Somerset NHS Libraries @ MPH, YDH and SomPar

LIBRARY INFORMATION ALERT

Issue 69 23rd January 2015

A health current awareness

bulletin by email

This is a current awareness bulletin for the Somerset NHS health community. The aim is to publish fortnightly and to include key information and news from across the broad spectrum of health disciplines in order to inform practice and promote evidence-based healthcare. It represents only a small percentage of all the published information and the content is not necessarily being endorsed. 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. If you would like copies of any of the articles, or further information on anything mentioned please contact your own trust library staff at MPH, YDH or SomPar (details at the end of this bulletin). We welcome any feedback about the content or format 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. http://intranet.tsft.nhs.uk/libraryservice/CurrentAwareness/tabid/6080/language/en-GB/Default.aspx

Health Reports, Documents & News Flu levels continue to rise Public Health England has relaunched the ‘Catch it. Bin it. Kill it.’ campaign following an increase in flu activity. Latest figures from Public Health England indicate that flu is continuing to circulate in the community. Overall, levels are now higher than the peak of flu activity observed in the last 3 seasons, but have not reached the levels seen in the last notable seasons of 2010 to 2011 and 2008 to 2009. The number of patients hospitalised due to flu remains low at a rate of 1.99 per 100,000. The campaign will consist of national press, radio, video-on-demand and digital advertising, to run for approximately 3 weeks.

Many hundreds over Somerset and Devon have joined the email group receiving this service. If you know of anyone who would also like to join please let us know.

Funding healthcare: making allocations to local areas The Public Accounts Committee has published Funding healthcare: making allocations to local areas. The Department of Health and NHS England have changed the way that they allocate health funding to local commissioners. The Department and NHS England have prioritised maintaining the financial stability of local health economies, but this means they have made only very slow progress towards ensuring that all areas receive their fair share of the available funding. Around two-fifths of clinical commissioning groups and three-quarters of local authorities are receiving allocations more than 5% above or below what would be their defined share. The report recommends NHS England should confirm its commitment to move clinical commissioning groups to within 5 percentage points of their target allocations and set out a precise timetable. The rich picture: people with cancer This document from MacMillan is a collation of the key available evidence about the numbers, needs and experiences of people affected by cancer. It finds that 2.5 million people today are living with cancer in the UK, an increase of over half a million over the past five years. It argues that this increase puts huge pressure on the NHS, which will have difficulty coping unless urgent action is taken by all political parties. Document A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS - practical systematic review of self-management support for long-term conditions The aim of this research from NHS national Institute for Health Research was to undertake a rapid, systematic overview of the evidence on self-management support for long-term conditions to inform health-care commissioners and providers about what works, for whom, and in what contexts. Full Report Reducing care utilisation through self-management interventions (RECURSIVE): a systematic review and meta-analysis The aim of this research from NHS national Institute for Health Research was to determine which models of self-management support are associated with significant reductions in health services utilisation (including hospital use) without compromising outcomes, among patients with long-term conditions. Report Collection and use of patient experience information The University of Oxford and Picker Institute have published Development of new models for collection and use of patient experience information in the NHS. The aims of the project were to: develop a simple, conceptually grounded and unified model for assessing patient experience and to evaluate that model; and evaluate whether and how pathway and service line focused assessments of patients’ experiences provide added value to standard organisational surveys. The study found that utilising and understanding patient experience is a consistently high priority for healthcare professionals. However national initiatives need to go further in terms of their ability to deliver more granular intelligence that can be used to improve care quality at a local level. Briefing Full Report Diabetes state of the nation report Diabetes UK has published State of the Nation report: challenges for2015 and beyond: England. This annual report shows there has been little overall improvement in diabetes healthcare in the past year with 40% of people with diabetes not getting the NICE recommended checks. The report also highlights how preventing Type 2 diabetes needs to be a greater priority to help reduce the burden of the condition on NHS resources in the future.It calls for clinical commissioning groups to set themselves performance improvement targets and implement diabetes action plans. The charity is also urging CCGs to ensure all people with diabetes have access to the support they need to manage their condition effectively, and that the local health system is designed to deliver this. Report Cancer services taskforce announced NHS England has announced a new independent taskforce to develop a five year action plan for cancer services that will improve survival rates and save lives. Alongside the taskforce, NHS England announced the launch of a major early-diagnosis programme; the extension of NHS England’s Commissioning through Evaluation programme to innovative radiotherapy treatment, stereotactic ablative radiotherapy (SABR); and an improvement to the monitoring of cancer survival at local level. Click here to read more

Knowledge for healthcare Health Education England has published Knowledge for healthcare: a development framework for NHS library and knowledge services in England 2015-2020. The framework articulates an ambitious vision through which the outputs and expertise of healthcare library and knowledge staff will underpin improvements in patient care and safety, experience and outcomes through informed decision-making, and the spread of innovation. Framework

Technology Enabled Care Services resource for commissioners NHS Commissioners has developed a Technology Enabled Care Services (TECS) Resource for commissioners. This resource identifies practical tools that can help maximise the value of TECS for patients, carers, commissioners and the whole health economy. TECS refers to technologies such as telecare, telehealth, telemedicine, teleconsultation and self-care apps. The resource raises awareness of the wide range of TECS available and sets out how to commission, procure, implement and evaluate these types of solution effectively. Guidance

Guidance published aimed at reducing GP stress The BMA has published guidance aimed at reducing stress in GPs and freeing them more time for direct patient care. The guidance Quality first: managing workload to deliver safe patient care provides practical steps practices can take to address rising workloads. It is not aimed at restricting patient services but finding ways of freeing up GPs’ time for patient consultations by halting inappropriate, excessive and unresourced work. Click here to read more

Progress in improving cancer services and outcomes The National Audit office has published Progress in improving cancer services and outcomes in England. The report highlights that progress has been made in cancer outcomes since 2010, however, significant variations across the country remain, and the poorer outcomes for older patients and those from more deprived backgrounds, show that there is potential for improvement. The report also details the gap in outcomes between England and the European average.

CQC: special measures for GP practices proposals The Care Quality Commission has announced proposals to place all GP practices that are found to be inadequate in special measures and offer a package of help to improve. CQC has been working with NHS England and the Royal College of General Practitioners to develop a pilot programme of intensive support to practices that are placed in special measures. The regulator of health and adult social care has set out its updated plans for how it will deal with GP practices providing inadequate care. CQC is seeking feedback on these plans before finalising the approach for April 2015. Consultation closes: 5 February 2015. Additional link: CQC press release

What’s going on in A&E? The King’s Fund has added a page to their website providing answers to key questions relating to What’s going on in A&E? Questions include: have A&E waiting times risen dramatically; has the number of people going to A&E increased; do more patients needed to be admitted to a hospital bed from A&E; and is the increase in A&E attendances mainly a result of people going to A&E when they should go somewhere else?

Information: to share or not to share This is the first annual report of the Independent Information Governance Oversight Panel, chaired by Dame Fiona Caldicott and set up by the Secretary of State for Health in November 2013. It looks at whether health and social care organisations are sharing information wisely and preventing improper disclosure of personal data. It shows evidence of pockets of exemplary practice but the overall picture is of a need for improvement. It concludes that a basic condition for building public trust is a commitment to more transparency about how data is collected, stored and used. Report

NHSmail SMS funding extended for GPs The central funding of email-to-SMS services for primary care organisations using NHSmaill has been extended by NHS England. The Department of Health caused an outcry by announcing plans to cut funding from next March. Click here to read more

Developing healthcare assistants with the Open University Two trusts are supporting the development of their healthcare assistants by linking with the Open University, in a 'grow your own' approach to developing the nursing workforce. Click here to read more Ambulance call handling pilots Two new pilots which aim to reduce wasted ambulance journeys and improve the quality of care for all patients contacting 999 have been announced. Clinical experts believe extending the call handling time by 120 second for non-life threatening calls will reduce the number of double dispatches, freeing up more ambulances to respond to more patients, and will also allow the 999 response to be more accurately targeted to patient need, improving the service as a whole. The two pilots are proposed as London and South Western Ambulance Service. It is anticipated the first pilot will start in February.

Developing musculoskeletal networks The NHS Confederation and the Arthritis and Musculoskeletal Alliance have jointly published a musculoskeletal (MSK) resource pack. Developing MSK Networks provides commissioners of MSK services with a framework for planning and developing a local MSK network, and signposts to a wider range of additional materials which may be useful as they undertake this task. The pack is in a pilot phase until March 2015 and comments on the pack are welcomed. Related information: Developing a standard contract for MSK services Radically transforming MSK service delivery across Sussex Compassion in practice: two years on Compassion in Practice, the national strategy for nurses, midwives and care staff, was launched in December 2012. This report from NHS Employers talks about the value of the 6Cs (care, compassion, competence, communication, courage and commitment), how they are spreading across health and social care and informing the commissioning process, along with the role care makers play in bringing the vision to life. Report Revoking education standards with maximum time limits - consultation Currently, student nurses and midwives are required to finish full-time programmes within five years and part-time programmes within seven years in order to be eligible for registration. The NMC proposes to remove these maximum time limits from NMC standards, while ensuring full responsibility for the management of education programmes lies with approved education institutions. Post-registration programmes, which are currently given time limits either by the NMC or by the specific education institution, will also be affected by the proposed changes. The consultation closes on 12 March 2015. Consultation Tackling the causes and effects of obesity This report from the Local Government association argues that health problems associated with being overweight or obese cost the country £5 billion per year, with numbers of people with obesity predicted to more than double in the next 40 years. It warns that councils do not have enough money in their public health budgets to properly tackle obesity. The LGA calls for a fifth of existing VAT raised on sweets, crisps, takeaway food and sugary drinks to go to boost council-run grassroots initiatives with a proven track record, such as leisure activities and health awareness campaigns. Report Press release The invisible patients: revealing the state of neurology services This report brings together the findings of the Neurological Alliance’s inaugural quality of commissioning audit and neurological patient experience survey and identifies significant variation in the quality of the commissioning of neurological services among CCGs. They also set out a number of recommendations. Report The Neurological Alliance - press release

Practical guide to healthy ageing Published by NHS England this evidence-based guide covers key areas that have been identified as the main risk factors for older people living at home, but if they are proactively managed, they can help people stay well for longer and improve their quality of life. Topics include medicines reviews, exercise, preventing falls, general home safety, and keeping warm and staying well in winter, with tips to help older people stay both physically and mentally fit and independent, and pointers on when to seek medical support and advice. It also signposts people to a range of additional help and advice from Age UK. Read more @ http://www.england.nhs.uk/wp-content/uploads/2015/01/pract-guid-hlthy-age.pdf Better Training Better Care Programme Health Education England has announced that projects undertaken as part of the Better training Better Care Programme (BTBC) show that NHS Trusts across the country can provide more efficient services and a better patient experience by running projects to enhance the quality of postgraduate medical education. The BTBC programme features a range of innovative ways to improve the learning and experience of trainee doctors, their trainers and across the multi-professional team, in order to improve care for patients. Personalised care for long term conditions NHS England has developed three handbooks to provide practical support for long-term conditions management. The handbooks draw on the latest research, best practice and case studies and are entitled:

Case finding and risk stratification - identifying cohorts of people with long term conditions that are most vulnerable and/or will benefit from tailored care and support

Personalised care and support planning - enabling commissioners and health care practitioners to deliver personalised care

Multi-disciplinary team working - supporting health and care professionals to work across professional and organisational boundaries.

Three vie for community care contract “… Three organisations have been shortlisted for a contract to provide community services in North Somerset…” Health Service Journal 9.1.15 p13 Contact your local library to request the full text article

MENTAL HEALTH NEWS Model specification for Children and Adolescent Mental Health Services NHS England has published a resource with tools for commissioning effective mental health services for children and young people. Model specification for Children and Adolescent Mental Health Services: targeted and specialist levels (Tiers 2/3) provides a template for commissioners to use in their local area to develop individual specifications with treatment providers. It encourages the involvement of children, young people and their parents and carers in specification development and helps commissioners to be clear about how providers fit within local care pathways of treatment. Mental Health Act 1983: code of practice The Department of Health has published Mental Health Act 1983: code of practice. This revised code shows professionals how to carry out their responsibilities under the Mental Health Act 1983 and guides patients, their families and carers on their rights. Following a consultation, the code was revised to take account of stakeholders’ views, and reflects changes in legislation, case law, policy and professional practice since its last revision in 2008. The code of practice will come into force on 1 April 2015, subject to Parliamentary approval. Code of Practice Additional link: DH press release

Model specification for Child and Adolescent Mental Health Services: targeted and specialist services A new model Targeted and Specialist (Tier 2/3) specification has been published for Child and Adolescent Mental Health Services. This builds on previous sample specifications and will support commissioners of targeted and specialist services (Tiers 2 and 3). It can be adapted to cover just targeted (Tier 2) or just specialist (Tier 3) services and is non-mandatory. The specification has been developed in response to feedback from commissioners. It can be adapted for local circumstances and includes examples of best practice, evidence based information and links to current guidelines and legislative requirements. Guidance Template Press release Mental Health Capacity Act 2005 The Local Government Association has published two documents relating to the Mental Capacity Act (MCA) 2005:

Care providers and the Mental Capacity Act 2005 – this briefing paper for members of care providers’ boards is aimed at supporting providers to apply the MCA in the right way and to help ensure the legal rights of those who may lack capacity are upheld.

Mental Capacity Act 2005: a brief guide for providers of Shared Lives and other community services – a guide to the main points of the MCA for providers of shared lives, supported living and similar schemes.

Future of mental health services in England The Deputy Prime Minister hosted a Mental Health Conference on 19 January 2015 to discuss the future of mental health services in England. The conference brought together leading clinicians, policy makers and campaign groups. At the conference, the Deputy Prime Minster called on all NHS trusts to commit to a new ambition for ‘zero s suicides’

Behind the Headlines 'Bionic' spinal implant helped paralysed rats walk Napping 'key' to babies' memory and learning Under-80 cancer deaths 'eliminated by 2050' claim How therapy and exercise 'may help some with CFS' 'Hibernation protein' could help repair dementia damage Inactivity 'twice as deadly' as obesity Full list available at: http://www.nhs.uk/News/Pages/NewsIndex.aspx

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

NICE EVIDENCE UPDATES JANUARY 2015 Evidence Updates NICE has recently published Evidence Updates on:

Spasticity in children and young people with non-progressive brain disorders

The Evidence Update on spasticity in children and young people with non-progressive brain disorders was published by NICE in December 2014. It includes commentary from the EUAG on 7 new articles (relevant to NICE clinical guideline 145)

Ectopic pregnancy and miscarriage

The Evidence Update on ectopic pregnancy and miscarriage was published by NICE in December 2014. It includes commentary from the EUAG on 10 new articles(relevant to NICE clinical guideline 154)

Hyperphosphataemia in chronic kidney disease

The Evidence Update on hyperphosphataemia in chronic kidney disease was published by NICE in December 2014. It includes commentary from the EUAG on 10 new articles (relevant to NICE clinical guideline 157)

EYES ON EVIDENCE

The January edition of has been published by NICE. It includes the following items:

Pharmacy-based screening for cardiovascular risk

Self-management of hypertension in people at high risk of cardiovascular events

Mental health after stopping smoking

Alpha-blockers for expulsion of ureteral stones

Haemoglobin thresholds for blood transfusion

EVIDENCE-BASED PRACTICE

NICE Guidance for January 2015

Ref Title Type

QS77 Urinary incontinence in women Quality standards

NG1 Gastro-oesophageal reflux disease: recognition, diagnosis and management in child and young people

Guideline

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

USEFUL WEBSITES

Dementia Awareness Training Resources

A range of online dementia training and information resources are being delivered by Health Education England @ http://hee.nhs.uk/work-programmes/dementia-awareness-training/

Included are links to:

Dementia roadmap Providing high quality information about the dementia journey alongside local information about services, support groups and care pathways to assist primary care staff to more effectively support people with dementia and cognitive impairment, their families and carers.

SCIE e-learning; The Open Dementia Programme The Open Dementia elearning Programme is aimed at anyone who comes into contact with someone with dementia and provides a general introduction to the disease and the experience of living with it.

University of Nottingham learning resources: diagnosis and assessment Computer aided learning (CAL) packages, primarily aimed at undergraduate medical and nursing students but also relevant to allied health professionals, junior doctors and trainees specialising in the health care of older adults

LIBRARY NEWS

New Library Assistant Hello, my name is Laura Hamilton and I am very happy to be starting my new role as a Library Assistant in Musgrove Park Hospital. Before starting work here I studied for a degree in Egyptian Archaeology at the University of Liverpool and I have worked in retail since my graduation. Although I have never worked in a library before, I am excited to get stuck in and learn as much as I can!

HHaavvee yyoouu ccoommpplleetteedd tthhee PPooiinntt ooff CCaarree ttoooollss ssuurrvveeyy??

The library is conducting a survey of usage and we need your feedback. There is still time to contribute to two surveys that have been designed. The single resource survey https://www.surveymonkey.com/s/3CSR36P is for any user who

would like to give feedback on one or other of the two products, either Dynamed or UpToDate. The second survey https://www.surveymonkey.com/s/LXP5RZQ is for those who are

prepared to help us with a comparison of the two products. They will need to have used both Dynamed and UpToDate at least once.

The deadline for completion is 30th January. Your feedback is important to us.

New addition to book stock at Musgrove, Yeovil and Somerset Partnership

BEING MORTAL

‘Being Mortal is not only wise and deeply moving; it is an essential and insightful book for our times, as one would expect from Atul Gawande, one of our finest physician writers.’

Oliver Sacks ‘A deeply affecting, urgently important book – one not just about dying and the limits of medicine, but about living to the last with autonomy, dignity and joy.’

Katherine Boo

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. 6Cs 6C, Competence: delivering care with compassion can create great results Jane Cummings et al British Journal of Healthcare Assistants 2015 Vol. 9 No. 1 p 34–37 A compassionate complaint made a difference Craig Brown British Medical Journal 10.1.14 p 24 A&E A&E nurses fear for patient safety Nicola Merrifield Nursing Times 14.01.15 p2-3 Using patient passports to improve A&E asthma care Karen Newell Nursing Times 14.01.15 p15-17 NICE sets out A&E nursing ratios Steve Ford et al Nursing Times 21.01.15 p3 Cancer Use of thoracic radiotherapy for extensive stage small-cell lung cancer: a phase 3 randomised controlled trial Ben J Sloman et al Lancet 03.01.15 p36-42 Care Certificate Setting the standards for frontline care The Health Education England, Skills for Care and Skills for Health Partnership British Journal of Healthcare Assistants 2015 Vol. 9 No. 1 p 38–40

CPR Revival of confidence Erin Dean Nursing Standard 03.12.14 p24-25 Discussing CPR near the end of life Ann Dix Nursing Times 21.01.15 p15-17 Dementia Development of an Education Program to Improve Care of Patients with Dementia in an Acute Care Setting Nayton, Kate et al The Journal of Continuing Education in Nursing Dec 2014 45 (12) p 552-558 Exercise programmes for older people with dementia may have an effect on cognitive function and activities of daily living, but studies give inconsistent results Eric D Vidoni, Jeffrey M Burns Evidence Based Nursing 2015 18 p 4 End-of-life care Taking oral histories to improve end-of-life care Michelle Winslow Nursing Times 14.01.15 p21 Starting end-of-life conversations in hospital Rachel Davis Nursing Times 21.01.15 p18-21 Exercise

Falls Assessment and prevention of falls in older people - concise guidance Swift, Cameron G; Iliffe, Steve Clinical Medicine 14.6 (Dec 2014) p 658-662 Finance Revealed: biggest winners from NHS funding boost Dave West Health Service Journal 9.1.15 p 10-11 Hip Fracture A new future for hip fracture care - orthogeriatrician lead in an 'Acute' Hip Unit Gupta, Abhaya Clinical Medicine 14.6 (Dec 2014) p 591-596. HIV Global epidemiology of HIV among female sex workers: influence of structural determinants Kate Shannon et al Lancet 03.01.15 p55-71 Combination HIV prevention for female sex workers: what is the evidence? Linda-Gail Bekker et al Lancet 03.01.15 p72-87

Male sex workers: practices, contexts, and vulnerabilities for HIV acquisition and transmission Stefan David Baral et al Lancet 17.01.15 p260-273 HIV risk and preventive interventions in transgender women sex workers Tonia Poteat et al Lancet 17.01.15 p274-286 An action agenda for HIV and sex workers Chris Beyrer et al Lancet 17.01.15 p287-301 Improving care Lessons in great care Lynne Pearce Nursing Standard 17.12.14 p18-22 A tool to calculate safe nurse staffing levels Katherine Fenton Nursing Times 14.01.15 p12-14 Infection Control Infection control: Clostridium difficile Linda Nazarko British Journal of Healthcare Assistants 2015 Vol. 9 No. 1 p 20–25 Catheter care: helping reduce the risk of infection Ian Peate, Michael Gil British Journal of Healthcare Assistants 2015 Vol. 9 No. 1 p 26–29 Investigational Drugs Practical, legal, and ethical issues in expanded access to investigational drugs Jonathan J. Darrow et al New England Journal of Medicine 2015 372 (3) p 279-286 Journal Clubs Nursing Journal Clubs: A Literature Review on the Effective Teaching Strategy for Continuing Education and Evidence-Based Practice Carly Lachance The Journal of Continuing Education in Nursing Dec 2014 45 (12) p 559-565 Leadership Clinically led or clinically fronted?: An alternative view of leadership Valerie Iles, Sanjiv Ahluwalia British Journal of General Practice Jan 2015 65(630) p e55–e57. http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4276008&blobtype=pdf The role of nurse leaders in improving health Sabrina Fuller Nursing Times 21.01.15 p12-14 Mental Health Perinatal depression and psychosis: an update Myles Doyle, Angela Carballedo, and Veronica O’Keane BJPsych Advances January 2015 21 p 5-14 Parenting and personality disorder: clinical and child protection implications Gwen Adshead BJPsych Advances January 2015 21 p 5-22

Attention-deficit hyperactivity disorder in children and adolescents: assessment and treatment Peter Hill BJPsych Advances January 2015 21 p 23-30 Human rights in psychiatric practice: an overview for clinicians Brendan D. Kelly BJPsych Advances January 2015 21 p 54-62 Drug and alcohol addiction: new pharmacotherapies Jason Luty BJPsych Advances January 2015 21 p 33-41 Qualitative—other: People hospitalised on acute psychiatric wards report mixed feelings of safety and vulnerability Eimear Muir-Cochrane, Adam Gerace Evidence Based Nursing 2015 18 p 31 Nurse-patient relationship Promoting better care for stigmatised patients Jessica Pottle et al Nursing Standard 17.12.14 p50-59 Organ donation Presumed consent for organ donation: a clinically unnecessary and corrupting influence in medicine and politics John Fabre Clinical Medicine 14.6 (Dec 2014) p 567-571 Perspective On the death of a colleague Ranjana Srivastava New England Journal of Medicine 2015 372 (3) p 205-207 Quality & Safety CQC rejects accusations of Hinchingbrooke bias Will Hazel HSJ Online 21.1.15 Patients teaching patient safety: the challenge of turning negative patient experiences into positive learning opportunities Antonia S Stang, Brian M Wong BMJ Quality & Safety 2015 24 p 4-6 Why Lean doesn't work for everyone Gary S Kaplan, Sarah H Patterson, Joan M Ching, C Craig Blackmore BMJ Quality & Safety 2015 24 p 970-973 Hospital discharge recommendations can be confusing for people of low socioeconomic status, and difficult to follow due to constraints or conflicting personal goals Jack Tsai Evidence Based Nursing 2015 18 p 7 Recording consultations Should doctors encourage patients to record consultations? Glyn Elwyn, Laurence Buckman British Medical Journal 10.1.14 p 12-13

Religion Religion and spirituality in clinical practice Christopher C. H. Cook BJPsych Advances January 2015 21 p 42-50 Revalidation How do medical doctors in the European Union demonstrate that they continue to meet criteria for registration and licencing? Solé, Meritxell; Panteli, Dimitra; Risso-Gill, Isabelle; Döring, Nora; Busse, Reinhard; et al Clinical Medicine 14.6 (Dec 2014) p 633-639. Right to be forgotten Google, doctors, and the “right to be forgotten” David Payne British Medical Journal 10.1.14 p 12-13 Related feature: How much of a social media profile can doctors have? (BMJ 2012;341:e440) Workforce Absence service to be rebranded Paton, Nic. Occupational Health 66.12 (Dec 2014) p 4 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.

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