Professional Documents
Culture Documents
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, NHS and Public Health staff in Stoke and North Staffordshire 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: 01782 679564 or 0300 123 1535 ext/FeatureNet 8429 E-mail: clareh.powell@northstaffs.nhs.uk
North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: health.library@keele.ac.uk
NHS Library and Information Service North Staffordshire Contents in this issue:
Alcohol ...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Children and Young People ...................................................................................................... 4 Commissioning ......................................................................................................................... 5 COPD ....................................................................................................................................... 7 Diabetes.................................................................................................................................... 7 End of Life Care ........................................................................................................................ 7 General Practice ....................................................................................................................... 8 Guidance .................................................................................................................................. 9 Health Reforms ....................................................................................................................... 10 Heart Disease ......................................................................................................................... 11 Infection Control ...................................................................................................................... 12 Integrated Care ....................................................................................................................... 12 Mental Health.......................................................................................................................... 12 Older People ........................................................................................................................... 13 Patient and Public Involvement ............................................................................................... 13 Patient Care and Safety .......................................................................................................... 13 Pharmacy and Prescribing ...................................................................................................... 14 Public Health ........................................................................................................................... 14 Service Management .............................................................................................................. 15 Social Care ............................................................................................................................. 16 Substance Misuse .................................................................................................................. 17 Vaccination and Immunisation ................................................................................................ 17 Workforce ............................................................................................................................... 19
Cancer
Age is just a number: the report of the parliamentary enquiry into older age and breast cancer All Party Parliamentary Group on Breast Cancer This is a report of an inquiry which aimed to examine the variations and barriers preventing all patients diagnosed with breast cancer having access to the services, treatments and care that will benefit them most, regardless of their age. http://www.breakthrough.org.uk/sites/default/files/media/Campaigns/Age%20is%20just%20a %20number%20%20APPG%20report%20on%20older%20people%20and%20breast%20cancer.pdf Be Clear on Cancer Kidney and Bladder Cancer Sympton Awareness Public Health England (PHE) PHE has announced details of the next Be Clear On Cancer, campaign, launching in October 2013. The Blood in Pee campaign will tell people to go and see their GP if they see blood in the urine, even if its just the once. http://www.england.nhs.uk/wp-content/uploads/2013/07/Be-Clear-On-Cancer.pdf Cured but at what cost? Long term consequences of cancer and its treatment Macmillan Cancer Support This report warns that the NHS is woefully unprepared to help the rapidly growing number of cancer survivors. It looks at the long-term consequences of cancer and its treatment and shows that cancer survivors have an increased risk of other serious conditions. http://www.macmillan.org.uk/Documents/AboutUs/Newsroom/Consequences_of_Treatment_J une2013.pdf
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Commissioning
Clinical commissioning groups: supporting improvement in general practices? The King's Fund/Nuffield Trust Between 2012 and 2015, they are following the evolution of clinical commissioning in six case-study sites and will publish the findings annually. This first report is based on fieldwork conducted before CCGs had become fully authorised. It provides an overview of developments through to March 2013, plus an assessment of the opportunities and challenges ahead. http://www.kingsfund.org.uk/publications/clinical-commissioning-groups Commissioning for carers: key principles for clinical commissioning groups Carers Trust This resource was developed to ensure that support for carers is prioritised by CCGs. It makes the case that supporting carers wellbeing can reduce overall spending in the NHS and will help commissioners to meet their required outcomes. http://static.carers.org/files/commissioning-for-carers-key-principles-for-ccgs-6809.pdf Consultation on specialised service specifications and commissioning policies 2013/14: summary and response from NHS England NHS England This document summarises the responses to a consultation on the specialised service specifications and also outlines NHS England's response http://www.england.nhs.uk/wp-content/uploads/2013/07/consult-ssscp-13-14.pdf How are clinical commissioning groups evolving? Kings Fund/Nuffield Trust 5
COPD
Local Tobacco Control Profiles for England PHE These profiles have been designed to help local government and health services to assess the effect of tobacco use on their local populations. They will inform commissioning and planning decisions to tackle tobacco use and improve the health of local communities. The tool allows you to compare your local authority against other local authorities in the region and benchmark your local authority against the England average . http://www.tobaccoprofiles.info/
Diabetes
Community Nursing Insulin Chart East and South East England Specialist Pharmacy Services An insulin chart has been developed by experienced community health services pharmacists and includes a number of safety features within the chart design, for example it is pre-printed with the word units. http://www.medicinesresources.nhs.uk/en/Communities/NHS/SPS-E-and-SE-England/Medsuse-and-safety/Patient-safety/Learning-safety-solutions/Insulin/Insulin-Chart-for-Communitysettings/
General Practice
Does quality affect patients choice of doctor? Evidence from the UK Centre for Health Economics (CHE) University of York This study investigated the effect of practice quality on patients' choice amongst practices, allowing for other factors such as distance to the practice and gender and age of practice GPs. It found that patients are more likely to choose practices which earned more quality points under the quality and outcomes framework pay for performance scheme. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP88_quality_choic e_GP.pdf GP Income Streams Primary Care Commissioning This briefing is for NHS England area teams, GPs and general practice staff interested in how practice income is calculated. http://www.pcc-cic.org.uk/article/gp-income-streams Personal health budgets (PHBs) a revolution in personalisation 2020 Health This report responds to public and GP key fears about the government introduction of PHBs. It describes how patients make decisions normally made by a GP; what could happen to traditional services and asks whether NHS money should be spent on non-traditional equipment and activities. http://www.2020health.org/2020health/Press/latest-news/Press-Release-9-7-13.html Report on out-of-hours GP Service in Cornwall House of Commons This report, based on evidence from Serco and the NHS, examines the provision of the outof-hours GP service in Cornwall. It investigates concerns which were raised by whistleblowers that the service was short-staffed and that the contractor, Serco, had lied about its performance by altering data. http://www.publications.parliament.uk/pa/cm201314/cmselect/cmpubacc/471/471.pdf Revalidation resources for GPs RCGP These resources are designed to help make revalidation a positive and rewarding experience for GPs and complement the RCGP Guide to Revalidation and RCGP Revalidation ePortfolio. Working GPs with a special interest in revalidation have helped produce the resources, which include example portfolios, toolkits and an extensive Q&A document. http://www.rcgp.org.uk/news/2013/july/rcgp-releases-additional-revalidation-resources.aspx 8
Guidance
NICE Clinical guidelines Myocardial infarction with ST-segment elevation (CG167) http://guidance.nice.org.uk/CG167 NICE Clinical Guidelines The Assessment and Prevention of falls in older people (CG161) http://guidance.nice.org.uk/CG161 NICE Clinical Guidelines Varicose veins in the legs: The diagnosis and management of varicose veins (CG168) http://guidance.nice.org.uk/CG168 NICE Public Health Guidance BMI and waist circumference black, Asian and minority ethnic groups (PH46) http://guidance.nice.org.uk/PH46 NICE Quality Standards Attention deficit hyperactivity disorder (QS39) http://publications.nice.org.uk/attention-deficit-hyperactivity-disorder-qs39 NICE Quality Standards Postnatal care (QS37) QS37 http://publications.nice.org.uk/postnatal-care-qs37 NICE Quality Standards Urinary Tract Infections in infants, children and young people under 16 (QS36) http://guidance.nice.org.uk/QS36
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Heart Disease
Global association of air pollution and heart failure: a systematic review and metaanalysis Shah et al. This review found a strong and consistent association between heart failure hospitalisation or death and exposure to air pollutants, including carbon monoxide, sulphur dioxide, and nitrogen dioxide though it acknowledges further studies from developing nations are required. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2813%2960898-3/fulltext Management of Coronary Artery Disease in Primary and Community Care: Guidelines Canadian Agency for Drugs and Technologies in Health This rapid response report identified three evidence-based guidelines regarding the management of coronary artery disease (CAD) in primary care or community-based settings. 11
Infection Control
New Study to investigate Public Health risks of ESBL E.Coli PHE A new study by PHE and funded by the Department of Health will, for the first time, establish the most significant reservoirs of a strain of antibiotic resistant bacteria known as ESBLpositive E. coli that cause human illness in the UK. https://www.gov.uk/government/news/new-study-to-give-insight-into-public-health-risks-ofesbl-e-coli
Items in the Guidance section may be of interest [back to topics]
Integrated Care
Integrated care in Northern Ireland, Scotland and Wales: lessons for England The Kings Fund This paper explores how the health and social care system in England can learn from the approaches of other UK countries. It examines the context in which health and social care is provided; identifies policy initiatives that promote integrated care and the impact of these initiatives; and considers the barriers and challenges to achieving integrated care. http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/integrated-care-innorthern-ireland-scotland-and-wales-kingsfund-jul13.pdf Rewiring public services: adult social care and health Local Government Association This publication makes the argument that the next phase of development in social care and health services must be towards integration. It states that integrated services are much more likely to improve peoples health and wellbeing in ways which treat them with dignity and respect, and that it also makes financial sense to get rid of duplication and waste. http://www.local.gov.uk/web/guest/publications//journal_content/56/10171/4047962/PUBLICATION-TEMPLATE
Mental Health
Mental health in the new NHS structure Centre for Mental Health The Centre for Mental Health has produced a simplified map of where mental health fits into the new NHS structure. http://www.centreformentalhealth.org.uk/policy/NHS_structure.aspx Recommendations for a new approach to young people's mental health support Mindfull The report, Alone with my thoughts is based on a YouGov survey of over 2000 young people which found that over half of those who had shown signs of depression as children felt 12
Older People
Commissioning care and support for older people with high support needs Joseph Rowntree Foundation The Joseph Rowntree Foundation has published 'Commissioning care and support for older people with high suppport needs'. This Solutions provides practical guidance for commissioners of older people's services on the range of models and approaches available for supporting older people with high support needs. http://www.jrf.org.uk/publications/commissioning-care-and-support Understanding the oldest old Economic and Social Research Council This report uses new data from UKs largest ever social survey, Understanding Society, to uncover preliminary findings about the oldest old (aged over 85) and their levels of participation, wellbeing and health. http://www.scribd.com/doc/155902890/Understanding-the-Oldest-Old
Items in the Guidance, Social Care and Vaccination and Immunisation sections may be of interest
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Public Health
Free Market Solutions in Health: The case of nicotine. Institute of Economic Affairs This report argues that regulation of alternative nicotine products will actually do more harm than good as these products are not a gateway to smoking, but a gateway from smoking. http://www.iea.org.uk/sites/default/files/in-the-media/files/The%20Case%20of%20Nicotine.pdf Health report: review of the balance of competences The Department of Health This report covers the overall application of EU competence in health, and gives some idea of the views of stakeholders who responded to the call for evidence. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224715/290108 3_EU-Health_acc.pdf Heatwave plan: Easy Read version The Department of Health The Heatwave Plan for England aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. https://www.gov.uk/government/publications/heatwave-plan-for-england-2013 'Helping people live better for longer; a guide to the Department of Health's role and purpose post-April 2013' Department of Health This guide provides an overview of the Department of Health's new role from April 2013. The guide includes information on its purpose, operation, beliefs, organisation and governance. It 14
Service Management
Department of Health Corporate Plan Department of Health This plan contains information about: ministers, non-executive directors and leadership team; the department; themes; priorities; roadmap for the year ahead; total expenditure budget for 2013-14; resources; achievements in 2012-13; arm's length bodies; and departmental leaders talk about the role of their directorates. https://www.gov.uk/government/publications/department-of-health-corporate-plan-2013-14 Explaining health managers' information seeking behaviour and use National Institute for Health Research Service Delivery and Organisation (NIHR SDO) This project aims to analyse the information behaviour of health service managers in decision-making, as well as to identify the facilitators and barriers to the use of information, and to develop guidelines for improving practice. http://www.netscc.ac.uk/hsdr/files/project/SDO_FR_08-1808-243_V10.pdf
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http://www.england.nhs.uk/ourwork/qual-clin-lead/nhsiq/7ds/
Items in the Workforce sections may also be of interest. [back to topics]
Social Care
Adult social care efficiency programme: interim report 2013 Local Government Association The adult social care efficiency programme aims to achieve savings and improve productivity in adult social care budgets over a two-year period.
http://www.local.gov.uk/c/document_library/get_file?uuid=47db412f-27b8-449e-b43d42bcdb924a4d&groupId=10171
Independent Review into Healthcare Assistants and Support Workers Department of Health 'The Cavendish Review: An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings' makes a number of recommendations on how the training and support of both healthcare assistants who work in hospitals, and social care support workers who are employed in care homes and people's own homes, can be improved to ensure they provide care to the highest standard.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/212732/ Cavendish_Review_ACCESSIBLE_-_FINAL_VERSION_16-7-13.pdf
Social care for older people - using data from the Value for Money profiles, July 2013 Audit Commission This briefing considers what influences the funding of this service and is aimed at the public and those interested in local government. http://www.audit-commission.gov.uk/wp-content/uploads/2013/06/Social-care-briefing-vFINAL-16-July-2013.pdf
Items in the Workforce section may be of interest
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Flu Plan 2013/14 PHE/Department of Health It provides the public and healthcare professionals with an overview of the coordination and the preparation for the flu season and signposting to further guidance and information.
https://www.gov.uk/government/publications/flu-plan-winter-2013-to-2014
JCVI Statement on the use of Bexsero Meningoccal B Vaccine in the UK JCVI This statement recommends that routine infant or toddler immunisation using Bexsero is highly unlikely to be cost effective at any vaccine price based on the accepted threshold for cost effectiveness used in the UK and could not be recommended
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224896/JCVI_i nterim_statement_on_meningococcal_B_vaccination_for_web.pdft
Meningococcal C conjugate (MenC) vaccine PHE 'Changes to the Meningococcal C conjugate (MenC) vaccine schedule 2013 - Q&As for healthcare practitioners' summarises the changes to the MenC schedule, and
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Routine immunisation schedule for 2013/14 PHE This two-sided chart shows the complete routine immunisation schedule for 2013/14. It has been updated to include all the recent vaccine introductions and re-scheduling and now also features the immunisations for all those at risk.
https://www.gov.uk/government/publications/the-complete-routine-immunisation-schedule201314
Shingles Vaccine Introduced for people aged 70 to 79. PHE Guidance for healthcare professionals on the introduction of the shingles vaccine programme from 1st September 2013.
https://www.gov.uk/government/publications/shingles-herpes-zoster-the-green-book-chapter28a
Summary on the number of doses of flu vaccine for children JCVI This summary provides advice on the number of doses of flu vaccine that children should be offered depending on: their age, whether they have received influenza vaccine before and the type of flu vaccine.
https://www.gov.uk/government/publications/jcvi-summary-on-the-number-of-doses-of-fluvaccine-for-children
The Green Book: the complete current edition Department of Health The latest version of Immunisation against infectious disease (the Green Book), with all the updated chapters in one document.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/223734/GreenBook-updated-170713.pdf
The infant rotavirus vaccination programme Q&As for healthcare practitioners PHE In July 2013, the rotavirus vaccine (Rotarix) was introduced into the UK Childhood immunisation schedule. This document contains information on the disease, the vaccine and the vaccination programme for healthcare professionals, in a question and answer format.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224169/Rotavir us_Q_and_As_for_healthcare_practitioners.pdf
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NHS and social care workforce The Kings Fund This paper considers the key challenges facing the future workforce, offering practical suggestions to address these issues.
http://www.kingsfund.org.uk/time-to-think-differently/publications/nhs-and-social-careworkforce
NHS job evaluation handbook (fourth edition) NHS Staff Council This handbook has been updated to reflect the changes in the NHS and the end of central funding in England for Computer Aided Job Evaluation system.
http://www.nhsemployers.org/Aboutus/Publications/Documents/NHS_Job_Evaluation_Handb ook.pdf
Women continue to face barriers to taking senior leadership positions in the NHS, new research finds Health Service Journal/The Kings Fund The results of a new survey suggest women are still facing barriers to becoming senior leaders in the NHS.
http://www.hsj.co.uk/5060497.article
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