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: Andrew.Hough@northstaffs.nhs.uk or clareh.powell@northstaffs.nhs.uk
North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: health.library@keele.ac.uk
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.gov.uk/dh Kings Fund http://www.kingsfund.org.uk/ NICE Medicines awareness service http://www.nice.org.uk/mpc/MedicinesPrescribingAlerts.jsp Social Care Institute for Excellence http://www.scie.org.uk/ Inside Government local government alerts https://www.gov.uk/government/email-signup NICE http://www.nice.org.uk/ SIGN http://www.sign.ac.uk/new.html
NHS Library and Information Service North Staffordshire Contents in this issue:
Alcohol ...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Children and Young People ...................................................................................................... 4 Commissioning ......................................................................................................................... 5 Dementia .................................................................................................................................. 5 Diabetes.................................................................................................................................... 6 General Practice ....................................................................................................................... 6 Guidance .................................................................................................................................. 7 Health Reforms ......................................................................................................................... 8 Heart Disease ........................................................................................................................... 9 Infection Control ........................................................................................................................ 9 Integrated Healthcare ............................................................................................................... 9 Mental Health.......................................................................................................................... 10 Older People ........................................................................................................................... 11 Patient Care and Safety .......................................................................................................... 11 Pharmacy and Prescribing ...................................................................................................... 12 Public Health ........................................................................................................................... 12 Safeguarding Children and Vulnerable Adults ........................................................................ 13 Service Management .............................................................................................................. 13 Social Care ............................................................................................................................. 14 Substance Misuse .................................................................................................................. 15 Tobacco .................................................................................................................................. 15 Vaccination and Immunisation ................................................................................................ 16 Workforce ............................................................................................................................... 16
Cancer
Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: a systematic review and meta-analysis of randomized controlled trials Matsuda et al. This analysis strengthens the evidence of the effectiveness of psychosocial support in improving breast cancer symptoms and psychoeducational support in improving emotional well-being within 6 months post-intervention. http://link.springer.com/article/10.1007%2Fs11136-013-0460-3 National Cancer Patient Experience Survey Quality Health The 2013 survey covered over 116,000 NHS patients in 155 Trusts who had been seen for treatment in hospital in the period 1st September 2012 and 30 November 2012 and who had a primary diagnosis of cancer. The results show that patients reported improved scores on 31 of 63 questions in the survey compared to the 2012 survey. http://www.quality-health.co.uk/cancer-survey-materials
Items in the guidance section may be of interest [back to topics]
Commissioning
Local price setting and contracting practices for NHS services without a nationally mandated price Monitor This research paper assesses how effective local contracts have been in delivering more for patients. http://www.monitornhsft.gov.uk/sites/default/files/publications/LocalPricingReport23Sept13.pdf Multi Case study of Health Care Commissioning Shaw et al. This article: 'The work of commissioning: a multisite case study of healthcare commissioning in England's NHS' concludes that commissioning for long-term condition services challenges the conventional distinction between commissioners and providers with a significant amount of work focused on redesigning services in partnership with providers. http://bmjopen.bmj.com/content/3/9/e003341.full.pdf+html Transforming Participation in Health and Care, Guidance for Commissioners NHS England The purpose of the guidance is to support commissioners to improve individual and public participation and to better understand and respond to the needs of the communities they serve. http://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf
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Dementia
A Road Less Rocky Supporting Carers of People with Dementia Carers Trust This report found that carers of people with dementia are not getting the support and advice they often desperately need. http://www.carers.org/sites/default/files/dementia_executive_summary_english_only_final_us e_this_one.pdf?dm_i=4O5,1UBOK,AA2BAS,6LH6U,1 Advanced Dementia Service Kings Fund This case study looks at the Oxleas Advanced Dementia Service which provides care coordination, and specialist palliative care and support to patients with advanced dementia living at home. This study examines: strategies used to deliver care co-ordination effectively; barriers and facillitors to successful care co-ordination; key markers for success for the practical application of the tools and techniques of care co-ordination; and identifies lessons in how care co-ordination can best be supported in terms of planning, organisation and leadership. http://www.kingsfund.org.uk/publications/oxleas-advanced-dementia-service
Diabetes
Effectiveness of group medical visits for improving diabetes care: a systematic review and meta-analysis Housden L, Wong ST and Dawes M Group medical visits for patients with diabetes effectively reduced glycated haemoglobin, and wider implementation would have a positive effect on patient outcomes. http://www.cmaj.ca/content/185/13/E635 European Society of Cardiology Guidelines on Diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the European Association Study of Diabetes ESC/EASD These updated guidelines discuss how to prevent and manage the diverse problems associated with the effects of diabetes mellitus on the heart and vasculature. http://eurheartj.oxfordjournals.org/content/early/2013/08/29/eurheartj.eht108.extract Inpatient Management of Diabetic Food Disorders: A Clinical Guide Wukich et al. This review addresses the medical and surgical management of infection, management of fractures and dislocations, medical management of the hospitalised patient with diabetes, perioperative management, diabetes education and discharge planning. http://care.diabetesjournals.org/content/36/9/2862.abstract
General Practice
Language Controls for Doctors Department of Health These new proposals, set out in 'Language controls for doctors: proposed changes to the Medical Act 1983', are designed to complement and strengthen the existing language controls imposed through the responsible officer regulations, performers list regulations and other checks undertaken at a local level. https://www.gov.uk/government/consultations/ensuring-doctors-have-sufficient-englishlanguage-capability
Guidance
NICE Clinical Guidelines: Urinary Incontinence: The Management of Urinary Incontinence in Women (CG171) http://publications.nic e.org.uk/urinary-incontinence-cg171 NICE Evidence Updates Obsessive Compulsive Disorder New evidence published since the literature search was last conducted for this guideline is summarised in this update, which is not considered to impact on the current existing guidance. https://www.evidence.nhs.uk/about-evidence-services/bulletins-and-alerts/evidenceupdates/evidence-updates-by-date NICE Quality Standards Atopic Eczema in Children (QS44) http://publications.nice.org.uk/atopic-eczema-in-children-qs44 NICE Quality Standards Depression in Children and Young People (SQ48) http://publications.nice.org.uk/depression-in-children-and-young-people-qs48 NICE Quality Standards Heavy menstrual standards (QS47) http://publications.nice.org.uk/heavy-menstrual-bleeding-qs47 NICE Quality Standards Lower Urinary Tract symptoms in men 7
Health Reforms
After Francis: making a difference Health Committee In this report the Committee gives its view on the principal recommendations of the report of the public inquiry into the Mid Staffordshire NHS Foundation Trust undertaken by Robert Francis QC. http://www.publications.parliament.uk/pa/cm201314/cmselect/cmhealth/657/65702.htm In Sickness and in health: assessing the transition to a more localist health system. Localis/Pfizer This report assesses the recent move to a more localist health system and examines opinions on this from those in local government. It also takes stock of how councils have adapted to the return of public health to their portfolio, and the dismantling of barriers between health and social care http://www.localis.org.uk/images/LOC_Health_Report_Final_WEB.pdf Irreversible?Health and Social Care Policy in a Post-Coalition Landscape Young Fabians This collection of essays seeks to ask if the health policies of the coalition are irreversible. They highlight the complexity of issues throughout the system ranging from the measurement of NHS performance to the creation of a robust incentive system for prevention of illness. http://youngfabians.org.uk/component/com_edocman/Itemid,0/id,21/task,document.viewdoc/ 8
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Heart Disease
Mediterranean dietary pattern for the primary prevention of cardiovascular disease. Rees et al. This systematic review found that some limited evidence suggests some favourable effects of the dietary pattern on reducing some cardiovascular risk factors. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009825.pub2/pdf 2013 European Society of Cardiology Guidelines on the Management of stable coronary artery disease ESC Discusses the pathophysiology, epiodemiolgy, natural history and prognosis, diagnosis and assessment, lifestyle and pharmacological management, revascularisation, and special groups or considerations. http://eurheartj.oxfordjournals.org/content/early/2013/08/28/eurheartj.eht296.extract
Items in the Diabetes section may be of interest
Infection Control
Antiobiotic Resistance Threats in the United States Centers for Disease Control and Prevention This report gives a first-ever snapshot of the burden and threats posed by the antibioticresistant organisms having the most impact on human health in the US. http://www.cdc.gov/drugresistance/threat-report-2013/
Items in the Vaccination and Immunisation section may be of interest
Integrated Healthcare
Frequently Asked Questions on Integrated Care Monitor These FAQs aim to assist commissioners, providers and health and wellbeing boards to comply with their obligations relating to integrated care and to explain the relationship between these obligations and the other rules that Monitor enforces. http://www.monitor.gov.uk/regulating-health-care-providers-commissioners/enablingintegrated-care/frequently-asked-questions-i Health and Wellbeing Boards: orchestrating the possible for integrated care Office for Public Management This top tips guide is based on OPM's experience of working with health and wellbeing boards and answers the key questions that they need to address to ensure that they reach their full potential. http://www.opm.co.uk/resources/health-wellbeing-boards-orchestrating-the-possible-forintegrated-care/
Mental Health
Approved Mental Health professionals (AMHP) competency mapping tool College of Social Work This tool aims to demonstrate how competencies required by social workers working as AMHPs meet professional development requirements for regulatory registration. http://www.tcsw.org.uk/uploadedFiles/TheCollege/Professional_development/PCF/AMHP%20 Competency%20Mapping.pdf Mental Illness and Unhappiness Centre for Economic Performance This report (part of wider World Happiness Report) argues that mental health is the biggest single predictor of life-satisfaction. Depression and anxiety are more common during working age than in later life, accounting for a high proportion of disability, major economic costs, and financial losses to governments worldwide; in rich countries such as those in the United Kingdom, treatment is likely to have no net cost to the Exchequer due to savings on welfare benefits and lost taxes. http://cep.lse.ac.uk/pubs/download/dp1239.pdf Community Mental Health Survey 2013 Care Quality Commission This national survey of more than 130,000 people who use community mental health services in England shows the care people receive in the community needs to improve. Of particular concern is people's lack of involvement in their care plans and having their views taken into account when deciding which medication to take. http://www.cqc.org.uk/sites/default/files/media/documents/20130911_mh13_national_summar y_final.pdf 10
Older People
Living well in care homes College of Occupational Therapists This toolkit helps share expertise, in a practical way,that can raise standards of activity in care homes. http://www.cot.co.uk/living-well-care-homes
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Public Health
Data and Knowledge Gateway Public Health England This new site provides health professionals with access to a single point of access to data and analysis tools from across Public Health England. This includes: commissioning and planning of services, joint strategic needs assessment, health surveillance, understanding inequalities and variation, research and evidence. 12
Service Management
Performance of the foundation trust sector for quarter ended 30 June 2013 Monitor The report summarises key trends drawn from foundation trusts' individual reports. It covers operational performance, financial performance and regulatory performance. http://www.monitor.gov.uk/performance Local Health Profiles Public Health England These profiles give a snapshot overview of health for each local authority in England. They are intended for local government, health services and partners in helping them to understand community needs, so that they can work to improve people's health and reduce health inequalities. http://www.apho.org.uk/default.aspx?QN=P_HEALTH_PROFILES
Items in the Commissioning and Workforce sections may also be of interest. [back to topics]
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Tobacco
Stoptober Campaign Launched Public Health England Stoptober provides smokers with a range of free support including a new stop smoking pack, a 28-day mobile phone app and text support with daily updates and quitting advice, detailed tools and tips for coping, as well as the encouragement and support from thousands of people quitting together through Stoptober social media. Stoptober 2013 starts on Tuesday 1 October and runs for 28 days. https://stoptober.smokefree.nhs.uk/ Smoking and Mental Health NHS Confederation This briefing provides the background to smoking prevalence and the consequences for people with mental illness. It examines the evidence of what works to reduce harm from smoking for this group, and how providers are implementing the smoking ban in practice http://www.nhsconfed.org/Publications/briefings/Pages/Smoking-and-mental-health.aspx
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Workforce
District Nursing: who will care in the future? Kings Fund This Policy+ reviews data on the district nursing workforce, looks at the issues to be considered in planning, and considers whether the workforce needed to provide district nursing care in the future will be available http://www.kcl.ac.uk/nursing/research/nnru/policy/Currentissue/Policy--Issue-40.pdf Employee Outlook Chartered Institute of Personnel and Development/Health Care People Management Association This report analyses the results of a survey of employees working in the healthcare sector in the UK to find out their attitudes to working in the sector, the values in NHS organisations, trust within the health service, and culture change to improve patient care in the NHS. http://www.cipd.co.uk/binaries/6333%20Culture%20change%20NHS%20SR%20(WEB).pdf Supporting Staff Wellbeing with digital tools NHS Employers This guide explores how digital tools can be a cost effective and evidence based method that can play a part in organisational support for staff. http://www.nhsemployers.org/Aboutus/Publications/Documents/Briefing_94.pdf
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