Clinical Effectiveness Bulletin no. 59 December 2011
This bulletin is produced by the North Staffordshire NHS Outreach Library and Information Service for Primary Care Trusts in North Staffordshire.It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Sources covered include NHS Evidence, Department of Health, Cochrane Library and King's Fund.
Content
NHS Library and Information Service North Staffordshire
Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire
Issue No: 59 – December 2011
About this Bulletin: It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Where possible, links to the full text documents are included. If the article is in a journal, you can contact the Health Library for a copy. Link to request form: http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/interlibraryloans/#d.en.27437 [Please note - a charge of £2 per request is payable for most copies] If you need further assistance, please contact the Health Library or the NHS Outreach Librarians, details below. The bulletin can be e-mailed to colleagues who may also find it useful. A list of websites checked in the production of this bulletin is on the first page. Please suggest further useful sites. Feedback is always welcomed to inform future issues of the bulletin.
Contact information
Bulletin produced by NHS Outreach Librarians Tel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429) E-mail: [email protected] [email protected]
North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: [email protected]
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NHS Library and Information Service North Staffordshire
Sources for Clinical Effectiveness Bulletin Please suggest further sites that should be monitored in the production of this bulletin Websites Cochrane Library http://www.thecochranelibrary.com/ CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/ - DARE – (Database of Abstracts of Reviews of Effects) - NHS Economic Evaluation Database Health Technology Assessment (HTA) Database http://www.hta.ac.uk Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/ Department of Health http://www.dh.gov.uk/en/index.htm King’s Fund http://www.kingsfund.org.uk/ NeLM (National Electronic Library for Medicines) news bulletin http://www.nelm.nhs.uk/en/ NICE http://www.nice.org.uk/ SIGN http://www.sign.ac.uk/new.html
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NHS Library and Information Service North Staffordshire Contents in this issue:
Cancer ...................................................................................................................................... 4 Cardiovascular Disease ............................................................................................................ 5 Children and Young People ...................................................................................................... 6 Commissioning ......................................................................................................................... 6 COPD ....................................................................................................................................... 8 Dementia .................................................................................................................................. 8 Diabetes.................................................................................................................................... 9 General Practice ....................................................................................................................... 9 Guidance ................................................................................................................................ 10 Health Reforms ....................................................................................................................... 11 Health Visitors ......................................................................................................................... 13 HIV .......................................................................................................................................... 13 Infections ................................................................................................................................ 13 Maternal and Infant Health...................................................................................................... 13 Mental Health.......................................................................................................................... 14 Neurological Conditions .......................................................................................................... 15 Nursing and Midwifery ............................................................................................................ 15 Nutrition .................................................................................................................................. 15 Offender Health ...................................................................................................................... 16 Older People ........................................................................................................................... 16 Palliative and End of Life Care ................................................................................................ 16 Patient Care and Safety .......................................................................................................... 16 Pharmacy and Prescribing ...................................................................................................... 17 Public Health ........................................................................................................................... 18 Safeguarding Children and Vulnerable Adults ........................................................................ 19 Service Management .............................................................................................................. 20 Sexual and Reproductive Health ............................................................................................ 22 Workforce ............................................................................................................................... 22
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NHS Library and Information Service North Staffordshire Cancer
West Midlands Cancer Awareness Profiles West Midlands Cancer Intelligence Unit Mouth Cancer: http://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdf Pancreatic Cancer: http://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling .pdf The Fraction of Cancer Attributable to Lifestyle and Environmental Factors in the UK in 2010 Parkin, DM et al. This supplement contains articles on 14 different lifestyle and environmental causes of cancer, including overweight and obesity, occupational exposure, inactivity, and diet. British Journal of Cancer (2011) 105, Supplement i. doi:10.1038/bjc.2011.508 Related information including additional diagrams: http://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-dietalcohol-and-obesity-behind-more-than-100000-cancers Improving access? Report on the implementation of the Cancer Drugs Fund and the development of a value-based pricing system Macmillan Cancer Support The report finds that the Cancer Drugs Fund has helped more than 7,500 patients access drugs that are not available on the NHS, and is improving understanding of drugs for rarer cancers. It also raises concerns about regional variations in access to the Fund, and continued access to these drugs when funding stops in 2014. http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFun d/ImprovingAccess.pdf Improving Outcomes: A Strategy for Cancer - First Annual Report 2011 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131690 An intelligence framework for cancer Department of Health This document sets out plans and aspirations to tackle deficiencies in cancer intelligence. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131696 Lung cancer in the West Midlands West Midlands Cancer Intelligence Unit This report looks at incidence and mortality, survival, stage at diagnosis, referral patterns, treatment, and surgical caseload. http://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdf
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NHS Library and Information Service North Staffordshire
Manual for Cancer Services consultations Department of Health Specialist palliative care measures This is not a public consultation and is aimed at interested stakeholders only. Closing date for comments: 27 February 2012 http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554 Revised version of the Cancer of Unknown Primary Measures Closing date for comments: 14 March 2012 http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989 National Lung Cancer Audit Report 2011 NHS Information Centre Measures of the standards of care are largely similar to those seen last year, and whilst still below those in other Western European countries, the gap is narrowing. There remains variation across trusts and networks. http://www.ic.nhs.uk/canceraudits/lung Tackling Cancer Inequalities: one year on All Party Parliamentary Group on Cancer This report looks at progress since the APPGC’s report in 2009, and makes recommendations for further improvement. http://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitie soneyearon.aspx Work Capability Assessment: accounting for the effects of cancer treatment – informal consultation Department for Work and Pensions This consultation seeks to gather evidence and views about proposed improvements to the way the Work Capability Assessment assesses individuals who are suffering from cancer. Closing date: 9 March 2012 http://www.dwp.gov.uk/consultations/2011/wca-assessment.shtml
Items in the Commissioning section may also be of interest. [back to topics]
Cardiovascular Disease
Cholesterol and a healthier nation: shared responsibility for better public health Heart UK This report focuses on implementation of NHS Health Checks, and makes 8 recommendations for increasing numbers of checks and improving cardiovascular health. http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_h ealth_checks/
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NHS Library and Information Service North Staffordshire
Self-monitoring of oral anticoagulation: systematic review and meta-analysis of individual patient data Heneghan, C et al. The authors concluded that self-monitoring and self-management of oral coagulation is a safe option for suitable patients of all ages. Patients should also be offered the option to selfmanage their disease with suitable health-care support as back-up. The Lancet, Early Online Publication, 1 December 2011. doi:10.1016/S0140-6736(11)612944
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Children and Young People
Children's Health Information Matters: Researching the practice of and requirements for age appropriate health information for children and young people (IMP) Service Delivery and Organisation Programme This study aims to provide a full picture of the information needs and preferences of children and young people under 18 with specific healthcare needs and conditions, and their families. http://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145 National Child Measurement Programme: England, 2010/11 school year NHS Information Centre The report provides high-level analysis of the prevalence of ‘underweight', ‘healthy weight', ‘overweight', ‘obese' and 'overweight and obese combined' children, in Reception (aged 4–5 years) and Year 6 (aged 10–11 years), measured in state schools. http://www.ic.nhs.uk/ncmp Official statistics: Children's centres inspections and outcomes Ofsted Data for Centres inspected from July to September 2011 is now available, including data for those centres in Stoke and North Staffordshire inspected in this time period. http://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centresinspections-and-outcomes
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Commissioning
Effective Cancer Commissioning in the New NHS All Party Parliamentary Group on Cancer This report is a response to concerns that the changes to commissioning structures could impact upon the Government’s ambitions to improve cancer outcomes. http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAg ainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdf Good governance for clinical commissioning groups: An introductory guide King’s Fund This guide aims to help CCGs take their first steps towards authorisation. http://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.html 6
NHS Library and Information Service North Staffordshire
Involving older people in service commissioning: more power to their elbow? Joseph Rowntree Foundation Dorset and Salford were identified as areas where structures and processes encourage and facilitate the involvement of older people in local decision-making. The research examined how older people in these areas were involved in commissioning and service delivery; what difference their involvement made; the factors which lead to successful engagement; and the barriers to involving older people. http://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbow Person-based Resource Allocation: New approaches to estimating commissioning budgets for GP practices Nuffield Trust This document outlines Person-based Resource Allocation. It summarises the approach developed in a series of analyses over time. The analysis was funded by the Department of Health and the resulting formula was used within the ‘fair shares toolkit’ for allocations from primary care trusts (PCTs) to practices for commissioning, for 2010/11 and 2011/12. The formula has been further developed for use in 2012/13 to help set target allocations for shadow clinical commissioning groups. http://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-newapproaches-estimating-commissioning-budgets-gp-pra Programme budgeting tools and data Department of health Commissioner level programme budgeting data is published annually in the form of a benchmarking tool that enables commissioners to identify: how they spend their allocation over 23 disease categories and 12 care settings, and how this compares with other commissioners. The latest version of the Programme Budgeting PCT Benchmarking Tool contains estimates of expenditure for the 2010-11 financial year. http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgetin g/DH_075743#_1 Update to Best Practice Tariffs Department of Health This web page sets out the Best Practice Tariffs that are in place for 2011-12 and a list of new service areas which are being considered for Best Practice Tariffs in 2012-13. http://www.dh.gov.uk/health/2011/12/bpt-update/
Items in the Dementia section may also be of interest. [back to topics]
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NHS Library and Information Service North Staffordshire COPD
Improving end of life care in chronic obstructive pulmonary disease (COPD): testing the case for change NHS Improvement: Lung This report focuses on prognostic indication, Advance Care Planning and palliative care registers. http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fN ational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdf Improving earlier diagnosis and the long term management of COPD: testing the case for Change NHS Improvement: Lung The Earlier diagnosis workstream aimed to ensure all patients received a timely diagnosis and appropriate information about their condition, and were added to the practice disease register. Project work included testing service models, reviewing registers and developing tools to improve and monitor quality. The Managing COPD as a long term condition workstream focused on supported self-care and regular review, reducing emergency admissions and improving medicines management. Project work included testing ways to develop and implement effective self-care models and ongoing patient review. http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fN ational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change. pdf
Items in the Nutrition section may also be of interest. [back to topics]
Dementia
Common and complex: commissioning effective dementia services in the new world Alzheimers Society and MHP This report makes recommendations to improve dementia outcomes in the context of the Government’s health and social care reforms. http://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementiaservices-new-world Report of the National Audit of Dementia Care in General Hospitals 2011 Royal College of Psychiatrists This audit shows that, although the majority of wards meet basic safety requirements, many had not addressed simple measures that could lessen the distress caused to dementia patients by an unfamiliar and confusing hospital environment. The report also makes recommendations for improvement. http://www.rcpsych.ac.uk/press/pressreleases2011/nationalauditofdementia.aspx
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NHS Library and Information Service North Staffordshire Diabetes
Recognition, treatment and prevention of hypoglycaemia in the community NHS Diabetes This guide is intended to serve as a helpful resource for a range of groups, including those caring for people with diabetes in the community, commissioners, designers of services and healthcare professionals. http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_p revention_of_hypoglycaemia_in_the_community/ National Diabetes Audit Mortality Analysis 2007-2008: Key findings on mortality rates for people with diabetes in England NHS Information Centre This audit analyses mortality by type of diabetes, age and sex, ethnicity, deprivation, SHA, and PCT. It also makes recommendations for improvement. http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20do cuments/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdf
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General Practice
2012/13 GMS Contract Negotiations Department of Health This letter sets out the outcome of negotiations between the BMA General Practitioners Committee and NHS Employers on changes that will apply to GMS contractual arrangements in England from April 2012. http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/D H_130920 GP Patient Survey Department of Health The most recent reports and data tables cover July-September 2011. http://www.gp-patient.co.uk/results/ Modelling Individual Patient Hospital Expenditure for General Practice Budgets Centre for Health Economics. University of York This paper models individual expenditure using diagnostic information from previous hospital spells, plus a large set of attributed variables measuring population, general practice, and local hospital characteristics. It describes a procedure for setting budgets for general practices which reduces the problem of the lags in the available data. It also examines the distinction between need and nonneed variables and the incentive implications of allowing past numbers of hospital encounters to determine practice budgets. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_In dividual_Patient_Hospital_Expenditure_for_GP_Budgets.pdf
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NHS Library and Information Service North Staffordshire
National General Practice Profiles Network of Public Health Observatories Using a variety of graphical displays such as spine charts and population pyramids, the tool presents a range of practice-level indicators, including: local demography; Quality and Outcomes Framework domains; disease prevalence estimates; admission rates; and patient satisfaction. In addition to viewing individual practice profiles, you can view summary profiles for CCGs. Each practice can be compared with the PCT, CCG and England. http://www.apho.org.uk/PracProf/Profile.aspx Supporting documents are available at http://www.apho.org.uk/resource/view.aspx?RID=96724
Items in the Commissioning sections may be of interest.
Guidance
NICE Clinical Guidelines Anaphylaxis CG134 http://guidance.nice.org.uk/CG134 Organ donation CG135 http://guidance.nice.org.uk/CG135 Service user experience in adult mental health CG136 http://guidance.nice.org.uk/CG136 NICE Technology Appraisals Arthritis (juvenile idiopathic, systemic) - tocilizumab TA238 http://guidance.nice.org.uk/TA238 Breast cancer (metastatic) – fulvestrant TA239 http://guidance.nice.org.uk/TA239 NICE Diagnostics Guidance Elucigene FH20 and LIPOchip for the diagnosis of familial hypercholesterolaemia DG2 http://guidance.nice.org.uk/DG2
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NICE Quality Standards Service user experience in adult mental health http://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mentalhealth/index.jsp 10
NHS Library and Information Service North Staffordshire
NICE Consultation Documents Acute upper GI bleeding To comment, contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 14 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57570 Antibiotics for neonatal infection To comment, contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 27 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57699 Consultation on proposed changes to quality standards process guide Closing date for comments: 13 March 2012 http://www.nice.org.uk/aboutnice/qualitystandards/qualitystandards.jsp Consultation on QOF indicators Closing date for comments: 6 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57699http://www.nice.org.uk/abo utnice/qof/ConsultationQOFIndicators.jsp
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Health Reforms
Co-production for health: a new model for a radically new world: Building new approaches to delivery to achieve better health outcomes at the local level NHS Solutions for Public Health This report is based on a national colloquium exploring how organisations can start to positively use the new arrangements for public health and commissioning. It looks at how to exploit the opportunities created by the integration of public health and local government, and how to maximise the new structures, approaches and democratic accountabilities to deliver public health outcomes and a reduction in inequalities. http://www.sph.nhs.uk/what-we-do/whats-new/local-government-report Information governance for Transition National Information Governance Board for Health and Social Care The guidance is intended to support organisations in maintaining good information governance during the transition to new organisational structures. Its purpose is to identify information governance issues and risks, understand their potential impact and provide guidance on how they can be addressed. http://www.nigb.nhs.uk/pubs/guidance/transguid Interactive Map of AQP Services NHS Supply2Health This map shows the services selected for provision under Any Qualified Provider by PCT. http://www.supply2health.nhs.uk/AQPResourceCentre/AQPMap/AQPMap.aspx 11
NHS Library and Information Service North Staffordshire
Joining up health and social care: Improving value for money across the interface Audit Commission This report says that integrated working across health and social care offers opportunities for efficiencies and improvements to services, and a lack of integrated working means that people are less likely to receive the best care. It offers guidance, and includes case studies and a benchmarking tool for local NHS and social care partnerships. http://www.auditcommission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspx Joint Strategic Needs Assessment and joint health and wellbeing strategies explained Department of Health This document aims to support emerging health and wellbeing boards as they engage with the refresh of Joint Strategic Needs Assessments and develop their preparatory joint health and wellbeing strategy. It also describes what support the Department of Health will provide, and how the Department will build in learning from early implementer health and wellbeing boards. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131702 Questions and answers NHS Commissioning Board Special Health Authority This document answers some frequently asked questions about the Commissioning Board. http://www.commissioningboard.nhs.uk/2011/12/22/nhs-commissioning-board-qa/ The search for low-cost integrated healthcare: the Alzira model, from the region of Valencia NHS Confederation The Alzira model was the subject of an NHS Confederation study visit in March 2011. This paper examines the model in light of the current challenges facing the NHS in England. http://www.nhsconfed.org/Publications/reports/Pages/integrated-healthcare.aspx Stakeholder engagement on the licence Monitor If the Health and Social Care Bill becomes law, Monitor will be required to issue licences to all providers of NHS funded services as part of its regulatory function. Monitor has published six documents which make up the first tranche of licence conditions on which they are engaging. Closing date for comments: 23 January 2012 http://www.monitor-nhsft.gov.uk/home/monitors-new-role/licensing-providers/stakeholderengagement-the-licence Why the BMA is opposing the whole Bill BMA This briefing sets out why the BMA have hardened their position on the Bill in the context of the wider NHS reform agenda. http://www.bma.org.uk/images/nhsreformbriefingbmaopposesbilldec2011_tcm41-210946.pdf
Items in the Commissioning and Service Management sections may also be of interest. [back to topics]
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NHS Library and Information Service North Staffordshire Health Visitors
A Call to Action - One Year On: Health Visitor Implementation Progress Report Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_132016
HIV
Items in the Workforce section may also be of interest.
Infections
Gastrointestinal infections annual report, 2010 Health Protection Agency This report looks at outbreaks of specific infections, and the role of surveillance systems for these diseases. http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessR eports/1112Gastrointestinalinfections2010/ Migrant Health: Infectious diseases in non-UK born populations in the UK Health Protection Agency The report concludes that the majority of long-term migrants to the UK are young people with plans to study or work, and they will have a similar range of health concerns to UK born people in the same age bracket. A small proportion of the non-UK born bear the greatest burden of infectious disease reported in the UK. http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/ Tuberculosis in the UK: 2011 report Health Protection Agency The authors conclude that recent potential decline in the incidence of tuberculosis, after nearly two decades of increasing rates, is encouraging. The report also looks at tuberculosis in specific population groups, and recommends measures to further strengthen TB control. http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheU K2011report/
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Maternal and Infant Health
Mortality Monitoring Bulletin (Infant mortality, inequalities): update to include data for 2010 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130 911
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NHS Library and Information Service North Staffordshire
NHS Maternity Statistics, England: 2010-11 NHS Information Centre These statistics include data on place of delivery; person conducting delivery; anaesthetics; method of onset and method of delivery; episiotomy; antenatal/postnatal stay; complications; gestation; birth weight; miscarriage and ectopic pregnancy http://www.ic.nhs.uk/pubs/maternity1011
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Mental Health
Developing an outcomes-based approach in mental health NHS Confederation This Briefing sets out the policy context for outcomes in mental health and summarises the recommendations made in a Mental Health Network report, including the need to develop an implementation framework in support of the mental health strategy, 'No health without mental health'. http://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspx Employee outlook: Focus on mental health in the workplace Mind This survey asked over 2000 employees about their experiences and attitudes about mental health in the workplace. http://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus__CIPD_survey.pdf The fourth year of the Independent Mental Capacity Advocacy (IMCA) service: 2010/ 2011 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131958 Monitoring the Mental Health Act in 2010/11: The Care Quality Commission’s annual report on the exercise of its functions in keeping under review the operation of the Mental Health Act 1983 Care Quality Commission This year’s report highlights lack of patient involvement in the care planning process; patients' capacity to consent being, in some cases, assumed too readily by doctors; and that legal powers available to providers are widely misunderstood, even among mental health professionals. http://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11 New service models in mental health: emerging lessons NHS Confederation This report looks at the evidence on making best use of new specialist services, like crisis resolution teams; how much care is now provided by alternatives to hospital and the potential for savings, and how services are engaging users. http://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspx 14
NHS Library and Information Service North Staffordshire
Preventing suicide through community and emergency healthcare NHS Confederation This briefing introduces the National Patient Safety Agency's new suicide prevention toolkits for community, emergency and general practice staff. http://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspx
Think child, think parent, think family: a guide to parental mental health and child welfare Social Care Institute for Excellence This guide looks at a variety of topics, including improving access to services, care plans and assessments. http://www.scie.org.uk/publications/guides/guide30/index.asp
Items in the Sexual and Reproductive Health and Workforce sections may also be of interest. [back to topics]
Neurological Conditions
Services for people with neurological conditions National Audit Office This audit concludes that since the National Service Framework for Long-term Conditions was introduced in 2005, people with neurological conditions have had better access to health services; but key indicators of quality have worsened. It also concludes the Department does not know what the Framework and additional spending of nearly 40 per cent have achieved. http://www.nao.org.uk/publications/1012/neurological_conditions.aspx
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Nursing and Midwifery
Genetics/Genomics in Nursing and Midwifery Department of Health This report has been produced to assist the Nursing & Midwifery Professional Advisory Board in identifying issues and potential solutions concerning the future of genetics/genomics for the nursing and midwifery professional workforce. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131946
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Nutrition
The Respiratory Healthcare Professional's Nutritional COPD Guideline This guide aims to raise awareness of nutrition with respiratory health professionals and their COPD patients. It provides a tool to aid first line nutritional management of these patients. http://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition. aspx 15
NHS Library and Information Service North Staffordshire Offender Health
Expectations: Criteria for assessing the treatment of prisoners and conditions in prisons Her Majesty’s Inspectorate of Prisons This document sets out the basis on which the Inspectorate will fulfil its statutory duty to report to the relevant Secretary of State on ‘the treatment of prisoners and conditions in prisons’. It includes sections on health and health services provided in prison. The report and related documents are at: http://www.justice.gov.uk/guidance/inspection-andmonitoring/hmi-prisons/inspections-guidance/inspection-and-appraisal-criteria.htm
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Older People
Items in the Commissioning section may be of interest.
Palliative and End of Life Care
End of Life Care Profiles: 2011 Update National End of Life Care Intelligence Network The End of Life Care Profiles present data on place of death and cause of death, by age and sex, for each Local Authority in England using the InstantAtlas mapping tool. The data can be viewed in map, chart and table format. http://www.endoflifecare-intelligence.org.uk/profiles.aspx
Items in the Cancer and COPD sections may also be of interest.
Patient Care and Safety
British Social Attitudes 28 NatCen Social Research Chapter 9 looks at the NHS across Britain. It examines satisfaction with the NHS and its component services, and expectations and perceptions about waiting times. http://ir2.flife.de/data/natcen-socialresearch/igb_html/index.php?bericht_id=1000001&index=&lang=ENG The Care Quality Commission: Regulating the quality and safety of health and adult social care National Audit Office This report finds that the Care Quality Commission has not achieved value for money in regulating health and adult social care in England. It also finds that the process for registering care providers did not go smoothly, and that the Commission completed only 47 per cent of the target number of compliance reviews between October 2010 and April 2011. In addition, proposals to extend the Commission's role risk distracting the Commission from its core work of regulating health and social care. http://www.nao.org.uk/publications/1012/care_quality_commission.aspx
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NHS Library and Information Service North Staffordshire
Protecting and promoting patients' interests: the role of Sector Regulation Department of Health This document sets out the government’s rationale for sector regulation in the NHS, and describes Monitor’s proposed role and functions, and its relationships with the Care Quality Commission and NHS Commissioning Board. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131609 Quick guide to raising a concern about your workplace CQC This guide has been written for health and care professionals that need to raise a concern about their workplace. It gives helpful advice on speaking out about poor care and what protection you will have from the law if you do. http://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplace
Items in the General Practice section may also be of interest. [back to topics]
Pharmacy and Prescribing
NHS Community Pharmacy Services: a summary Pharmaceutical Services Negotiating Committee This summary is intended for people who are not familiar with the work of community pharmacy. The document may, for example, be used by LPCs and community pharmacists to brief local authority staff and councillors on pharmacy services. http://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_published Homecare Medicines: towards a Vision for the Future Department of Health Commercial Medicines Unit The Department of Health (DH) have sponsored a rapid review of Homecare Medicine Supply to consider the current operational arrangements and its future for the best value for patients, the NHS and the provider market. http://cmu.dh.gov.uk/homecare-medicines-review-group/ Medicines for Children Royal Pharmaceutical Society This site contains information to help parents when they need to give medicines to their children at home. It currently provides online or printed leaflets on over 100 key medicines. http://www.medicinesforchildren.org.uk/ Prescribing by GP Practice NHS Information Centre Covering all general practices in England, the data includes figures on the number of prescription items that are dispensed each month and information relating to costs. http://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practice
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NHS Library and Information Service North Staffordshire
Which Price is Right? Regulating the cost of pharmaceuticals in Europe and North America Stockholm Network This report argues that Europe currently finds itself in a position where it is getting "more for less" in regards to pharmaceuticals, although in doing so it relies on more market-based environments, such as the United States, to progress the research into much needed innovations. It looks at some of the problems and challenges in this model. http://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdf
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Public Health
Health Profiles 2011 Area Comparison Charts Network of Public Health Observatories These Red-Amber-Green Charts show the data used in the 2011 local authority and county health profiles and present area comparisons. These charts are based on the former Strategic Health Authority areas. http://www.apho.org.uk/default.aspx?QN=HP_COMPARISON_RAGS_2011 Health Survey for England 2010 NHS Information Centre The main focus of the HSE in 2010 was respiratory health and lung function. Additional modules of questions were also included, covering contraception and sexual health, wellbeing, kidney disease and dental health. http://www.ic.nhs.uk/pubs/hse10report Trend tables are available at http://www.ic.nhs.uk/statistics-and-data-collections/health-andlifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trendtables NHS Atlas of Variation in Healthcare 2011 NHS Right Care This atlas offers clinicians and commissioners a fresh opportunity to identify variation and take action to reduce unwarranted variation, and highlights Right Care’s work to support those wanting to reduce unwarranted variation within their locality or between their locality and other areas of the country. http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/ New public health system Department of Health This series of factsheets gives more detail on the design of the new public health system, including the role and responsibilities of local government in public health, the operating model for the new executive agency Public Health England and an overview of how the whole system will work. http://healthandcare.dh.gov.uk/public-health-system/
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NHS Library and Information Service North Staffordshire
First monthly update West Midlands Public Health Transition Steering Group http://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdf
Items in the Health Reforms section may also be of interest. [back to topics]
Safeguarding Children and Vulnerable Adults
Assessment: Financial crime against vulnerable adults Social Care Institute for Excellence This report aimed to consider the extent of the problem of financial crime against vulnerable adults, and to make strategic recommendations to reduce the threat. It also looks at the role of the public sector, the NHS and healthcare professionals in safeguarding adults from financial crime. http://www.scie.org.uk/publications/reports/report49.asp Board Assurance Prompt: safeguarding Good Governance Institute This prompt is a five-step maturity matrices model that challenges organisations to assess their approach to protecting vulnerable adults in their care. http://www.good-governance.org.uk/Downloads/2011%20Dec%20Safeguarding%20BAP.pdf Building Partnerships, Staying Safe -The health sector contribution to HM Government’s Prevent strategy: guidance for healthcare workers Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131911 Local Child Safeguarding Performance Information Department for Education The child safeguarding performance information, which the Department recommends local areas collect, has been reframed as a set of questions. Local areas should challenge themselves to answer these questions in order to understand and improve the performance of their child protection service. The recommended set of information is based on the Munro Review. http://www.education.gov.uk/munroreview/CSPI.shtml Safeguarding adults at risk of harm: A legal guide for practitioners Social Care Institute for Excellence This guide is intended to serve as a pointer to the law. It tries to explain the law in reasonably simple terms, so it is selective and does not set out full details of each area of law covered. Further advice will often be needed, but an awareness of the law can help practitioners ask the right sort of question and explore possible solutions. http://www.scie.org.uk/publications/reports/report50.asp
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NHS Library and Information Service North Staffordshire Service Management
Achievement of foundation trust status by NHS hospital trusts House of Commons Public Accounts Committee This report looks at challenges facing hospitals which have not yet attained Foundation Trust status. http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htm Board governance assurance framework for aspirant foundation trusts Department of Health To help prepare aspirant Foundation Trusts to meet this competency, the Department has commissioned a mandatory board assurance framework, developed in partnership with existing FTs and other stakeholders. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131547 The ethics of sustainable health and social care: Towards a framework for decisionmaking Social Care Institute for Excellence This report examines the ethical challenges potentially posed by factoring environmental outcomes into different levels of health and social care decision-making, including resource allocation and treatments. http://www.scie.org.uk/publications/reports/report51.asp Innovation, health and wealth: accelerating adoption and diffusion in the NHS Department of Health This document sets out an integrated set of measures that together will support the adoption and diffusion of innovation across the NHS and sets a delivery agenda that will significantly ramp up the pace and scale of change and innovation. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131299 The Integrated Approach to Planning and Assurance between DH and the NHS for 2012/13 Department of Health This guide supports the accountability arrangements that by the end of March 2012, all PCT clusters should have an integrated plan as required in the NHS Operating Framework 2012/13. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131974 Keep it simple? predicting primary health care costs with measures of morbidity and multimorbidity Centre for Health Economics. University of York. This paper investigates the relationship between patients’ primary care costs (consultations, tests, drugs) and their age, gender, deprivation and alternative measures of their morbidity and multimorbidity. http://www.york.ac.uk/che/news/research-paper-72/ 20
NHS Library and Information Service North Staffordshire
NHS Outcomes Framework 2012-13 Department of Health This document sets out the changes that have been made to the indicators in the NHS Outcomes Framework and is designed to help NHS organisations to start to think through what to focus on outcomes means in practical terms. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131700 NHS Standard Contracts for 2012/13 Department of Health The NHS Standard Contract should be used by Commissioners when commissioning, Acute, Mental Health and Learning Disability, Community or Ambulance Services. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131988 Operating Framework for the NHS in England 2012/13 NHS Confederation This briefing sets out the key points, and some of the specific points Confederation members asked for the Framework to include. http://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspx Lessons learned from Monitor's review of significant Transforming Community Services transactions Monitor This short report sets out some of the lessons learned from the risk evaluation process of recent significant Transforming Community Services (TCS) transactions. It aims to enable foundation trusts undertaking transactions in the future to deliver projects successfully. http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browsecategory/guidance-foundation-trusts/mandat Whole system demonstrator programme: Headline findings Department of Health The Whole System Demonstrator programme was set up by the Department of Health to show what telehealth and telecare is capable of. It also aims to provide a clear evidence base to support important investment decisions and show how the technology supports people to live independently, take control and be responsible for their own health and care. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131684
Items in the Health Reforms and Workforce sections may also be of interest. [back to topics]
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NHS Library and Information Service North Staffordshire Sexual and Reproductive Health
eLearning: Sexual, reproductive and mental health Social Care Institute for Excellence These resources have been developed for mental health professionals, as an easy-to-use guide to key aspects of sexual and reproductive health in the context of mental illness. http://www.scie.org.uk/publications/elearning/sexualhealth/index.asp NHS Contraceptive Services: England, 2010/11, Community Contraceptive Clinics NHS Information Centre This annual report presents information on NHS community contraceptive clinics which include family planning clinics and clinics run by voluntary organisations such as Brook Advisory Centres. Information on NHS community contraceptive clinics excludes services provided in out-patient clinics and those provided by General Practitioners. http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhscontraceptive-services-england-2010-11-community-contraceptive-clinics
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Workforce
Census of consultant physicians and medical registrars in the UK, 2010 Royal College of Physicians The report states that the NHS remains reliant on doctors working longer than their contracted hours, and the number of hours consultants are contracted to work has fallen slightly as hospitals work to make efficiency savings. It also shows consultants are less available to train junior doctors, which has implications for the future workforce. http://www.rcplondon.ac.uk/resources/2010-census-summary Engaging your staff during periods of change NHS Employers This quick guide offers some tips and techniques that may be helpful. http://www.nhsemployers.org/EmploymentPolicyAndPractice/staffengagement/Pages/Engagingyourstaffduringperiodsofchange.aspx Management of HIV-infected healthcare workers Department of Health The national guidance which presently restricts healthcare workers infected with HIV from performing exposure prone procedures has been reviewed by a joint working group of the Expert Advisory Group on AIDS; the UK Advisory Panel for Healthcare Workers Infected with Blood-borne Viruses and the Advisory Group on Hepatitis. This consultation paper seeks views on recommendations from the working group for changes to the current policy on HIVinfected healthcare workers. Closing date for comments: 9 March 2012 http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532
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NHS Library and Information Service North Staffordshire
Managing and supporting mental health at work: disclosure tools for managers Mind and Chartered Institute of Personnel and Development This guide aims to help employers ensure that how they manage people supports their mental wellbeing and resilience, and also encourage more employees to talk about any mental health issues they may be facing at an early stage. http://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdf Remediation report Department of Health The focus of this report is to address clinical competence and capability issues occurring in doctors no longer in the training grades. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131793
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Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire
Issue No: 59 – December 2011
About this Bulletin: It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Where possible, links to the full text documents are included. If the article is in a journal, you can contact the Health Library for a copy. Link to request form: http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/interlibraryloans/#d.en.27437 [Please note - a charge of £2 per request is payable for most copies] If you need further assistance, please contact the Health Library or the NHS Outreach Librarians, details below. The bulletin can be e-mailed to colleagues who may also find it useful. A list of websites checked in the production of this bulletin is on the first page. Please suggest further useful sites. Feedback is always welcomed to inform future issues of the bulletin.
Contact information
Bulletin produced by NHS Outreach Librarians Tel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429) E-mail: [email protected] [email protected]
North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: [email protected]
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NHS Library and Information Service North Staffordshire
Sources for Clinical Effectiveness Bulletin Please suggest further sites that should be monitored in the production of this bulletin Websites Cochrane Library http://www.thecochranelibrary.com/ CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/ - DARE – (Database of Abstracts of Reviews of Effects) - NHS Economic Evaluation Database Health Technology Assessment (HTA) Database http://www.hta.ac.uk Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/ Department of Health http://www.dh.gov.uk/en/index.htm King’s Fund http://www.kingsfund.org.uk/ NeLM (National Electronic Library for Medicines) news bulletin http://www.nelm.nhs.uk/en/ NICE http://www.nice.org.uk/ SIGN http://www.sign.ac.uk/new.html
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NHS Library and Information Service North Staffordshire Contents in this issue:
Cancer ...................................................................................................................................... 4 Cardiovascular Disease ............................................................................................................ 5 Children and Young People ...................................................................................................... 6 Commissioning ......................................................................................................................... 6 COPD ....................................................................................................................................... 8 Dementia .................................................................................................................................. 8 Diabetes.................................................................................................................................... 9 General Practice ....................................................................................................................... 9 Guidance ................................................................................................................................ 10 Health Reforms ....................................................................................................................... 11 Health Visitors ......................................................................................................................... 13 HIV .......................................................................................................................................... 13 Infections ................................................................................................................................ 13 Maternal and Infant Health...................................................................................................... 13 Mental Health.......................................................................................................................... 14 Neurological Conditions .......................................................................................................... 15 Nursing and Midwifery ............................................................................................................ 15 Nutrition .................................................................................................................................. 15 Offender Health ...................................................................................................................... 16 Older People ........................................................................................................................... 16 Palliative and End of Life Care ................................................................................................ 16 Patient Care and Safety .......................................................................................................... 16 Pharmacy and Prescribing ...................................................................................................... 17 Public Health ........................................................................................................................... 18 Safeguarding Children and Vulnerable Adults ........................................................................ 19 Service Management .............................................................................................................. 20 Sexual and Reproductive Health ............................................................................................ 22 Workforce ............................................................................................................................... 22
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NHS Library and Information Service North Staffordshire Cancer
West Midlands Cancer Awareness Profiles West Midlands Cancer Intelligence Unit Mouth Cancer: http://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdf Pancreatic Cancer: http://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling .pdf The Fraction of Cancer Attributable to Lifestyle and Environmental Factors in the UK in 2010 Parkin, DM et al. This supplement contains articles on 14 different lifestyle and environmental causes of cancer, including overweight and obesity, occupational exposure, inactivity, and diet. British Journal of Cancer (2011) 105, Supplement i. doi:10.1038/bjc.2011.508 Related information including additional diagrams: http://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-dietalcohol-and-obesity-behind-more-than-100000-cancers Improving access? Report on the implementation of the Cancer Drugs Fund and the development of a value-based pricing system Macmillan Cancer Support The report finds that the Cancer Drugs Fund has helped more than 7,500 patients access drugs that are not available on the NHS, and is improving understanding of drugs for rarer cancers. It also raises concerns about regional variations in access to the Fund, and continued access to these drugs when funding stops in 2014. http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFun d/ImprovingAccess.pdf Improving Outcomes: A Strategy for Cancer - First Annual Report 2011 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131690 An intelligence framework for cancer Department of Health This document sets out plans and aspirations to tackle deficiencies in cancer intelligence. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131696 Lung cancer in the West Midlands West Midlands Cancer Intelligence Unit This report looks at incidence and mortality, survival, stage at diagnosis, referral patterns, treatment, and surgical caseload. http://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdf
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NHS Library and Information Service North Staffordshire
Manual for Cancer Services consultations Department of Health Specialist palliative care measures This is not a public consultation and is aimed at interested stakeholders only. Closing date for comments: 27 February 2012 http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554 Revised version of the Cancer of Unknown Primary Measures Closing date for comments: 14 March 2012 http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989 National Lung Cancer Audit Report 2011 NHS Information Centre Measures of the standards of care are largely similar to those seen last year, and whilst still below those in other Western European countries, the gap is narrowing. There remains variation across trusts and networks. http://www.ic.nhs.uk/canceraudits/lung Tackling Cancer Inequalities: one year on All Party Parliamentary Group on Cancer This report looks at progress since the APPGC’s report in 2009, and makes recommendations for further improvement. http://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitie soneyearon.aspx Work Capability Assessment: accounting for the effects of cancer treatment – informal consultation Department for Work and Pensions This consultation seeks to gather evidence and views about proposed improvements to the way the Work Capability Assessment assesses individuals who are suffering from cancer. Closing date: 9 March 2012 http://www.dwp.gov.uk/consultations/2011/wca-assessment.shtml
Items in the Commissioning section may also be of interest. [back to topics]
Cardiovascular Disease
Cholesterol and a healthier nation: shared responsibility for better public health Heart UK This report focuses on implementation of NHS Health Checks, and makes 8 recommendations for increasing numbers of checks and improving cardiovascular health. http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_h ealth_checks/
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NHS Library and Information Service North Staffordshire
Self-monitoring of oral anticoagulation: systematic review and meta-analysis of individual patient data Heneghan, C et al. The authors concluded that self-monitoring and self-management of oral coagulation is a safe option for suitable patients of all ages. Patients should also be offered the option to selfmanage their disease with suitable health-care support as back-up. The Lancet, Early Online Publication, 1 December 2011. doi:10.1016/S0140-6736(11)612944
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Children and Young People
Children's Health Information Matters: Researching the practice of and requirements for age appropriate health information for children and young people (IMP) Service Delivery and Organisation Programme This study aims to provide a full picture of the information needs and preferences of children and young people under 18 with specific healthcare needs and conditions, and their families. http://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145 National Child Measurement Programme: England, 2010/11 school year NHS Information Centre The report provides high-level analysis of the prevalence of ‘underweight', ‘healthy weight', ‘overweight', ‘obese' and 'overweight and obese combined' children, in Reception (aged 4–5 years) and Year 6 (aged 10–11 years), measured in state schools. http://www.ic.nhs.uk/ncmp Official statistics: Children's centres inspections and outcomes Ofsted Data for Centres inspected from July to September 2011 is now available, including data for those centres in Stoke and North Staffordshire inspected in this time period. http://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centresinspections-and-outcomes
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Commissioning
Effective Cancer Commissioning in the New NHS All Party Parliamentary Group on Cancer This report is a response to concerns that the changes to commissioning structures could impact upon the Government’s ambitions to improve cancer outcomes. http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAg ainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdf Good governance for clinical commissioning groups: An introductory guide King’s Fund This guide aims to help CCGs take their first steps towards authorisation. http://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.html 6
NHS Library and Information Service North Staffordshire
Involving older people in service commissioning: more power to their elbow? Joseph Rowntree Foundation Dorset and Salford were identified as areas where structures and processes encourage and facilitate the involvement of older people in local decision-making. The research examined how older people in these areas were involved in commissioning and service delivery; what difference their involvement made; the factors which lead to successful engagement; and the barriers to involving older people. http://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbow Person-based Resource Allocation: New approaches to estimating commissioning budgets for GP practices Nuffield Trust This document outlines Person-based Resource Allocation. It summarises the approach developed in a series of analyses over time. The analysis was funded by the Department of Health and the resulting formula was used within the ‘fair shares toolkit’ for allocations from primary care trusts (PCTs) to practices for commissioning, for 2010/11 and 2011/12. The formula has been further developed for use in 2012/13 to help set target allocations for shadow clinical commissioning groups. http://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-newapproaches-estimating-commissioning-budgets-gp-pra Programme budgeting tools and data Department of health Commissioner level programme budgeting data is published annually in the form of a benchmarking tool that enables commissioners to identify: how they spend their allocation over 23 disease categories and 12 care settings, and how this compares with other commissioners. The latest version of the Programme Budgeting PCT Benchmarking Tool contains estimates of expenditure for the 2010-11 financial year. http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgetin g/DH_075743#_1 Update to Best Practice Tariffs Department of Health This web page sets out the Best Practice Tariffs that are in place for 2011-12 and a list of new service areas which are being considered for Best Practice Tariffs in 2012-13. http://www.dh.gov.uk/health/2011/12/bpt-update/
Items in the Dementia section may also be of interest. [back to topics]
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NHS Library and Information Service North Staffordshire COPD
Improving end of life care in chronic obstructive pulmonary disease (COPD): testing the case for change NHS Improvement: Lung This report focuses on prognostic indication, Advance Care Planning and palliative care registers. http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fN ational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdf Improving earlier diagnosis and the long term management of COPD: testing the case for Change NHS Improvement: Lung The Earlier diagnosis workstream aimed to ensure all patients received a timely diagnosis and appropriate information about their condition, and were added to the practice disease register. Project work included testing service models, reviewing registers and developing tools to improve and monitor quality. The Managing COPD as a long term condition workstream focused on supported self-care and regular review, reducing emergency admissions and improving medicines management. Project work included testing ways to develop and implement effective self-care models and ongoing patient review. http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fN ational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change. pdf
Items in the Nutrition section may also be of interest. [back to topics]
Dementia
Common and complex: commissioning effective dementia services in the new world Alzheimers Society and MHP This report makes recommendations to improve dementia outcomes in the context of the Government’s health and social care reforms. http://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementiaservices-new-world Report of the National Audit of Dementia Care in General Hospitals 2011 Royal College of Psychiatrists This audit shows that, although the majority of wards meet basic safety requirements, many had not addressed simple measures that could lessen the distress caused to dementia patients by an unfamiliar and confusing hospital environment. The report also makes recommendations for improvement. http://www.rcpsych.ac.uk/press/pressreleases2011/nationalauditofdementia.aspx
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NHS Library and Information Service North Staffordshire Diabetes
Recognition, treatment and prevention of hypoglycaemia in the community NHS Diabetes This guide is intended to serve as a helpful resource for a range of groups, including those caring for people with diabetes in the community, commissioners, designers of services and healthcare professionals. http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_p revention_of_hypoglycaemia_in_the_community/ National Diabetes Audit Mortality Analysis 2007-2008: Key findings on mortality rates for people with diabetes in England NHS Information Centre This audit analyses mortality by type of diabetes, age and sex, ethnicity, deprivation, SHA, and PCT. It also makes recommendations for improvement. http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20do cuments/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdf
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General Practice
2012/13 GMS Contract Negotiations Department of Health This letter sets out the outcome of negotiations between the BMA General Practitioners Committee and NHS Employers on changes that will apply to GMS contractual arrangements in England from April 2012. http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/D H_130920 GP Patient Survey Department of Health The most recent reports and data tables cover July-September 2011. http://www.gp-patient.co.uk/results/ Modelling Individual Patient Hospital Expenditure for General Practice Budgets Centre for Health Economics. University of York This paper models individual expenditure using diagnostic information from previous hospital spells, plus a large set of attributed variables measuring population, general practice, and local hospital characteristics. It describes a procedure for setting budgets for general practices which reduces the problem of the lags in the available data. It also examines the distinction between need and nonneed variables and the incentive implications of allowing past numbers of hospital encounters to determine practice budgets. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_In dividual_Patient_Hospital_Expenditure_for_GP_Budgets.pdf
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NHS Library and Information Service North Staffordshire
National General Practice Profiles Network of Public Health Observatories Using a variety of graphical displays such as spine charts and population pyramids, the tool presents a range of practice-level indicators, including: local demography; Quality and Outcomes Framework domains; disease prevalence estimates; admission rates; and patient satisfaction. In addition to viewing individual practice profiles, you can view summary profiles for CCGs. Each practice can be compared with the PCT, CCG and England. http://www.apho.org.uk/PracProf/Profile.aspx Supporting documents are available at http://www.apho.org.uk/resource/view.aspx?RID=96724
Items in the Commissioning sections may be of interest.
Guidance
NICE Clinical Guidelines Anaphylaxis CG134 http://guidance.nice.org.uk/CG134 Organ donation CG135 http://guidance.nice.org.uk/CG135 Service user experience in adult mental health CG136 http://guidance.nice.org.uk/CG136 NICE Technology Appraisals Arthritis (juvenile idiopathic, systemic) - tocilizumab TA238 http://guidance.nice.org.uk/TA238 Breast cancer (metastatic) – fulvestrant TA239 http://guidance.nice.org.uk/TA239 NICE Diagnostics Guidance Elucigene FH20 and LIPOchip for the diagnosis of familial hypercholesterolaemia DG2 http://guidance.nice.org.uk/DG2
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NICE Quality Standards Service user experience in adult mental health http://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mentalhealth/index.jsp 10
NHS Library and Information Service North Staffordshire
NICE Consultation Documents Acute upper GI bleeding To comment, contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 14 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57570 Antibiotics for neonatal infection To comment, contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 27 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57699 Consultation on proposed changes to quality standards process guide Closing date for comments: 13 March 2012 http://www.nice.org.uk/aboutnice/qualitystandards/qualitystandards.jsp Consultation on QOF indicators Closing date for comments: 6 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57699http://www.nice.org.uk/abo utnice/qof/ConsultationQOFIndicators.jsp
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Health Reforms
Co-production for health: a new model for a radically new world: Building new approaches to delivery to achieve better health outcomes at the local level NHS Solutions for Public Health This report is based on a national colloquium exploring how organisations can start to positively use the new arrangements for public health and commissioning. It looks at how to exploit the opportunities created by the integration of public health and local government, and how to maximise the new structures, approaches and democratic accountabilities to deliver public health outcomes and a reduction in inequalities. http://www.sph.nhs.uk/what-we-do/whats-new/local-government-report Information governance for Transition National Information Governance Board for Health and Social Care The guidance is intended to support organisations in maintaining good information governance during the transition to new organisational structures. Its purpose is to identify information governance issues and risks, understand their potential impact and provide guidance on how they can be addressed. http://www.nigb.nhs.uk/pubs/guidance/transguid Interactive Map of AQP Services NHS Supply2Health This map shows the services selected for provision under Any Qualified Provider by PCT. http://www.supply2health.nhs.uk/AQPResourceCentre/AQPMap/AQPMap.aspx 11
NHS Library and Information Service North Staffordshire
Joining up health and social care: Improving value for money across the interface Audit Commission This report says that integrated working across health and social care offers opportunities for efficiencies and improvements to services, and a lack of integrated working means that people are less likely to receive the best care. It offers guidance, and includes case studies and a benchmarking tool for local NHS and social care partnerships. http://www.auditcommission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspx Joint Strategic Needs Assessment and joint health and wellbeing strategies explained Department of Health This document aims to support emerging health and wellbeing boards as they engage with the refresh of Joint Strategic Needs Assessments and develop their preparatory joint health and wellbeing strategy. It also describes what support the Department of Health will provide, and how the Department will build in learning from early implementer health and wellbeing boards. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131702 Questions and answers NHS Commissioning Board Special Health Authority This document answers some frequently asked questions about the Commissioning Board. http://www.commissioningboard.nhs.uk/2011/12/22/nhs-commissioning-board-qa/ The search for low-cost integrated healthcare: the Alzira model, from the region of Valencia NHS Confederation The Alzira model was the subject of an NHS Confederation study visit in March 2011. This paper examines the model in light of the current challenges facing the NHS in England. http://www.nhsconfed.org/Publications/reports/Pages/integrated-healthcare.aspx Stakeholder engagement on the licence Monitor If the Health and Social Care Bill becomes law, Monitor will be required to issue licences to all providers of NHS funded services as part of its regulatory function. Monitor has published six documents which make up the first tranche of licence conditions on which they are engaging. Closing date for comments: 23 January 2012 http://www.monitor-nhsft.gov.uk/home/monitors-new-role/licensing-providers/stakeholderengagement-the-licence Why the BMA is opposing the whole Bill BMA This briefing sets out why the BMA have hardened their position on the Bill in the context of the wider NHS reform agenda. http://www.bma.org.uk/images/nhsreformbriefingbmaopposesbilldec2011_tcm41-210946.pdf
Items in the Commissioning and Service Management sections may also be of interest. [back to topics]
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NHS Library and Information Service North Staffordshire Health Visitors
A Call to Action - One Year On: Health Visitor Implementation Progress Report Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_132016
HIV
Items in the Workforce section may also be of interest.
Infections
Gastrointestinal infections annual report, 2010 Health Protection Agency This report looks at outbreaks of specific infections, and the role of surveillance systems for these diseases. http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessR eports/1112Gastrointestinalinfections2010/ Migrant Health: Infectious diseases in non-UK born populations in the UK Health Protection Agency The report concludes that the majority of long-term migrants to the UK are young people with plans to study or work, and they will have a similar range of health concerns to UK born people in the same age bracket. A small proportion of the non-UK born bear the greatest burden of infectious disease reported in the UK. http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/ Tuberculosis in the UK: 2011 report Health Protection Agency The authors conclude that recent potential decline in the incidence of tuberculosis, after nearly two decades of increasing rates, is encouraging. The report also looks at tuberculosis in specific population groups, and recommends measures to further strengthen TB control. http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheU K2011report/
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Maternal and Infant Health
Mortality Monitoring Bulletin (Infant mortality, inequalities): update to include data for 2010 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130 911
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NHS Maternity Statistics, England: 2010-11 NHS Information Centre These statistics include data on place of delivery; person conducting delivery; anaesthetics; method of onset and method of delivery; episiotomy; antenatal/postnatal stay; complications; gestation; birth weight; miscarriage and ectopic pregnancy http://www.ic.nhs.uk/pubs/maternity1011
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Mental Health
Developing an outcomes-based approach in mental health NHS Confederation This Briefing sets out the policy context for outcomes in mental health and summarises the recommendations made in a Mental Health Network report, including the need to develop an implementation framework in support of the mental health strategy, 'No health without mental health'. http://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspx Employee outlook: Focus on mental health in the workplace Mind This survey asked over 2000 employees about their experiences and attitudes about mental health in the workplace. http://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus__CIPD_survey.pdf The fourth year of the Independent Mental Capacity Advocacy (IMCA) service: 2010/ 2011 Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131958 Monitoring the Mental Health Act in 2010/11: The Care Quality Commission’s annual report on the exercise of its functions in keeping under review the operation of the Mental Health Act 1983 Care Quality Commission This year’s report highlights lack of patient involvement in the care planning process; patients' capacity to consent being, in some cases, assumed too readily by doctors; and that legal powers available to providers are widely misunderstood, even among mental health professionals. http://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11 New service models in mental health: emerging lessons NHS Confederation This report looks at the evidence on making best use of new specialist services, like crisis resolution teams; how much care is now provided by alternatives to hospital and the potential for savings, and how services are engaging users. http://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspx 14
NHS Library and Information Service North Staffordshire
Preventing suicide through community and emergency healthcare NHS Confederation This briefing introduces the National Patient Safety Agency's new suicide prevention toolkits for community, emergency and general practice staff. http://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspx
Think child, think parent, think family: a guide to parental mental health and child welfare Social Care Institute for Excellence This guide looks at a variety of topics, including improving access to services, care plans and assessments. http://www.scie.org.uk/publications/guides/guide30/index.asp
Items in the Sexual and Reproductive Health and Workforce sections may also be of interest. [back to topics]
Neurological Conditions
Services for people with neurological conditions National Audit Office This audit concludes that since the National Service Framework for Long-term Conditions was introduced in 2005, people with neurological conditions have had better access to health services; but key indicators of quality have worsened. It also concludes the Department does not know what the Framework and additional spending of nearly 40 per cent have achieved. http://www.nao.org.uk/publications/1012/neurological_conditions.aspx
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Nursing and Midwifery
Genetics/Genomics in Nursing and Midwifery Department of Health This report has been produced to assist the Nursing & Midwifery Professional Advisory Board in identifying issues and potential solutions concerning the future of genetics/genomics for the nursing and midwifery professional workforce. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131946
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Nutrition
The Respiratory Healthcare Professional's Nutritional COPD Guideline This guide aims to raise awareness of nutrition with respiratory health professionals and their COPD patients. It provides a tool to aid first line nutritional management of these patients. http://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition. aspx 15
NHS Library and Information Service North Staffordshire Offender Health
Expectations: Criteria for assessing the treatment of prisoners and conditions in prisons Her Majesty’s Inspectorate of Prisons This document sets out the basis on which the Inspectorate will fulfil its statutory duty to report to the relevant Secretary of State on ‘the treatment of prisoners and conditions in prisons’. It includes sections on health and health services provided in prison. The report and related documents are at: http://www.justice.gov.uk/guidance/inspection-andmonitoring/hmi-prisons/inspections-guidance/inspection-and-appraisal-criteria.htm
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Older People
Items in the Commissioning section may be of interest.
Palliative and End of Life Care
End of Life Care Profiles: 2011 Update National End of Life Care Intelligence Network The End of Life Care Profiles present data on place of death and cause of death, by age and sex, for each Local Authority in England using the InstantAtlas mapping tool. The data can be viewed in map, chart and table format. http://www.endoflifecare-intelligence.org.uk/profiles.aspx
Items in the Cancer and COPD sections may also be of interest.
Patient Care and Safety
British Social Attitudes 28 NatCen Social Research Chapter 9 looks at the NHS across Britain. It examines satisfaction with the NHS and its component services, and expectations and perceptions about waiting times. http://ir2.flife.de/data/natcen-socialresearch/igb_html/index.php?bericht_id=1000001&index=&lang=ENG The Care Quality Commission: Regulating the quality and safety of health and adult social care National Audit Office This report finds that the Care Quality Commission has not achieved value for money in regulating health and adult social care in England. It also finds that the process for registering care providers did not go smoothly, and that the Commission completed only 47 per cent of the target number of compliance reviews between October 2010 and April 2011. In addition, proposals to extend the Commission's role risk distracting the Commission from its core work of regulating health and social care. http://www.nao.org.uk/publications/1012/care_quality_commission.aspx
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NHS Library and Information Service North Staffordshire
Protecting and promoting patients' interests: the role of Sector Regulation Department of Health This document sets out the government’s rationale for sector regulation in the NHS, and describes Monitor’s proposed role and functions, and its relationships with the Care Quality Commission and NHS Commissioning Board. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131609 Quick guide to raising a concern about your workplace CQC This guide has been written for health and care professionals that need to raise a concern about their workplace. It gives helpful advice on speaking out about poor care and what protection you will have from the law if you do. http://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplace
Items in the General Practice section may also be of interest. [back to topics]
Pharmacy and Prescribing
NHS Community Pharmacy Services: a summary Pharmaceutical Services Negotiating Committee This summary is intended for people who are not familiar with the work of community pharmacy. The document may, for example, be used by LPCs and community pharmacists to brief local authority staff and councillors on pharmacy services. http://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_published Homecare Medicines: towards a Vision for the Future Department of Health Commercial Medicines Unit The Department of Health (DH) have sponsored a rapid review of Homecare Medicine Supply to consider the current operational arrangements and its future for the best value for patients, the NHS and the provider market. http://cmu.dh.gov.uk/homecare-medicines-review-group/ Medicines for Children Royal Pharmaceutical Society This site contains information to help parents when they need to give medicines to their children at home. It currently provides online or printed leaflets on over 100 key medicines. http://www.medicinesforchildren.org.uk/ Prescribing by GP Practice NHS Information Centre Covering all general practices in England, the data includes figures on the number of prescription items that are dispensed each month and information relating to costs. http://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practice
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Which Price is Right? Regulating the cost of pharmaceuticals in Europe and North America Stockholm Network This report argues that Europe currently finds itself in a position where it is getting "more for less" in regards to pharmaceuticals, although in doing so it relies on more market-based environments, such as the United States, to progress the research into much needed innovations. It looks at some of the problems and challenges in this model. http://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdf
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Public Health
Health Profiles 2011 Area Comparison Charts Network of Public Health Observatories These Red-Amber-Green Charts show the data used in the 2011 local authority and county health profiles and present area comparisons. These charts are based on the former Strategic Health Authority areas. http://www.apho.org.uk/default.aspx?QN=HP_COMPARISON_RAGS_2011 Health Survey for England 2010 NHS Information Centre The main focus of the HSE in 2010 was respiratory health and lung function. Additional modules of questions were also included, covering contraception and sexual health, wellbeing, kidney disease and dental health. http://www.ic.nhs.uk/pubs/hse10report Trend tables are available at http://www.ic.nhs.uk/statistics-and-data-collections/health-andlifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trendtables NHS Atlas of Variation in Healthcare 2011 NHS Right Care This atlas offers clinicians and commissioners a fresh opportunity to identify variation and take action to reduce unwarranted variation, and highlights Right Care’s work to support those wanting to reduce unwarranted variation within their locality or between their locality and other areas of the country. http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/ New public health system Department of Health This series of factsheets gives more detail on the design of the new public health system, including the role and responsibilities of local government in public health, the operating model for the new executive agency Public Health England and an overview of how the whole system will work. http://healthandcare.dh.gov.uk/public-health-system/
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First monthly update West Midlands Public Health Transition Steering Group http://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdf
Items in the Health Reforms section may also be of interest. [back to topics]
Safeguarding Children and Vulnerable Adults
Assessment: Financial crime against vulnerable adults Social Care Institute for Excellence This report aimed to consider the extent of the problem of financial crime against vulnerable adults, and to make strategic recommendations to reduce the threat. It also looks at the role of the public sector, the NHS and healthcare professionals in safeguarding adults from financial crime. http://www.scie.org.uk/publications/reports/report49.asp Board Assurance Prompt: safeguarding Good Governance Institute This prompt is a five-step maturity matrices model that challenges organisations to assess their approach to protecting vulnerable adults in their care. http://www.good-governance.org.uk/Downloads/2011%20Dec%20Safeguarding%20BAP.pdf Building Partnerships, Staying Safe -The health sector contribution to HM Government’s Prevent strategy: guidance for healthcare workers Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131911 Local Child Safeguarding Performance Information Department for Education The child safeguarding performance information, which the Department recommends local areas collect, has been reframed as a set of questions. Local areas should challenge themselves to answer these questions in order to understand and improve the performance of their child protection service. The recommended set of information is based on the Munro Review. http://www.education.gov.uk/munroreview/CSPI.shtml Safeguarding adults at risk of harm: A legal guide for practitioners Social Care Institute for Excellence This guide is intended to serve as a pointer to the law. It tries to explain the law in reasonably simple terms, so it is selective and does not set out full details of each area of law covered. Further advice will often be needed, but an awareness of the law can help practitioners ask the right sort of question and explore possible solutions. http://www.scie.org.uk/publications/reports/report50.asp
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NHS Library and Information Service North Staffordshire Service Management
Achievement of foundation trust status by NHS hospital trusts House of Commons Public Accounts Committee This report looks at challenges facing hospitals which have not yet attained Foundation Trust status. http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htm Board governance assurance framework for aspirant foundation trusts Department of Health To help prepare aspirant Foundation Trusts to meet this competency, the Department has commissioned a mandatory board assurance framework, developed in partnership with existing FTs and other stakeholders. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131547 The ethics of sustainable health and social care: Towards a framework for decisionmaking Social Care Institute for Excellence This report examines the ethical challenges potentially posed by factoring environmental outcomes into different levels of health and social care decision-making, including resource allocation and treatments. http://www.scie.org.uk/publications/reports/report51.asp Innovation, health and wealth: accelerating adoption and diffusion in the NHS Department of Health This document sets out an integrated set of measures that together will support the adoption and diffusion of innovation across the NHS and sets a delivery agenda that will significantly ramp up the pace and scale of change and innovation. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131299 The Integrated Approach to Planning and Assurance between DH and the NHS for 2012/13 Department of Health This guide supports the accountability arrangements that by the end of March 2012, all PCT clusters should have an integrated plan as required in the NHS Operating Framework 2012/13. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131974 Keep it simple? predicting primary health care costs with measures of morbidity and multimorbidity Centre for Health Economics. University of York. This paper investigates the relationship between patients’ primary care costs (consultations, tests, drugs) and their age, gender, deprivation and alternative measures of their morbidity and multimorbidity. http://www.york.ac.uk/che/news/research-paper-72/ 20
NHS Library and Information Service North Staffordshire
NHS Outcomes Framework 2012-13 Department of Health This document sets out the changes that have been made to the indicators in the NHS Outcomes Framework and is designed to help NHS organisations to start to think through what to focus on outcomes means in practical terms. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131700 NHS Standard Contracts for 2012/13 Department of Health The NHS Standard Contract should be used by Commissioners when commissioning, Acute, Mental Health and Learning Disability, Community or Ambulance Services. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131988 Operating Framework for the NHS in England 2012/13 NHS Confederation This briefing sets out the key points, and some of the specific points Confederation members asked for the Framework to include. http://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspx Lessons learned from Monitor's review of significant Transforming Community Services transactions Monitor This short report sets out some of the lessons learned from the risk evaluation process of recent significant Transforming Community Services (TCS) transactions. It aims to enable foundation trusts undertaking transactions in the future to deliver projects successfully. http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browsecategory/guidance-foundation-trusts/mandat Whole system demonstrator programme: Headline findings Department of Health The Whole System Demonstrator programme was set up by the Department of Health to show what telehealth and telecare is capable of. It also aims to provide a clear evidence base to support important investment decisions and show how the technology supports people to live independently, take control and be responsible for their own health and care. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131684
Items in the Health Reforms and Workforce sections may also be of interest. [back to topics]
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NHS Library and Information Service North Staffordshire Sexual and Reproductive Health
eLearning: Sexual, reproductive and mental health Social Care Institute for Excellence These resources have been developed for mental health professionals, as an easy-to-use guide to key aspects of sexual and reproductive health in the context of mental illness. http://www.scie.org.uk/publications/elearning/sexualhealth/index.asp NHS Contraceptive Services: England, 2010/11, Community Contraceptive Clinics NHS Information Centre This annual report presents information on NHS community contraceptive clinics which include family planning clinics and clinics run by voluntary organisations such as Brook Advisory Centres. Information on NHS community contraceptive clinics excludes services provided in out-patient clinics and those provided by General Practitioners. http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhscontraceptive-services-england-2010-11-community-contraceptive-clinics
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Workforce
Census of consultant physicians and medical registrars in the UK, 2010 Royal College of Physicians The report states that the NHS remains reliant on doctors working longer than their contracted hours, and the number of hours consultants are contracted to work has fallen slightly as hospitals work to make efficiency savings. It also shows consultants are less available to train junior doctors, which has implications for the future workforce. http://www.rcplondon.ac.uk/resources/2010-census-summary Engaging your staff during periods of change NHS Employers This quick guide offers some tips and techniques that may be helpful. http://www.nhsemployers.org/EmploymentPolicyAndPractice/staffengagement/Pages/Engagingyourstaffduringperiodsofchange.aspx Management of HIV-infected healthcare workers Department of Health The national guidance which presently restricts healthcare workers infected with HIV from performing exposure prone procedures has been reviewed by a joint working group of the Expert Advisory Group on AIDS; the UK Advisory Panel for Healthcare Workers Infected with Blood-borne Viruses and the Advisory Group on Hepatitis. This consultation paper seeks views on recommendations from the working group for changes to the current policy on HIVinfected healthcare workers. Closing date for comments: 9 March 2012 http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532
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Managing and supporting mental health at work: disclosure tools for managers Mind and Chartered Institute of Personnel and Development This guide aims to help employers ensure that how they manage people supports their mental wellbeing and resilience, and also encourage more employees to talk about any mental health issues they may be facing at an early stage. http://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdf Remediation report Department of Health The focus of this report is to address clinical competence and capability issues occurring in doctors no longer in the training grades. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_131793
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