Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Issue 72 13th March 2015

Health Reports, Documents & News Safe nursing staffing guidance NICE has published new guidance Safe midwifery staffing for maternity settings (NG4). This guideline makes recommendations on safe midwifery staffing requirements for maternity settings. The guideline focuses on the pre-conception, antenatal, intrapartum and postnatal care provided by midwives in all maternity settings, including: at home, in the community, in day assessment units, in obstetric units, and in midwifery-led units (both alongside hospitals and free-standing). The guideline identifies organisational and managerial factors that are required to support safe midwifery staffing, and makes recommendations for monitoring and taking action if there are not enough midwives available to meet the midwifery needs of needs of women and babies in the service. Guideline New national maternity survey The National Perinatal Epidemiology Unit at Oxford University has published Safely delivered: A national survey of women’s experiences of maternity care 2014. The findings show that, compared with earlier surveys in 2006 and 2010, women are realising they are pregnant and seeing a health professional earlier, with 96% seeking care by 12 weeks. Other results show that postnatal hospital stays are continuing to get shorter and the number of postnatal visits is declining. Overall satisfaction with care remains high although, as in earlier surveys, satisfaction with postnatal care is lower than that for antenatal care or care in labour and delivery. Report

LIBRARY INFORMATION ALERT

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Somerset Libraries @ MPH, YDH and SomPar

Health Reports, Documents & News click here Mental Health News click here Behind the Headlines click here Evidence Based Practice click here

Library News click here Journal Scan click here

Useful Web Resources click here

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Allied Health Professionals prescribing plans Proposals allowing certain health professions to prescribe or supply and administer medicines for patients have been published by NHS England. The proposals would apply across the United Kingdom, and would enable four groups of registered allied health professions (AHPs) radiographers, paramedics, dietitians and orthoptists to prescribe or supply and administer medicines, giving patients responsive access to treatment. For many patients an AHP is their lead clinician, yet they often do not have access to the appropriate prescribing or supply and administration of medicines mechanisms. This means the patient may have to make an additional appointment with their GP or doctor to get the medicines they need. Click here to read more

NEW Academy of Medical Royal Colleges report on exercise as a “miracle cure” The Academy of Medical Royal Colleges speaks on standards of care and medical education across the UK. The Academy produces various recommendation reports and guidelines as a result of the work of its various committees and projects as well as through collaborations with colleges, faculties and other bodies involved in healthcare. This latest report Exercise: The miracle cure and the role of the doctor in promoting it outlines not just why doctors in all four nations in the UK must take a leading role in the fight against a sedentary lifestyle, but commendably sets out in clear and simple terms how they should do that. To find out more and access the report please click here

NEW report on choice in end of life care The Choice in End of Life Care Programme Board was commissioned to provide advice to Government on improving the quality and experience of care for adults at the end of life, their carers and others who are important to them by expanding choice. This new independently-led Review of Choice in End of Life Care has provided advice to Government which includes establishing a ‘national choice offer’ focused on individuals’ end of life care needs by April 2020, providing an additional £130 million funding for end of life health and social care services. The report also advises establishing 24/7 community end of life care by 2019 and implementing shared electronic end of life care records by April 2018 in all areas. Lastly the report recommends there is a named responsible senior clinician for all people approaching the end of life. To find out more and access the report please click here

WHO: Limit Use of Personal Audio Devices to Under an Hour a Day Some 1.1 billion teens and young adults are putting their hearing at risk by using personal audio devices unsafely and exposing themselves to damaging sound levels at nightclubs, bars, and other entertainment venues, the World Health Organization said on Friday. A WHO analysis of research from middle- and high-income countries found that almost half of those aged 12 to 35 are exposed to unsafe noise levels from personal audio devices (e.g., smartphones), and roughly 40% are similarly exposed at entertainment venues Read more @ http://www.who.int/mediacentre/news/releases/2015/ear-care/en/

Building the foundations for improvement How five UK trusts built quality improvement capability at scale within their organisations The report provides an insight into how and why the trusts embarked on their improvement journeys, the impact they achieved and the challenges they encountered. Report

Constructive comfort: accelerating change in the NHS This report from the Health Foundation asks how best to design national policy on the NHS to accelerate improvements to health care Report

Personal health budgets: sustainable finance NHS Confederation has published Getting the sums right: how to sustainably finance personal health budgets. This briefing is aimed at leaders and managers in clinical commissioning groups and providers who are either looking to lead implementation of personal health budgets beyond continuing healthcare or considering how to respond to the implications of expanding personal health budgets. It sets out the learning from a workshop to identify and allocate funds for personal health budgets from within existing budgets, and manage the risk of double-running costs. It makes recommendations for commissioners, providers and national policymakers. Briefing

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Implementing the NHS Health Check Programme The Local Government Association has published Checking the health of the nation: implementing the NHS Health Check Programme. This document contains case studies setting out how five local authorities are delivering the NHS Health Check programme. Document

Code4Health NHS England is supporting frontline staff and healthcare professionals to develop apps and other digital tools to become the centrepiece of an unprecedented initiative to harness the information revolution and make a real difference to patient care. Code4Health aims to build on the growing movement of like-minded individuals and organisations who want to come together to share ideas, change working practice and build solutions to improve healthcare. http://www.england.nhs.uk/ourwork/tsd/code4health/

What’s behind the A&E ‘crisis’? The Nuffield Trust has published its third policy briefing in the run up to the General Election 2015 which examines the reasons behind England’s A&E ‘crisis’ and warns that the emphasis on the four-hour waiting time target has become disproportionate. What’s behind the A&E ‘crisis’? explores the way that performance is measured in A&E and argues that new approaches to performance management, with other measures given equal status to the four-hour target, should be adopted. The report argues that the cause of A&E pressures has been misunderstood, and long-term trends and immediate causes conflated, with too much focus on the 2004 GP contract, NHS 111 and the gradual increase in admissions, rather than broader issues of hospital discharge and patient flow. The briefing also presents the latest data on A&E.

CQC dental inspections The Care Quality Commission has published their first 12 reports on the quality of care provided by dental practicesthat have been inspected under its new approach. In line with CQC's other inspections, the reports focus on whether services provided are safe, effective, caring, responsive and well led. The experience from these new inspections, along with feedback from a recent consultation will be used to further develop the approach which will then be fully implemented from 1 April. Unlike other regulated sectors, primary care dental services will not be given a rating in 2015/16. Over the next year the CQC plan to inspect 10 per cent of England’s 10,000 dental practices.

Most providers opt for ‘Enhanced Tariff’ for 2015/16 Monitor and NHS England have announced that 210 out of 241 NHS trusts and foundation trusts will move to the new voluntary tariff option (the ‘Enhanced Tariff Option’ (ETO) for 2015/16. The providers who have not affirmatively opted in to the ETO will continue on current prices (the 2014/15 ‘Default Tariff Rollover’, or DTR) until such time as a new tariff is established. This will not be until later this year, possibly following a referral by Monitor to the Competition and Markets Authority.

Specialised services recommendations The Prescribed Specialised Services Advisory Group (PSSAG) has published its recommendations to ministers on which health services should be considered to be specialised and be nationally commissioned by NHS England, rather than locally commissioned by clinical commissioning groups. Prescribed Specialised Services Advisory Group: recommendations to ministers sets out the proposals considered by PSSAG at its May and September 2014 meetings, and outlines the Group’s recommendations for each of the 23 proposals.

National NHS Diabetes Prevention Programme Public Health England, NHS England and Diabetes UK have announced local demonstration sites for the new National Diabetes Prevention Programme. The programme aims to significantly reduce the 4 million people in England otherwise expected to have Type 2 diabetes by 2025. It is estimated that a big proportion of Type 2 diabetes could be prevented, and England will be the first country to implement a national evidence-based diabetes prevention programme at scale. Seven ‘demonstrator’ sites (including Bradford CCG) have been chosen to take part in the initial phase of the programme, during which they will see more patients, monitor and test their local programmes, and help co-design and implement the national programme.

Resources for nurses who support carers The Queen’s Nursing Institute has launched three online resources to support nurses who work with carers. The Supporting Carers resources contain case studies and hypothetical scenarios to aid learning. There are separate resources for district nurses, general practice and school nurses. Subjects covered include safeguarding, referral, burden of care, cultural and social context, personal and professional development, boundaries of practice, multi-disciplinary working and ethical and legal responsibilities.

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Healthy Child Programme: rapid review Public Health England has published Rapid review to update evidence for the healthy child programme 0-5. The aim of the review is to synthesise relevant systematic review level evidence about ‘what works’ in key areas of the Healthy Child Programme including: parental mental health; smoking; alcohol/drug misuse; intimate partner violence; preparation and support for childbirth and the transition to parenthood; attachment; parenting support; unintentional injury in the home; safety from abuse and neglect; nutrition and obesity prevention; and speech, language and communication. In addition, the review seeks to draw out key messages in relation to: identifying families in need of additional support; the delivery/effective implementation of interventions at the programme/service level and individual practitioner level; workforce skills and training; and the economic value/cost benefits of the HCP, including both health and wider societal costs.

Working longer further reading library The Working Longer Group has brought together a library of research publications and websites to help employers and employees further understand the implications of working to a raised retirement age. The Working longer further reading library will be kept up to date with new and demerging research and publications.

Shape of Caring Review report Health Education England (HEE) has published the Shape of Caring Review report which was commissioned by HEE in partnership with the Nursing and Midwifery Council. Raising the bar: a review of the future education and training of registered nurses and care assistants makes 34 recommendations for the future education and training of nurses and care assistants.

NEW report on choice in end of life care The Choice in End of Life Care Programme Board was commissioned to provide advice to Government on improving the quality and experience of care for adults at the end of life, their carers and others who are important to them by expanding choice. This new independently-led Review of Choice in End of Life Care has provided advice to Government which includes establishing a ‘national choice offer’ focused on individuals’ end of life care needs by April 2020, providing an additional £130 million funding for end of life health and social care services. The report also advises establishing 24/7 community end of life care by 2019 and implementing shared electronic end of life care records by April 2018 in all areas. Lastly the report recommends there is a named responsible senior clinician for all people approaching the end of life. To find out more and access the report please click here

Progress in improving cancer services and outcomes in England The Public Accounts Committee has published Progress in improving cancer services and outcomes in England. This report suggests that despite having a good record in improving cancer services, the Department of Health and NHS England have lost momentum in the last two years. The incidence of cancer has grown whilst the resources available have reduced. Leadership has been lost, the support for commissioners and providers to support improvement reduced, and fragmentation of accountability has made progress more difficult. The NHS needs to adapt to cope with the growing demand, but it is struggling to meet waiting time standards. While the information to support improvements in cancer services is better than it was, important gaps remain. There are also insufficient data to evaluate properly the impact of the Cancer Drugs Fund on patient outcomes. Hidden at home: the social care needs of people with cancer This research reveals that one in 10 (11 per cent) people with cancer in the UK, equivalent to at least 160,000 people, say they are constantly or often left housebound due to a lack of support. At least 100,000 people (seven per cent) are constantly or often unable to wash themselves, dress or go to the toilet. One in seven (15 per cent) of people with cancer have had to go to hospital for an unplanned or emergency visit because of a lack of support for their practical or personal needs. Report

Delivering high quality, effective, compassionate care: developing the right people with the right skills and the right values This document sets out the priority areas for Health Education England in the delivery of its functions. The mandate for 2015 to 2016 reflects strategic objectives around workforce planning, health education and training and development. It looks at how the healthcare workforce can be supported through excellent education and training to deliver the very best care to patients. Mandate

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Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

MENTAL HEALTH NEWS

£10m investment in drug and alcohol recovery services Public Health England (PHE) has announced the successful applicants for ten million of capital funding for services that are helping people in England with drug or alcohol problems to recover from their addiction. Over 50 projects across England, in partnership with local authorities, will receive grants from PHE. Out of the designated £10m capital funding, PHE has awarded a substantial proportion to projects that provide tailored education, training, skills and employment support to people in recovery, and to projects that provide safe and secure accommodation from which it’s possible to recover.

Public Health England Press release Strengthening rights of people with learning disabilities, autism and mental health issues - consultation The Department of Health has launched a consultation seeking views to strengthen rights of people with learning disabilities, autism and mental health issues to enable them to live independently. No voice unheard, no right ignored – a consultation for people with learning disabilities, autism and mental health conditions explores options on issues such as how people can: be supported to live independently, as part of a community; be assured that their views will be listened to; challenge decisions about them and about their care; exercise control over the support they receive with a Personal Health Budget; expect that different health and local services will organise themselves around their needs; and know that professionals are looking out for their physical health needs as well as their mental health needs. Indirect payments for people who lack capacity The Mental Health Foundation and National Institute for Health Research School for Social Care Research have published ‘Indirect payments’ for people who lack capacity: how are they working in practice. This study aimed to explore how direct payments are operating for people who lack capacity to consent are living with learning disabilities or dementia. The study found clear benefits of a direct payment being reported for some recipients. There are some areas of concern including confusion over assessments and some aspects of best interest decision-making processes. The research suggests there may be improvements to the way in which suitable people are identified and supported. Public mental health leadership and workforce development Public Health England has published Public mental health leadership and workforce development framework. The purpose of this framework is to inform and influence the development of public health leadership and the workforce in relation to mental health. The aim is to build the capacity and capability of leaders and a workforce that is confident, competent, and committed to: promoting good mental health across the population; preventing mental illness and suicide; and improving the quality and length of life of people living with mental illness. Additional link: PHE Press release Achieving parity of esteem for mental health The All Party Parliamentary Group (APPG) on Mental Health has published Parity in Progress? The report is the result of an inquiry into ‘parity of esteem 2014/2015’, to assess how the Government is meeting its objective to give mental health equal priority to physical health. The APPG found that although progress has been made in some areas, there is still a long way to go before parity is achieved. In particular, their report calls for an independent review as to how both the NHS and clinical commissioning groups are being held to account on parity. How to promote youth-friendly mental health and wellbeing services. This ‘How to’ guide is one of a series of guides designed to bring together learning from the five year Right Here programme initiated by Paul Hamlyn Foundation (PHF) and the Mental Health Foundation (MHF) to support the mental wellbeing of young people aged 16–25. Guide

Supporting children's mental health is a good investment, says new report Investing in children's mental health examines the costs and the benefits of a range of interventions to prevent or treat some of the most common mental health conditions that affect children and young people. Report

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

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BEHIND THE HEADLINES Autism-related genes linked to cognitive ability A diet rich in veg and fish may reduce bowel cancer risk Is education the best form of teen contraception? Being optimistic after heart attack may help with recovery People with gout have lower risk of Alzheimer’s disease Adults may only get 'real flu' every five years Is long-term paracetamol use not as safe as we thought? MS stem cell treatment only a 'miracle' for some Does deadly diet drug DNP defeat diabetes? Over two hours screen time a day may raise a child’s blood pressure Longer sleep linked to stroke 'Game changer' HIV drug cuts infection risk by 86% Full list available at: http://www.nhs.uk/News/Pages/NewsIndex.aspx

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EVIDENCE-BASED PRACTICE

NICE Guidance for March 2015

Ref Title Type

NG6 Excess winter deaths and morbidity and the health risks associated with cold homes

Guideline

NG5 Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes

Guideline

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EXTRACTS FROM THE MENTAL ELF BLOG Keeping you up to date with reliable mental health research, policy & guidance

Financial incentives for smoking cessation in pregnancy

Psychotherapies for adult depression: the things we know we know, and those we know we don’t

People with severe mental illness are more likely to be victims of violent and non-violent crime

Cognitive bias modification for anxiety and depression in children and adolescents

Mini-Cog for dementia diagnosis in the community

Searching for the cost of bipolar disorder Full reviews at: http://www.thementalelf.net/#sthash.1TMfsl0G.dpuf

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

USEFUL WEB RESOURCES

SCIE Prevention Library: Evidence-Based

Practice and Research in Adult Social Care SCIE has been commissioned by the Department of Health to

develop this resource which is intended to support and inform

commissioners of prevention services in local authorities and

clinical commissioning groups (CCGs) in England.

http://www.scie.org.uk/prevention-library/

Managing Networks NHS Improving Quality and Centre for Innovation in Health Care have launched an

online toolkit to help leader’s identify a network’s strengths and weaknesses and

shape action.

For more information about the toolkit visit http://www.networksdiagnostic.org.uk/

New NMC Code The new code comes into effect on March 31

st 2015 and can be downloaded @

http://www.nmc-uk.org/The-revised-Code/The-revised-Code-in-full/

NHS Do OD app NHS Employers Do OD is now two years old and an app for the first national resource for

organisational development practitioners in the NHS has recently been created.

Click here to read more and download the app.

New reviews:

Abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis

Dance movement therapy for depression

Hydrogel dressings for treating pressure ulcers

Interventions to reduce waiting times for elective procedures

Click here to visit The Cochrane Library and read all the latest reviews.

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Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

LIBRARY NEWS

Anatomy TV Anatomy.tv: images which can be used for teaching and presentations

Anatomy.tv continues to be a popular with NHS staff and renewal of this resource for the South West region has just

been confirmed. The site is Athens authenticated and once logged in you will be able to explore the body, hover

over areas to identify structures, read overviews, work through tissue layers and see 3D representations, movie clips

and slides.

If you do not have a current NHS Athens password you can register at https://register.athensams.net/nhs/

Library staff will be happy to help with any queries.

Visit Anatomy.tv at www.anatomy.tv and look for the Athens login link.

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Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

JOURNAL SCAN Please contact your designated Trust library service for copies of articles or any related queries. This can be done by email, telephone, post or on-line request forms (available on the library web pages of your Trust Intranet). Full contact details are at the end of this bulletin. A&E Trusts told ‘make every effort’ to meet A&E target in April Sophie Barnes HSJ Online 6.3.15 Cancer Blood glucose concentration and risk of pancreatic cancer: systematic review and dose-response meta-analysis Wei-Chih Liao et al BMJ 2015;349:g7371 Cardiology The war against heart failure: the Lancet lecture Eugene Braunwald Lancet 28.2.15 p812-824 A public health approach to global management of hypertension Sonia Y Angell et al Lancet 28.2.15 p825-827 Let's collaborate: improving research in cardiac nursing David R Thompson British Journal of Cardiac Nursing 2015 10 (1) p6 Liberal or restrictive transfusion after cardiac surgery Gavin J. Murphy et al New England Journal of Medicine 12.3.15 p997-1008 Care of the Elderly Preoperative assessment of the older surgical patient: honing in on geriatric syndromes Clinical Interventions in Aging 2015 10 p13-27 Download fulltext article Enhancing care of older adults in the emergency department: old problems and new solutions Mark McClelland et al Journal of Psychosocial Nursing & Mental Health Services March 2015 p18-21 Dementia All patients with dementia should have pain relief Sally Gillen Nursing Older People 2015 27 (2) p7 Clinical neurorestorative progress in Alzheimer’s disease (Review) Liyan Qiao et al Journal of Neurorestoratology 2015 3 p1-9 Download fulltext article

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Diabetes Using information prescriptions in diabetes Amy Rylance Nursing Times 4.3.15 p12-13 Managing diabetes in people with dementia Joe Brown et al Nursing Times 4.3.15 p16-19 Electives Drop in elective patients treated reflects A&E demand Sophie Barnes HSJ Online 12.3.15 Healthcare Assistants HCAs offered faster degrees Nicola Merrifield Nursing Times 11.3.15 p11-12 Infection control Standardising aseptic technique to avoid HCAIs Alexa Crawford et al Nursing Times 11.3.15 p16-18 Integrated Care What should integrated care look like ... ? Roger Jones et al British Journal of General Practice 2015 March p149 -151 Intellectual Disability Guidelines for Dementia-Related Health Advocacy for Adults With Intellectual Disability and Dementia: National Task Group on Intellectual Disabilities and Dementia Practices Bishop, Kathleen M et al. Intellectual and Developmental Disabilities 2015 53 (1) p2-29 An Interface to Support Independent Use of Facebook by People With Intellectual Disability Davies, Daniel K et al. Intellectual and Developmental Disabilities 2015 53 (1) p30-41 Learning & Development Continual professional development: a burden lacking educational outcomes or a marker of professionalism? Joseph E. Ibrahim Medical Education March 2015 p240-242 Learning to care for older patients: hospitals and nursing homes as learning environments Marije Huls et al Medical Education March 2015 p332-339 Mental Health The future of mental health in the UK: an election manifesto Greg Smith Lancet 28.2.15 p747-749 Mental health student nurses urged to challenge convention Nicola Merrifield Nursing Times 4.3.15 p4 In-patient services for people with intellectual disability and mental health or behavioural difficulties John Devapriam , Alan Rosenbach , Regi Alexander BJPsych Advances March 2015 p116-123

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Adverse childhood events and psychosis in bipolar affective disorder Rachel Upthegrove et al The British Journal of Psychiatry 2015 March p191-197 Nurse revalidation A framework to support the revalidation process Nicola Ryley, David Barton Nursing Management 2015 21 (10) p16-22 Patients first [Editorial] Really putting patients first: ensuring significant involvement for patients in healthcare decision making Patricia Wilkie British Journal of General Practice 2015 March p108 -109 Personality disorders [Sompar staff publication] Developing a Collaborative Formulation Framework for Service Users with Personality Disorders. Yeandle J., Fawkes L., Beeby R., Gordon C and Challis L Mental Health Practice 2015 18 (5) p25-28 Productive Ward How effective is Productive Ward? Mark White Nursing Times 11.3.15 p22-25 Public health Embed a public health ethos in the medical workforce Anand Bhopal et al Lancet 7.3.15 p853-854 Quality & Safety Parent-activated medical emergency teams: a parent’s perspective James Titcombe BMJ Quality & Safety March 2015 p182-183 But I told you she was ill! The role of families in preventing avoidable harm in children Damian Roland BMJ Quality & Safety March 2015 p186-187 Developing and evaluating the success of a family activated medical emergency team: a quality improvement report Patrick W Brady et al BMJ Quality & Safety March 2015 p203-211 Respiratory medicine Risk factors and early origins of chronic obstructive pulmonary disease Dirkje S Postma et al Lancet 7.3.15 p899-909 Staff wellbeing UK NHS staff: stressed, exhausted, burnt out Emma Wilkinson Lancet 7.3.15 p841-842 Stroke Randomized assessment of rapid endovascular treatment of ischaemic stroke M. Goyal et al New England Journal of Medicine 1019-1030

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 13/03/15

Student nurses Encouraging student feedback on placements Colin Ramage et al Nursing Times 4.3.15 p20-22

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DISCLAIMER: The Musgrove Park Library Service takes no responsibility for the wording, content and accuracy of the information supplied which has been extracted and edited in good faith from reputable sources. If you want to download or print an item in this Alert, it is your responsibility to stay within the terms of the NHS Copyright License and/or check the copyright of NHS staff from all terms and conditions on individual web sites.

Library Contact Details MPH Library@tst.nhs.uk Tel: 01823 342433 Library web pages at: http://intranet.tsft.nhs.uk/Default.aspx?alias=intranet.tsft.nhs.uk/LibraryService YDH Library@ydh.nhs.uk Tel: 01935 384495 Library web pages at: http://ycloud/teams/Library/SitePages/Home.aspx SomPar Library@sompar.nhs.uk 01823 368210 Library web pages at: http://intranet.sompar.nhs.uk/a_-_z_directory/library_service.aspx

We welcome any feedback about the content or format of the Library Information Alert and are happy to receive items for inclusion. Please contact library@tst.nhs.uk The current issue of this Alert, together with the Archive of previous issues is available via the Library web pages on the Musgrove Park Hospital Intranet.