UK Influenza Pandemic Preparedness Strategy ConsultationDepartment of HealthThis strategy describes proposals for an updated, UK-wide strategic approach to planning for and

responding to the demands of an influenza pandemic. It builds on, but supersedes, the approachset out in the 2007 National framework for responding to an influenza pandemic, taking accountof the experience and lessons learned in the H1N1 (2009) influenza pandemic and the latestscientific evidence. Many other organisations and individuals have extensive experience of thechallenges that can be posed by a pandemic. The government is keen to ensure that thisexperience is fully reflected. Therefore, they invite comments and views on this strategy.Closing date for comments: 17 June 2011http://consultations.dh.gov.uk/pandemic-flu/influenza-pandemic-strategy

[back to topics]

Learning Disabilities

Meeting the health needs of people with learning disabilities: RCN guidance for nursingstaff (2nd edition)Royal College of Nursinghttp://www.rcn.org.uk/__data/assets/pdf_file/0004/78691/003024.pdf

[back to topics]

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http://www.dh.gov.uk/en/Publichealth/Immunisation/Keyvaccineinformation/DH_104070#_3http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127051http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127051http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127051http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_127078http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1296687412376http://consultations.dh.gov.uk/pandemic-flu/influenza-pandemic-strategyhttp://www.rcn.org.uk/__data/assets/pdf_file/0004/78691/003024.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0004/78691/003024.pdfhttp://www.dh.gov.uk/en/Publichealth/Immunisation/Keyvaccineinformation/DH_104070#_3http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127051http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127051http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_127078http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1296687412376http://consultations.dh.gov.uk/pandemic-flu/influenza-pandemic-strategyhttp://www.rcn.org.uk/__data/assets/pdf_file/0004/78691/003024.pdf


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Long Term Conditions

Care Coordination Model: Better Care at Lower Cost for People with Multiple Health andSocial Needs

Institute for Healthcare ImprovementThis paper outlines methods and opportunities to better coordinate care for people with multiplehealth and social needs, and reviews ways that organisations have allocated resources to bettermeet the range of needs in this population. There is special emphasis on care coordination withhomeless populations.http://www.ihi.org/IHI/Results/WhitePapers/IHICareCoordinationModelWhitePaper.htm

Registration with the IHI website needed to access this document. Registration is free.

Helping people help themselves: a review of the evidence considering whether it isworthwhile to support self-managementThe Health FoundationThis rapid review looks at the effects of supporting self-management on peoples quality of life,clinical outcomes and health service use. It does not aim to be exhaustive but instead provides aneasy to use compilation of up to date evidence. Evidence suggests that supporting self-

management works. Supporting people to look after themselves can improve their motivation, theextent to which they eat well and exercise, their symptoms and clinical outcomes and can evenchange how they use health services.http://www.health.org.uk/publications/evidence-helping-people-help-themselves/

People Powered HealthNational Endowment for Science, Technology and the ArtsPeople Powered Health is a new programme to support the design and delivery of innovativeservices for people living with long term conditions. The programme focus is the concept ofco-production - that people's needs are better met when they are involved in an equal and reciprocalrelationship with professionals, working together to get things done. The first stage is an open callfor ideas. NESTA will work with the most promising applicants to develop their ideas beforeselecting partnerships that will receive investment and support to put them into practice. By

November 2012, NESTA want each locality to have redesigned a service or a pathway forpatients with long term health conditions that put most or all of the characteristics of co-productioninto practice.http://www.nesta.org.uk/areas_of_work/public_services_lab/people_powered_health

UK Inflammatory Bowel Disease Audit 3rd RoundRoyal College of PhysiciansThese 2011 reports constitute the 3rd round of the national audit of adult IBD services and the2nd round for paediatric IBD services. This is the first round to audit services directly against the2009 National Service Standards for IBD. The reports contain information about the organisationand structure of IBD services in the UK including how the situation has changed across thedifferent rounds of the audit. Results for Adults and Paediatric services and Executive Summaryavailable at:http://www.rcplondon.ac.uk/resources/inflammatory-bowel-disease-audit

[back to topics]

Maternal and Infant Health

Committee Opinion No. 494: Sulfonamides, Nitrofurantoin, and Risk of Birth DefectsAmerican College of Obstetricians and Gynecologists Obstetric Practice Committee

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http://www.ihi.org/IHI/Results/WhitePapers/IHICareCoordinationModelWhitePaper.htmhttp://www.health.org.uk/publications/evidence-helping-people-help-themselves/http://www.health.org.uk/publications/evidence-helping-people-help-themselves/http://www.nesta.org.uk/areas_of_work/public_services_lab/coproductionhttp://www.nesta.org.uk/areas_of_work/public_services_lab/coproductionhttp://www.nesta.org.uk/areas_of_work/public_services_lab/people_powered_healthhttp://www.nesta.org.uk/areas_of_work/public_services_lab/people_powered_healthhttp://www.rcplondon.ac.uk/resources/inflammatory-bowel-disease-audithttp://www.rcplondon.ac.uk/resources/inflammatory-bowel-disease-audithttp://www.ihi.org/IHI/Results/WhitePapers/IHICareCoordinationModelWhitePaper.htmhttp://www.health.org.uk/publications/evidence-helping-people-help-themselves/http://www.nesta.org.uk/areas_of_work/public_services_lab/coproductionhttp://www.nesta.org.uk/areas_of_work/public_services_lab/coproductionhttp://www.nesta.org.uk/areas_of_work/public_services_lab/people_powered_healthhttp://www.rcplondon.ac.uk/resources/inflammatory-bowel-disease-audit


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These recommendations on the use of sulphonamides and nitrofurantoin during pregnancy followa 2009 paper that found both categories to be associated with an increased risk of birth defects.Obstetrics & Gynecology: June 2011 V117(6) p. 1484-5. doi: 10.1097/AOG.0b013e3182238c57Statistical release: Breastfeeding initiation and prevalence at 6 to 8 weeks - Quarter 4,2010/11Department of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126767

Statistical release: Smoking at delivery - Quarter 4, 2010/11Department of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126768

Umbilical vein injection for management of retained placentaCochrane ReviewThe authors concluded that umbilical vein injection of oxytocin has little or no effect.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001337/frame.html

[back to topics]

Mental HealthApplying the NHS Performance Framework to mental health trusts in 2011/12Department of HealthThis document informs mental health trusts, PCTs and SHAs of the criteria against which mentalhealth performance will be assessed. It should be read alongside Implementing the NHSPerformance Framework.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126848

Early intervention in psychosis servicesNHS ConfederationThis briefing presents the evidence base and some key considerations which may helpfully informand provide a focus for discussions between commissioners and providers in the planning anddelivery of community mental health and early intervention in psychosis (EIP) services.http://www.nhsconfed.org/Publications/briefings/Pages/psychosis-services.aspx

The IAPT Data Handbook: Guidance on recording and monitoring outcomes to supportlocal evidence-based practice, v. 2.0IAPTThis handbook is for everyone working in, managing, or supplying data services to an IAPTservice. This includes clinicians, commissioners, and data leads or technicians and systemsuppliers. This handbook aims to:

Enable local partners to make best use of IAPT outcomes data to put patients at thecentre of the care pathway, and improve service quality

Provide definitive guidance for collecting routine outcome measures, in the context ofelectronic data systems

Introduce the IAPT Data Standard which will form the basis of the national data collectionhttp://www.iapt.nhs.uk/services/measuring-outcomes/

Mental health service transitions for young peopleSCIEThis briefing looks at recent research literature (since 2000) on the move from child andadolescent mental health services (CAMHS) to adults services for young people withpsychological, emotional or behavioural problems. Despite evidence of some promising and

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http://journals.lww.com/greenjournal/Citation/2011/06000/Committee_Opinion_No__494__Sulfonamides,.41.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126767http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126768http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001337/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001337/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126848http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126848http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126848http://www.nhsconfed.org/Publications/briefings/Pages/psychosis-services.aspxhttp://www.iapt.nhs.uk/services/measuring-outcomes/http://www.iapt.nhs.uk/services/measuring-outcomes/http://journals.lww.com/greenjournal/Citation/2011/06000/Committee_Opinion_No__494__Sulfonamides,.41.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126767http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126768http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001337/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126848http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126848http://www.nhsconfed.org/Publications/briefings/Pages/psychosis-services.aspxhttp://www.iapt.nhs.uk/services/measuring-outcomes/


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innovative practice, this is an issue of longstanding concern to young people, their families,practitioners and policy-makers, both in the UK and abroad.http://www.scie.org.uk/publications/briefings/briefing37/index.asp

Ment al Well-being Impact Assessment: a toolkit for well-being, 2011Association of Public Health ObservatoriesThe toolkit has been updated to reflect new government policy, international evidence and thesuccessful National MWIA capacity building programme. The toolkit includes:

an updated evidence base on population characteristics, determinants and protectivefactors for mental wellbeing

an emphasis on social determinants of mental well-being

a refined and user friendly process for undertaking a Mental Well-being ImpactAssessment

a section on measuring mental well-being with practical explanations of how to identifysuitable indicators for your proposal

a set of resources including an extensive mental well-being bibliography.http://www.apho.org.uk/resource/item.aspx?RID=95836

[back to topics]

Midwifery

RM+RM=better midwifery care.National Nursing Research Unit, Kings College LondonThis briefing draws on work that assessed the feasibility of using routinely available data to measurethe impact that maternity staffing has on birth outcomes in maternity services at trust level in England.http://www.kcl.ac.uk/schools/nursing/nnru/policy

[back to topics]

Nursing

Assistant practitioner scoping projectRoyal College of NursingThis report follows a scoping exercise of the assistant practitioner (AP) workforce. The projectaimed to provide an accurate picture of this growing part of the nursing team and inform the RCNabout the development needs of APs.http://www.rcn.org.uk/newsevents/news/article/uk/rcn_report_highlights_need_for_support_worker_regulation

Spirituality in nursing care: a pocket guideRoyal College of NursingThis is a guide to enable nursing staff to address questions about the spiritual part of care, inresponse to an RCN-commissioned survey on spirituality in 2010. This guide defines spiritualcare, and provides tips on preparing to give spiritual care and where to seek further information.

http://www.rcn.org.uk/__data/assets/pdf_file/0008/372995/003887.pdf

Items in the Learning Disabilities and Prescribing sections may also be of interest.

[back to topics]

Obesity

Knowledge and attitudes towards healthy eating and physical activity: what the data tell us

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http://www.scie.org.uk/publications/briefings/briefing37/index.asphttp://www.apho.org.uk/resource/view.aspx?RID=95836http://www.apho.org.uk/resource/item.aspx?RID=95836http://www.kcl.ac.uk/schools/nursing/nnru/policyhttp://www.rcn.org.uk/newsevents/news/article/uk/rcn_report_highlights_need_for_support_worker_regulationhttp://www.rcn.org.uk/newsevents/news/article/uk/rcn_report_highlights_need_for_support_worker_regulationhttp://www.rcn.org.uk/__data/assets/pdf_file/0008/372995/003887.pdfhttp://www.scie.org.uk/publications/briefings/briefing37/index.asphttp://www.apho.org.uk/resource/view.aspx?RID=95836http://www.apho.org.uk/resource/item.aspx?RID=95836http://www.kcl.ac.uk/schools/nursing/nnru/policyhttp://www.rcn.org.uk/newsevents/news/article/uk/rcn_report_highlights_need_for_support_worker_regulationhttp://www.rcn.org.uk/newsevents/news/article/uk/rcn_report_highlights_need_for_support_worker_regulationhttp://www.rcn.org.uk/__data/assets/pdf_file/0008/372995/003887.pdf


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National Obesity ObservatoryThis paper analyses data on knowledge and attitudes, and also investigates factors that may bemediators of behaviour change.http://www.noo.org.uk/gsf.php5?f=10626&fv=11171Child Obesity and its determinants: single map e-atlasNational Obesity ObservatoryThis e-atlas is an interactive mapping tool for the analysis of data on the prevalence of obesityand its determinants at Middle Super Output Area (MSOA) level in England.http://www.sepho.nhs.uk/noo/msoa/singleatlas/atlas.htmlBackground information available athttp://www.noo.org.uk/visualisation/eatlas

[back to topics]

Older People

Ageing Well place-based offerLocal Government Improvement and DevelopmentThe Ageing Well programme is offering free, intensive support to a limited number of top-tiercouncils. It aims to help them and their partners protect outcomes for older people, while making

the required budget reductions. This work will also help councils with the development of localhealth and wellbeing boards.http://www.idea.gov.uk/idk/core/page.do?pageId=25765439

Dignity and nutrition for older peopleCQCThis review is a targeted inspection programme of NHS hospitals. It looks at whether older peopleare treated with respect and whether they get food and drink that meets their needs. The first 12reports into individual trusts are now available. 100 inspections are planned to be completed inthe next four months.http://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfm

National Audit of Falls and Bone Health in Older PeopleRoyal College of PhysiciansThis audit shows that there is unacceptable variation in the quality of NHS services for care andprevention of falls and fractures. In many areas, there is a major gap between what NHSorganisations state they provide, in terms of commissioning, protocols or structure; and whatclinical audit reveals in terms of actual care provided. The audit shows that older patients withfractures do not routinely receive key aspects of care for falls prevention or bone health,needlessly exposing them to a greater risk of further falls and fractures.Report and executive summary available at:http://www.rcplondon.ac.uk/resources/national-audit-falls-and-bone-health-older-people

Pain Management Interventions for Elderly Patients With Hip FractureAgency for Healthcare Research and QualityThe authors conclude that overall, there is limited evidence about the comparative effectiveness,

benefits, and adverse events of pain management interventions used for elderly patients with hipfracture. There is moderate strength of evidence that nerve blocks reduce pain and the incidenceof delirium, and evidence of low strength indicates that preoperative traction does not improverelief from acute pain. For all modalities, the evidence is generally inadequate to estimate harmsand the incidence of adverse events.http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=679&pageaction=displayproduct

Items in the Long Term Conditions section may also be of interest.

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http://www.noo.org.uk/gsf.php5?f=10626&fv=11171http://www.sepho.nhs.uk/noo/msoa/singleatlas/atlas.htmlhttp://www.noo.org.uk/visualisation/eatlashttp://www.noo.org.uk/visualisation/eatlashttp://www.idea.gov.uk/idk/core/page.do?pageId=25765439http://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.rcplondon.ac.uk/resources/national-audit-falls-and-bone-health-older-peoplehttp://www.rcplondon.ac.uk/resources/national-audit-falls-and-bone-health-older-peoplehttp://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=679&pageaction=displayproducthttp://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=679&pageaction=displayproducthttp://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=679&pageaction=displayproducthttp://www.noo.org.uk/gsf.php5?f=10626&fv=11171http://www.sepho.nhs.uk/noo/msoa/singleatlas/atlas.htmlhttp://www.noo.org.uk/visualisation/eatlashttp://www.idea.gov.uk/idk/core/page.do?pageId=25765439http://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.rcplondon.ac.uk/resources/national-audit-falls-and-bone-health-older-peoplehttp://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=679&pageaction=displayproducthttp://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=679&pageaction=displayproduct


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[back to topics]

Palliative Care

Capacity, care planning and advance care planning in life limiting illness: a Guide forHealth and Social Care StaffNational End of Life Care ProgrammeThis guide covers the importance of assessing a persons capacity to make particular decisionsabout their care and treatment and of acting in the best interests of those who are assessed aslacking capacity to make these decisions. It also looks at the differences and relationshipbetween care planning and advance care planning.http://www.endoflifecareforadults.nhs.uk/publications/pubacpguide

Efficacy and safety of palliative chemotherapy for patients with advanced breast cancerpretreated with anthracyclines and taxanes: a systematic reviewOostendorp, LJM et al.This review assesses the current knowledge on palliative single-agent chemotherapy drugs

capecitabine, vinorelbine, gemcitabine, and liposomal doxorubicin. Capecitabine and vinorelbineshowed good efficacy. The disease control rate differed significantly between the four drugs.The Lancet Oncology, Early Online Publication, 27 May 2011.doi:10.1016/S1470-2045(11)70045-6

Needs based Palliative Care Commissioning for ChildrenAssociation for Childrens Palliative Care (ACT)The aims of the guide are to:

Help commissioners understand the complexities of commissioning the full range ofservices needed by children who will have shortened lives.

Interpret and make real for families the policy and clinical standards that support theservices their children receive.

Offer examples of good work from around the UK.

http://www.act.org.uk/core/core_picker/download.asp?id=571

[back to topics]

Patient Care and Safety

Inpatient services survey 2010Care Quality CommissionThis survey looked at the experiences of over 66,000 people who were admitted to hospital withat least one overnight stay. The results give an insight into patients experiences, and will be usedthroughout CQCs regulatory activities, such as licensing providers, monitoring ongoingcompliance and conducting reviews.http://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/inpatie

ntservices.cfm

Public perceptions of the NHSDepartment of HealthThe results of this study form an overall picture of public perception of the NHS as a whole. Thissurvey complements other major surveys commissioned by DH but is unique in the fact that itfocuses on the general public, rather than just patients, and therefore provides an independentview on how key NHS issues are regarded by the public.http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Generalsurveys/DH_4129933

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http://www.endoflifecareforadults.nhs.uk/publications/pubacpguidehttp://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(11)70045-6/fulltext?_eventId=loginhttp://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(11)70045-6/fulltext?_eventId=loginhttp://www.act.org.uk/core/core_picker/download.asp?id=571http://www.act.org.uk/core/core_picker/download.asp?id=571http://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/inpatientservices.cfmhttp://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/inpatientservices.cfmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Generalsurveys/DH_4129933http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Generalsurveys/DH_4129933http://www.endoflifecareforadults.nhs.uk/publications/pubacpguidehttp://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(11)70045-6/fulltext?_eventId=loginhttp://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(11)70045-6/fulltext?_eventId=loginhttp://www.act.org.uk/core/core_picker/download.asp?id=571http://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/inpatientservices.cfmhttp://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/inpatientservices.cfmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Generalsurveys/DH_4129933http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Generalsurveys/DH_4129933


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Safe & Effective Service Improvement: using Lean to deliver productivity and safety inhealthcareAmnisThis guide is designed to introduce those with a responsibility for safety and productivity to theconcept that Lean can, and already is, being used to tackle both of these important agendas. Theauthors also aim to show that an absence of Lean Thinking inside healthcare organisations canlead to increased patient safety risks.http://www.amnis.uk.com/sites/amnis.uk.com/files/downloads/Amnis%20-%20Safe%20%26%20Effective%20Service%20Improvement.pdf

Safer Clinical SystemsThe Health FoundationThe Health Foundation are now inviting applications for the next phase of the Safer ClinicalSystems programme. Phase 2 will support up to eight healthcare organisations to implement andtest the Safer Clinical Systems approach. The Foundation are looking for large providerorganisations with a strong track record in patient safety that are ready to take on the challenge of

implementing and testing this innovative approach in their local system.

http://www.health.org.uk/areas-of-work/programmes/safer-clinical-systems/open-for-application/

Valuing Carers 2011Carers UKThis paper updates the estimate of the value of carers support published by Carers UK in 2007 inValuing carers calculating the value of carers support.http://www.carersuk.org/professionals/resources/research-library/item/2123-valuing-carers-2011

An item in the Research section may also be of interest.

[back to topics]

PrescribingDifferences in costs of and access to pharmaceutical products in the EUEU Directorate General for Internal Policies. Policy Department A: Economic and Scientific PolicyThis report reviews the approaches that Member States have used to regulate the pharmaceuticalmarket on both the supply and demand sides, and assesses evidence regarding the impact ofthese different approaches on pharmaceutical prices, cost containment, and industry innovation.It also considers the implications for patient access to pharmaceuticals, and policy options tostrengthen coordination among Member States and exchange best practice.http://www.europarl.europa.eu/meetdocs/2009_2014/documents/envi/dv/201/201105/20110523_pharma_summary_en.pdf

Educational pack: Material to support appropriate prescribing of hypnotics and anxiolytics

across WalesWelsh Medicines PartnershipThis pack aims to provide key health professionals with a practical approach for the initiation andreview of hypnotic and anxiolytic prescribing. It includes examples of support material which canbe used or adapted for this purpose.http://www.wales.nhs.uk/sites3/page.cfm?orgid=371&pid=53297

Evaluation of nurse and pharmacist independent prescribing in England - key findings andexecutive summaryDepartment of Health

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http://www.amnis.uk.com/sites/amnis.uk.com/files/downloads/Amnis%20-%20Safe%20&%20Effective%20Service%20Improvement.pdfhttp://www.amnis.uk.com/sites/amnis.uk.com/files/downloads/Amnis%20-%20Safe%20&%20Effective%20Service%20Improvement.pdfhttp://www.health.org.uk/areas-of-work/programmes/safer-clinical-systems/open-for-application/http://www.health.org.uk/areas-of-work/programmes/safer-clinical-systems/open-for-application/http://www.carersuk.org/professionals/resources/research-library/item/2123-valuing-carers-2011http://www.europarl.europa.eu/meetdocs/2009_2014/documents/envi/dv/201/201105/20110523_pharma_summary_en.pdfhttp://www.europarl.europa.eu/meetdocs/2009_2014/documents/envi/dv/201/201105/20110523_pharma_summary_en.pdfhttp://www.europarl.europa.eu/meetdocs/2009_2014/documents/envi/dv/201/201105/20110523_pharma_summary_en.pdfhttp://www.wales.nhs.uk/sites3/page.cfm?orgid=371&pid=53297http://www.amnis.uk.com/sites/amnis.uk.com/files/downloads/Amnis%20-%20Safe%20&%20Effective%20Service%20Improvement.pdfhttp://www.amnis.uk.com/sites/amnis.uk.com/files/downloads/Amnis%20-%20Safe%20&%20Effective%20Service%20Improvement.pdfhttp://www.health.org.uk/areas-of-work/programmes/safer-clinical-systems/open-for-application/http://www.carersuk.org/professionals/resources/research-library/item/2123-valuing-carers-2011http://www.europarl.europa.eu/meetdocs/2009_2014/documents/envi/dv/201/201105/20110523_pharma_summary_en.pdfhttp://www.europarl.europa.eu/meetdocs/2009_2014/documents/envi/dv/201/201105/20110523_pharma_summary_en.pdfhttp://www.wales.nhs.uk/sites3/page.cfm?orgid=371&pid=53297


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This report concludes that nurse and pharmacist independent prescribing is becoming a well-integrated and established means of managing patients conditions and providing them with themedicines they need. The research also reports that Nurse and Pharmacist IndependentPrescribers are operating safely and prescribing appropriately and that there are high levels ofsatisfaction among patients being treated by them.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126429

Primary Care Trust Prescribing Data: October - December 2010NHS Information CentreThe data includes PCT Name; BNF section code; BNF section name; items; and actual cost.http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/primary-care-trust-prescribing-data-october--december-2010

Items in the Substance Misuse section may also be of interest.

[back to topics]

Public Health

The eatwell plate resourcesDepartment of HealthThis policy tool defines Government recommendations on healthy diets. It makes healthy eatingeasier to understand by giving a visual representation of the types and proportions of foodsneeded for a healthy and well balanced diet.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126472

Heatwave Plan for England: Protecting health and reducing harm from extreme heat andheatwavesDepartment of HealthThe Plan has been re-issued as a part of raising both public and professional awareness. ThePlan's purpose is to enhance resilience in the event of a heatwave. It is an important componentof overall emergency planning.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126666

Public HealthHouse of Commons Health Select CommitteeThe Committee has issued an invitation to submit written evidence for its inquiry on Public Health.Closing date: 13 June 2011http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiries/public-health/

Items in the Mental Health section may also be of interest.

[back to topics]

Research

Governance arrangements for research ethics committees: a harmonised editionDepartment of HealthThis policy covers the principles, requirements and standards for research ethics committees,including their remit, composition, functions, management and accountability. It also describes

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126429http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126429http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126429http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/primary-care-trust-prescribing-data-october--december-2010http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/primary-care-trust-prescribing-data-october--december-2010http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126472http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126472http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126472http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126666http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126666http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126666http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiries/public-health/http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiries/public-health/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126429http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126429http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/primary-care-trust-prescribing-data-october--december-2010http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/primary-care-trust-prescribing-data-october--december-2010http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126472http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126472http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126666http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126666http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiries/public-health/http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiries/public-health/


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the Research Ethics Service in which the research ethics committees operate and the review theyprovide. This harmonised edition comes into effect on 1 September 2011.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126474Working with patients and members of the public: Current practice and future plans2011-2012NowgenThe report is based on the findings of a patient involvement and public engagement mappingactivity which compiled the views of senior researchers on:

What kinds of involvement and engagement work they and their teams had done

The challenges of involvement and engagement work and what could be done to bestsupport these activites

http://www.nowgen.org.uk/about-us/news/article.php?id=13

[back to topics]

Respiratory

Addition to inhaled corticosteroids of long-acting beta2-agonists (LABA) versus anti-

leukotrienes (LTRA) for chronic asthmaCochrane ReviewThe authors concluded that in adults with asthma that is inadequately controlled on low doses ofinhaled steroids and showing significant reversibility with beta2-agonists, LABA is superior toLTRA in reducing oral steroid treated exacerbations. Differences favouring LABA in lung function,functional status and quality of life scores are generally modest. There is some evidence ofincreased risk of adverse events with LABA. The findings support the use of a single inhaler forthe delivery of LABA and inhaled corticosteroids.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003137/frame.html

Phosphodiesterase 4 inhibitors for chronic obstructive pulmonary diseaseCochrane ReviewThe authors concluded that Phosphodiesterase 4 inhibitors improve lung function and reduce the

likelihood of a flare-up of COPD, however they have little effect on symptoms or quality of life overand above existing treatments.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002309/frame.html

Prenatal or early-life exposure to antibiotics and risk of childhood asthma: a systematicreviewMurk, W et al.The authors concluded that antibiotics seem to slightly increase the risk of childhood asthma.Reverse causality and protopathic bias seem to be possible confounders for this relationship.Pediatrics. Online article. (doi: 10.1542/peds.2010-2092)

Risk of fractures with inhaled corticosteroids in COPD: systematic review and meta-analysis of randomised controlled trials and observational studiesLoke, YK et al.The authors concluded that among patients with COPD, long-term exposure to fluticasone andbudesonide is consistently associated with a modest but statistically significant increasedlikelihood of fractures.Thorax online first. doi:10.1136/thx.2011.160028

[back to topics]

Safeguarding Children and Vulnerable Adults

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126474http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126474http://www.nowgen.org.uk/about-us/news/article.php?id=13http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003137/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003137/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002309/frame.htmlhttp://pediatrics.aappublications.org/content/early/2011/05/19/peds.2010-2092.abstracthttp://thorax.bmj.com/content/early/2011/05/20/thx.2011.160028.shorthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126474http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126474http://www.nowgen.org.uk/about-us/news/article.php?id=13http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003137/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002309/frame.htmlhttp://pediatrics.aappublications.org/content/early/2011/05/19/peds.2010-2092.abstracthttp://thorax.bmj.com/content/early/2011/05/20/thx.2011.160028.short


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The Munro Review of Child Protection: Final Report: a child-centred systemDepartment for EducationThis third and final report sets out recommendations to reform the child protection system.http://www.education.gov.uk/munroreview/Statement of Government policy on adult safeguardingDepartment of HealthThis policy includes a statement of principles for use by Local Authority Social Services andhousing, health, the police and other agencies for both developing and assessing theeffectiveness of their local safeguarding arrangements.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126748

The voice of the child: learning lessons from serious case reviewsOfstedThis report provides an analysis of 67 serious case reviews that Ofsted evaluated between 1 Apriland 30 September 2010. The main focus of the report is on the importance of listening to thevoice of the child. Previous Ofsted reports have identified this as a recurrent theme which isconsidered in greater detail here.http://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-by-type/Thematic-reports/The-voice-of-the-child-learning-lessons-from-serious-case-reviews

[back to topics]

Service Management

Allied Health Professions Service Improvement ProjectDepartment of HealthThis series of documents demonstrate how AHPs can improve clinical outcomes and patientexperience through innovation in service delivery that both improve quality and increaseproductivity. The report, summary and associated resources are available at:http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126840

Ethical Procurement for Health: WorkbookBMAThis workbook helps procurers in the health and social care sector include consideration of labourstandards throughout the procurement and market engagement processes. It aims to buildawareness and understanding of labour standards in supply chains among procurers, so thatconcerns can be identified early and addressed proactively and constructively. This workbookprovides guidance, templates, tools and case examples to support the development of robustmanagement processes to address labour standards.http://www.bma.org.uk/international/international_development/fairtrade/ethicalprocurehealthworkbook.jsp

Integration this time? Liberating the NHS and the role of local governmentLocal Government Improvement and Development

The report summarises findings from a historical overview of arrangements and experiences ofjoint working between local government and the NHS since the NHS was founded in 1948. Thisoverview generated 10 principles of integration which are then used as a framework foranalysing the relevant provisions of the Governments current proposals. Finally, some of therisks to the successful application of the emerging framework are examined. These arise from theimplementation of the wider arrangements for commissioning and accountability in the NHS.http://www.idea.gov.uk/idk/core/page.do?pageId=27388210

The LG Group quick guide to local government

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http://www.education.gov.uk/munroreview/http://www.education.gov.uk/munroreview/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126748http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126748http://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-by-type/Thematic-reports/The-voice-of-the-child-learning-lessons-from-serious-case-reviewshttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-by-type/Thematic-reports/The-voice-of-the-child-learning-lessons-from-serious-case-reviewshttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-by-type/Thematic-reports/The-voice-of-the-child-learning-lessons-from-serious-case-reviewshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126840http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126840http://www.bma.org.uk/international/international_development/fairtrade/ethicalprocurehealthworkbook.jsphttp://www.bma.org.uk/international/international_development/fairtrade/ethicalprocurehealthworkbook.jsphttp://www.bma.org.uk/international/international_development/fairtrade/ethicalprocurehealthworkbook.jsphttp://www.idea.gov.uk/idk/core/page.do?pageId=27388210http://www.education.gov.uk/munroreview/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126748http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126748http://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-by-type/Thematic-reports/The-voice-of-the-child-learning-lessons-from-serious-case-reviewshttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-by-type/Thematic-reports/The-voice-of-the-child-learning-lessons-from-serious-case-reviewshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126840http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126840http://www.bma.org.uk/international/international_development/fairtrade/ethicalprocurehealthworkbook.jsphttp://www.bma.org.uk/international/international_development/fairtrade/ethicalprocurehealthworkbook.jsphttp://www.idea.gov.uk/idk/core/page.do?pageId=27388210


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Local Government GroupThis guide has just been updated to help those new to local government (for example,transferring from the NHS).http://www.idea.gov.uk/idk/aio/27662542The future of leadership and management in the NHS: no more heroesKings FundThis report from the Kings Fund commission on leadership and management in the NHSchallenges some of the negative attitudes towards managers, and questions current plans formajor reductions in management and administration costs. The commission believes that theNHS needs to move beyond the outdated model of heroic leadership to recognise the value ofleadership that is shared, distributed and adaptive. In the new model, leaders must focus onsystems of care and not just institutions and on engaging staff in delivering results.http://www.kingsfund.org.uk/publications/nhs_leadership.html

Stealing the NHS? How careless is the NHS being with our tax money?2020Health.orgThe report concluded that tax payers money is being wasted and the NHS is probably still losingbillions in fraud. It is still unclear whose responsibility counter fraud will be when PCTs go. Thereport recommends clarification of NHS Trust responsibility around reporting of counter fraudactivity and spending, and change in the reporting requirements to provide clear and accurate

outcomes information and Consequences for concealment.http://www.2020health.org/2020health/research/nhsit0.html

Items in the Children and Young People, Commissioning, Diabetes, Older People andPatient Care and Safety sections may also be of interest.

[back to topics]

SmokingCompetitions and incentives for smoking cessationCochrane ReviewThe authors concluded that smokers may quit while they take part in a competition or receiverewards for quitting, but generally do no better than unassisted quitters once the rewards stop.Competitions and rewards may attract more people to make a quit attempt than might otherwisedo so, but cessation rates remain broadly the same as for non-contestants.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004307/frame.html

Tobacco use among minority ethnic populations and cessation interventionsBetter HealthThis report concludes that while smoking rates have decreased within the general population, thispattern does not seem to be reflected among black and minority ethnic communities. Use ofdifferent tobacco products, including shisha and smokeless tobacco, is more common amongminority ethnic groups. Regulation and cessation outreach work must acknowledge thesedifferent products, and adapt to the specific needs of different ethnic groups.http://www.better-health.org.uk/files/health/health-brief22.pdf

[back to topics]

Stroke

National Sentinel Stroke Audit 2010 Round 7: Public Report for England, Wales andNorthern IrelandRoyal College of Physicians

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http://www.idea.gov.uk/idk/aio/27662542http://www.idea.gov.uk/idk/aio/27662542http://www.kingsfund.org.uk/publications/nhs_leadership.htmlhttp://www.kingsfund.org.uk/publications/nhs_leadership.htmlhttp://www.2020health.org/2020health/research/nhsit0.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004307/frame.htmlhttp://www.better-health.org.uk/files/health/health-brief22.pdfhttp://www.idea.gov.uk/idk/aio/27662542http://www.kingsfund.org.uk/publications/nhs_leadership.htmlhttp://www.2020health.org/2020health/research/nhsit0.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004307/frame.htmlhttp://www.better-health.org.uk/files/health/health-brief22.pdf


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This audit monitors the rate of progress in stroke care services in a two year cycle. It consists oftwo components which focus on the organisation of care (Organisational Audit) and the processof care (Clinical Audit). Audit reports and maps available at:http://www.rcplondon.ac.uk/resources/national-sentinel-stroke-audit

Substance Misuse

Addiction to medicine: An investigation into the configuration and commissioning oftreatment services to support those who develop problems with prescription only or over-the-counter medicineNational Treatment Agencyhttp://www.nta.nhs.uk/uploads/addictiontomedicinesmay2011a.pdf

[back to topics]

Vaccination and Immunisation

Immunisation against infectious disease - 'The Green Book': Chapter 8, Vaccine safety andadverse events following immunisation

Department of HealthThis chapter was updated in May 2011.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_079917

International travel and health (2011 edition)World Health OrganisationThis report provides information on health risks for travellers.http://www.who.int/ith/en/

Items in the Influenza section may also be of interest.

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Womens Health

Association of Breast Surgery (ABS) Breast Screening Audit 2009 - 2010NHS Breast Screening ProgrammeThis audit shows significant improvements in survival for women diagnosed with breast cancerdetected through the NHS Breast Screening Programme (NHSBSP).http://www.cancerscreening.nhs.uk/breastscreen/publications/ba09-10.html

First annual report of the National Heavy Menstrual Bleeding AuditRoyal College of Obstetricians and GynaecologistsThis report focuses on the gynaecological services available as well as womens experience oftreatment. The audit is a four-year project and has two main parts: firstly, an audit of the provision

of hospital gynaecological services and secondly an audit of patient-reported outcomes.Full report:http://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011.pdfSummary for the general public:http://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011_GeneralPublicSummary.pdf

[back to topics]

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http://www.rcplondon.ac.uk/resources/national-sentinel-stroke-audithttp://www.nta.nhs.uk/uploads/addictiontomedicinesmay2011a.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_079917http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_079917http://www.who.int/ith/en/http://www.who.int/ith/en/http://www.cancerscreening.nhs.uk/breastscreen/publications/ba09-10.htmlhttp://www.cancerscreening.nhs.uk/breastscreen/publications/ba09-10.htmlhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011.pdfhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011.pdfhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011_GeneralPublicSummary.pdfhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011_GeneralPublicSummary.pdfhttp://www.rcplondon.ac.uk/resources/national-sentinel-stroke-audithttp://www.nta.nhs.uk/uploads/addictiontomedicinesmay2011a.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_079917http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_079917http://www.who.int/ith/en/http://www.cancerscreening.nhs.uk/breastscreen/publications/ba09-10.htmlhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011.pdfhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011.pdfhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011_GeneralPublicSummary.pdfhttp://www.rcog.org.uk/files/rcog-corp/NationalHMBAudit_1stAnnualReport_May2011_GeneralPublicSummary.pdf


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Workforce

Agency Workers RegulationsNHS EmployersThese regulations come into force on 1 October 2011 and will mean that agency workers receive"equal treatment" compared to permanent staff after being employed for 12 weeks. This onlineguide will help employers understand and implement the changes.http://www.nhsemployers.org/PlanningYourWorkforce/Flexible-workforce/legislativeandpolicyframework/AgencyWorkersDirective/Pages/Agency-workers-directive.aspx

The impact of the 200708 changes to public service pensionsHouse of Commons Committee of Public Accountshttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/833/833.pdf

Are clinicians engaged in quality improvement? a review of the literature on healthcareprofessionals views on quality improvement initiativesHealth FoundationThis review highlights how clinical engagement in improvement remains a complex, challengingissue. The authors believe that an enhanced model of professionalism with a number ofcomponents is required which places a stronger emphasis on accountability; recognises thebenefits of creating a different dynamic between patients and professionals; accepts change as avirtue rather than a threat; commits to using a range of different approaches to develop andmobilise knowledge about how to improve care and build the formal evidence base underpinningit; and emphasises the importance of clinicians working in multidisciplinary teams and acrossprofessional and organisational boundaries.http://www.health.org.uk/publications/are-clinicians-engaged-in-quality-improvement/

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