Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
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: lindsay.snell@northstaffs.nhs.uk 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:
Allergies .................................................................................................................................... 4 Alcohol ...................................................................................................................................... 4 Asthma...................................................................................................................................... 4 Bowel Disorders ........................................................................................................................ 4 Cancer ...................................................................................................................................... 4 Carers ....................................................................................................................................... 5 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 5 COPD ....................................................................................................................................... 5 Dementia .................................................................................................................................. 6 Dentists ..................................................................................................................................... 6 Diabetes.................................................................................................................................... 6 End of Life Care ........................................................................................................................ 7 Falls and Fractures ................................................................................................................... 8 General Practice ....................................................................................................................... 8 Guidance .................................................................................................................................. 8 Health Reforms ......................................................................................................................... 9 Health Visiting ......................................................................................................................... 11 Infections ................................................................................................................................ 11 Influenza ................................................................................................................................. 12 Learning Disabilities ................................................................................................................ 12 Maternal and Infant Health...................................................................................................... 12 Mental Health.......................................................................................................................... 12 Nursing ................................................................................................................................... 13 Older People ........................................................................................................................... 13 Patient and Public Involvement ............................................................................................... 13 Patient Care and Safety .......................................................................................................... 14 Pharmacy and Prescribing ...................................................................................................... 15 Physiotherapists ..................................................................................................................... 16 Podiatrists ............................................................................................................................... 16 Public Health ........................................................................................................................... 16 Safeguarding Children and Vulnerable Adults ........................................................................ 16 Service Management .............................................................................................................. 17 Sexual and Reproductive Health ............................................................................................ 18 Social Care ............................................................................................................................. 18 Substance Misuse .................................................................................................................. 19 Tobacco .................................................................................................................................. 19 Urgent Care ............................................................................................................................ 20 Vaccination and Immunisation ................................................................................................ 20 Womens Health ..................................................................................................................... 21 Workforce ............................................................................................................................... 21
Alcohol
Alcohol Harm Map Alcohol Concern This map brings together statistics from a variety of sources to give information about levels of drinking and harm from drinking by local authority. http://www.alcoholconcern.org.uk/campaign/alcohol-harm-map
Asthma
Designing and commissioning services for adults with asthma: a good practice guide NHS Primary Care Commissioning This guide sets out 15 points that good asthma services need to include, with detailed advice and good practice examples for commissioners and service developers. http://www.pcc-cic.org.uk/article/designing-and-commissioning-services-adults-asthma-goodpractice-guide
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Bowel Disorders
Oral 5-aminosalicylic acid for induction of remission in ulcerative colitis Feagan, BG et al. This Cochrane review compared oral 5-aminosalicylic acid (5-ASA) to sulfasalazine (SASP) and placebo. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000543.pub3/abstract
Cancer
The benefits and harms of breast cancer screening: an independent review Independent UK Panel on Breast Cancer Screening This article used meta-analysis of 11 trials to investigate the benefits and harms of the UK breast screening programme. The Lancet. Available online 29 October 2012. In press, corrected proof. Deaths from Urological Cancers in England, 2001-10 National End of Life Care Intelligence Network The aim of the report is to help end of life care commissioners and providers improve planning and service delivery in line with the needs and wishes of patients. http://www.endoflifecare-intelligence.org.uk/view.aspx?rid=683 4
Carers
Engage Toolkit Childrens Society, Afiya Trust This resource addresses barriers Black and Minority Ethnic (BME) family carers face when accessing services. http://www.engagetoolkit.org.uk/
Commissioning
Items in the Asthma, COPD, End of Life Care, Learning Disabilities, Public Health, Service Management, Social Care and Urgent Care sections may be of interest. [back to topics]
COPD
Comparative safety of inhaled medications in patients with chronic obstructive pulmonary disease: systematic review and mixed treatment comparison meta-analysis of randomised controlled trials Dong, Y et al. This meta-analysis is based on 42 trials with 52516 patients. Thorax doi:10.1136/thoraxjnl-2012-201926 First steps to improving chronic obstructive pulmonary disease (COPD) care NHS improvement This basic covers ten key principles of good COPD care. It may be a helpful starting point for those new to commissioning COPD services or for a stocktake for a local respiratory team. http://www.improvement.nhs.uk/documents/First_Steps_in_COPD.pdf 5
Dentists
Dental contract pilots evaluation Department of Health These reports detail the evidence and learning from the first year of piloting elements of a new national contract for primary dental care services. http://www.dh.gov.uk/health/2012/10/dental-contract-reform/
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Diabetes
Diabetes transition: Assessment of current best practice and development of a future work programme to improve transition processes for young people NHS Diabetes This report looks at beneficial features of a transition service, case studies and identification of good practice to offer a practical way to begin to consider local service delivery. http://www.diabetes.nhs.uk/news_and_events/nhs_diabetes_releases_new_report_on_transit ion_to_adult_services_for_young_people_with_diabetes/ Safe Management of Hypoglycaemia (SMH) e-learning module NHS Diabetes The module is designed to improve knowledge and confidence in the safe and effective management of hypoglycaemia in healthcare professionals, and in people with diabetes and their families. Free registration is required to access this module. http://www.diabetes.nhs.uk/safety/safe_management_of_hypoglycaemia_elearning_module/ Systematic Review of Pharmacist Interventions to Improve Adherence to Oral Antidiabetic Medications in People with Type 2 Diabetes Omran, D et al. This review is based on 8 studies. Canadian Journal of Diabetes v.36(5), October 2012, p.2929 6
NHS Library and Information Service North Staffordshire End of Life Care
Advance Care Planning: It all ADSE up NHS National End of Life Care Programme The toolkit enables care providers to empower individuals to discuss and plan the care that they would prefer to receive at the end of their lives. http://www.endoflifecareforadults.nhs.uk/publications/acp-toolkit Commissioning person centred end of life care: A toolkit for health and social care professionals NHS National End of Life Care Programme The guide identifies the main elements involved in commissioning end of life care services, explains the commissioning cycle in practical terms, and offers an approach which can be used across all sectors. http://www.endoflifecareforadults.nhs.uk/publications/commissioning-person-centred-end-oflife-care-toolkit Consensus Statement: Liverpool Care Pathway for the Dying Patient (LCP) NHS National End of Life Care Programme This consensus statement aims to provide clarity about what the Liverpool Care Pathway is and is not. http://www.endoflifecareforadults.nhs.uk/tools/core-tools/liverpool-care-pathway End of Life Care Strategy: Fourth Annual Report Department of Health This report confirms that, since the launch of the End of Life Care strategy in 2008, almost 30,000 more people have been able to die where they usually live. http://www.dh.gov.uk/health/2012/10/end-of-life-care-fourth/ Understanding patterns of health and social care at the end of life Nuffield Trust This research looked at which patients tended to use health and/or social care services most, and the links between levels of social care spending and levels of health spending. http://www.nuffieldtrust.org.uk/publications/health-social-care-end-life Towards excellence in hospice care: widening access through nurse leadership guidance and resources for professionals Help the Hospices This report looks at how hospice care can be made available to ethnic minority or marginalised groups, who are less likely than others to access it. http://www.helpthehospices.org.uk/media-centre/press-releases/urgent-action-needed-towiden-access-to-palliative-care/
Items in the Dementia section may be of interest. [back to topics]
NHS Library and Information Service North Staffordshire Falls and Fractures
The Falls and Fractures Declaration National Osteoporosis Society This declaration aims to improve care for patients with falls and fractures, and to increase awareness. Signatories include RCN, Chartered Society of Physiotherapy, and College of Occupational Therapists. http://www.nos.org.uk/page.aspx?pid=1248
General Practice
The Quality and Outcomes Framework 2011/12: achievement, prevalence and exceptions data Information Centre for Health and Social Care http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/the-quality-andoutcomes-framework/the-quality-and-outcomes-framework-2011-12 Social Media Highway Code: for discussion RCGP The Code is a practical and encouraging guide for doctors and other healthcare professionals who want to ensure they get the most out of their online communications, while ensuring they meet their professional obligations and protect their patients. http://www.rcgp.org.uk/policy/rcgp-policy-areas/social-media-highway-code.aspx
Items in the Public Health and Service Management sections may be of interest. [back to topics]
Guidance
NICE Clinical Guidelines Crohn's disease: management in adults, children and young people CG152 http://guidance.nice.org.uk/CG152 Psoriasis: the assessment and management of psoriasis CG153 http://guidance.nice.org.uk/CG153 Social and emotional wellbeing - early years PH40 http://guidance.nice.org.uk/PH40 NICE Consultation Documents Consultation on potential topics for NICE Good Practice Guidance: 2012-14 Closing date for comments: 24 December 2012 http://www.nice.org.uk/mpc/goodpracticeguidance/TopicSelection.jsp 8
Other Health Technology Assessments Effectiveness and cost-effectiveness of computer and other electronic aids for smoking cessation: a systematic review and network meta-analysis Chen, Y et al. This report found that computer and other electronic aids increase the likelihood of smoking cessation compared with no intervention or generic self-help materials, but the effect is small and does not appear to vary with respect to mode of delivery and concurrent non-electronic co-interventions. Health Technol Assess 2012;16(38) The use of MElatonin in children with Neurodevelopmental Disorders and impaired Sleep: a randomised, double-blind, placebo-controlled, parallel study (MENDS) Appleton, R et al. This study found that melatonin increases total sleep time in children with neurodevelopmental delay but that the increase is not clinically worthwhile and that melatonin is effective in reducing sleep-onset latency in children with neurodevelopmental delay and that the reduction is both clinically important and statistically significant. Health Technol Assess 2012;16(40)
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Health Reforms
Concordat between: Local Government Association and NHS Commissioning Board This concordat sets out how the Local Government Association and the NHS Commissioning Board aim to ensure joined-up, high-quality health, social care and safeguarding services. http://www.commissioningboard.nhs.uk/2012/10/29/nhscb-lga/
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Infections
Antibiotics for clinically diagnosed acute rhinosinusitis in adults Lemiengre, M et al. This Cochrane review considers the benefits and harms of antibiotics for acute rhinosinusitis. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006089.pub4/abstract Corticosteroids as standalone or add-on treatment for sore throat Hayward, G et al. This Cochrane review is based on 8 trials with 743 participants. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008268.pub2/abstract Cranberries for preventing urinary tract infections Jepson, R et al. This Cochrane review on the impact of cranberries (juice, powder or other form) on urinary infections has been updated to include 14 additional studies. The authors conclusions have changed as a result. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001321.pub5/abstract HCAI Reporting within Independent Sector healthcare organisations HPA The latest publication includes counts and rates of MRSA and MSSA bacteraemia and CDI within those independent sector organisations who reported between April 2011 and March 2012. In addition counts of 6 months of E. coli bacteraemia data from October 2011 to March 2012 are also included. http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1272032580726
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Learning Disabilities
Improving the Health and Wellbeing of People with Learning Disabilities: An EvidenceBased Commissioning Guide for Clinical Commissioning Groups (CCGs) Learning Disabilities Observatory This guidance looks at primary and acute care for people with learning disabilities, and groups needing special considerations, such as those with additional conditions, e.g. epilepsy or dementia. http://www.improvinghealthandlives.org.uk/publications/1134/Improving_the_Health_and_Wel lbeing_of_People_with_Learning_Disabilities:_An_EvidenceBased_Commissioning_Guide_for_Clinical_Commissioning_Groups
Mental Health
Inpatients formally detained in hospitals under the Mental Health Act 1983, and patients subject to supervised community treatment, Annual figures, England, 2011/12 Information Centre for Health and Social Care http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/inpatientsformally-detained-in-hospitals-under-the-mental-health-act-1983-and-patients-subject-tosupervised-community-treatment-annual-figures-england-2011-12 12
Nursing
A shift in the right direction: guidance on the occupational health and safety of shift work in the nursing workforce RCN This guidance explores the health and safety impact of shifts, and employers responsibilities. It also gives tips on how nurses and healthcare assistants can help look after themselves. http://www.rcn.org.uk/__data/assets/pdf_file/0004/479434/004285.pdf
Items in the Patient Care and Safety section may also be of interest. [back to topics]
Older People
Co-production and participation: Older people with high support needs Social Care Institute for Excellence This report summarises the literature on the benefits and challenges of co-production and participation for this group of people, and includes examples of good practice. http://www.scie.org.uk/publications/reports/report61/
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Podiatrists
Items in the Pharmacy and prescribing section may also be of interest.
Public Health
Director of public health role outlined Department of Health The information describes both the statutory and non-statutory elements of the role, and outlines arrangements that are designed to allow local authorities to have confidence in the director of public health appointments they make, and to build on their own good practice while meeting national requirements. http://www.dh.gov.uk/health/2012/10/public-director/ General health checks in adults for reducing morbidity and mortality from disease Krogsboll, LT et al. This Cochrane review aimed to assess the benefits and harms of general health checks. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009009.pub2/abstract Health intelligence requirements for local authorities Department of Health The Department of Health has set out the health intelligence requirements for local authorities and the actions local areas may wish to take to support their new public health duties from an information and intelligence perspective in a series of factsheets. http://www.dh.gov.uk/health/2012/09/health-intelligence/
Items in the Mental Health section may also be of interest. [back to topics]
Service Management
Department of Health: Securing the future financial sustainability of the NHS House of Commons Public Accounts Committee This report looks at how the Department of Health plans to deal with Trusts which fail financially, and raises concerns about the ongoing provision of healthcare for people in areas with failing Trusts. http://www.publications.parliament.uk/pa/cm201213/cmselect/cmpubacc/389/38902.htm Fair and transparent pricing for NHS services: a consultation on proposals for objecting to proposed pricing methodologies Department of Health This consultation discusses the new arrangements for the National Tariff (covering the prices to be paid for NHS services) provided for in the Health and Social Care Act 2012. Closing date for comments: 21 December 2012 http://consultations.dh.gov.uk/sector-regulation/pricing/consult_view Joint personal budgets: a new solution to the problem of integrated care? NHS Confederation This Briefing gives the context behind the development of joint budgets, explains how they might work and lists some issues to be considered before they could be used at scale. http://www.nhsconfed.org/Publications/briefings/Pages/JointPersonalBudgetsaNewSolution.a spx Performers Lists Regulations 2013 Department of Health This consultation on the National Health Service (Performers Lists) Regulations 2004 includes questions on the introduction of national lists; changes to the minimum service that performers on the list will need to perform; changes to suspension powers; and changes to the requirement to submit criminal records checks. Closing date for comments: 14 December 2012 http://consultations.dh.gov.uk/clinical-governance-nhs-medical-directorate/performers-listsregulations-2013
Items in the End of Life Care, Nursing, Patient Care and Safety, Social Care, Urgent Care 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
NHS Contraceptive Services: England, 2011-2012, Community contraceptive clinics Information Centre for Health and Social Care These statistics look at numbers of attendances and the types of contraception used, with the data broken down by patient age group. http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhscontraceptive-services--england-2011-2012-community-contraceptive-clinics
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Social Care
Effective supervision in social work and social care Social Care Institute for Excellence The briefing covers the use of different models of supervision and outcomes for workers, employers, service users and carers. It considers the costs of supervision and concludes with implications for practitioners, organisations, service users, and carers. http://www.scie.org.uk/publications/briefings/briefing43/ Find Me Good Care Social Care Institute for Excellence This website aims to help users and carers to think about what they really want out of care and support before they start looking for particular services. http://www.findmegoodcare.co.uk/ Outcomes matter: effective commissioning in domiciliary care Local Government Information Unit This report is based on a survey and case studies. It looks at how commissioning for outcomes can be impelemented in social care. http://www.lgiu.org.uk/outcomes-matter-effective-commissioning-in-domiciliary-care/ Better understanding of levels of support for individual employers and their personal assistants (PAs): Research into what local authorities are doing to support people who employ personal assistants. Skills for Care This survey raised a number of themes, including: the leadership role that the local authority has as a commissioner; local authority partnership with direct payment support organisations and user-led organisations (ULO); and a lack of support and information for PAs, which forms a significant area for development. http://www.skillsforcare.org.uk/nmsruntime/saveasdialog.aspx?lID=13220&sID=2680 Related materials are available at http://www.skillsforcare.org.uk/paframework/ Update to charging arrangements for adult social care services Department of Health The Department has published updates to the Fairer Charging Policies for Home Care and other non-residential Social Services guidance, and the Charging for Residential Accommodation Guide (CRAG). http://www.dh.gov.uk/health/2012/10/fairercharging/ 18
Tobacco
Combined pharmacotherapy and behavioural interventions for smoking cessation Stead, L et al. This Cochrane review is based on 41 studies which compared different combinations of medication and behavioural support. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008286.pub2/abstract Stop Smoking Service: monitoring and guidance update Department of Health This document provides an update on the key developments and changes since the publication of the Local stop smoking services: service delivery and monitoring guidance 2011/12. This update should be read in conjunction with the previous guidance. http://www.dh.gov.uk/health/2012/09/stop-smoking-services/
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Urgent Care
Getting to grips with integrated 24/7 emergency and urgent care NHS Alliance This report aims to help commissioners implement effective integrated urgent care strategies. http://www.nhsalliance.org/documents/view-latest/ Patient Reported Experience Measure (PREM) for urgent and emergency care Royal College of Paediatrics and Child Health This tool was developed to measure the experience of paediatric patients 0-16 years in all urgent and emergency care settings including; GP practices, out-of-hours centres, A&E departments and the ambulance service. This survey has been developed 'by the children, for the children' ensuring that their views were captured early in the design process. http://www.rcpch.ac.uk/child-health/research-projects/prem/patient-reported-experiencemeasure-prem-urgent-and-emergency-ca Urgent Care Centres: What works best? Primary Care Foundation This discussion paper looks at different models for providing urgent care services and evaluates their impact through visits to 15 urgent care centres and a literature review. http://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Downloading_Reports/ Reports_and_Articles/Urgent_Care_Centres/Urgent_Care_Centres.pdf
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Workforce
A Fair Route to Revalidation NHS North West The guidance aims to provide an easy-to-follow checklist that encourages reflection on where equality and diversity issues may arise in preparing for and implementing the appraisal process that will support a doctors revalidation. It offers examples and signposts to more detailed information. http://fairroutetorevalidation.nhs.uk/ Guidance on mitigating equal pay risks following the end of CAJE NHS Employers This guidance sets out what employers should seek from any replacement computer aided job evaluation tool, sign posts specific advice about consistency checking of job matching and evaluation outcomes and advises on how to manage the data currently within the CAJE system once it has been returned to employers. http://www.nhsemployers.org/PayAndContracts/AgendaForChange/JobEvaluation/Pages/CAJ E-MITIGATINGEQUALPAYRISKSFOLLOWINGTHEENDOFCAJE.aspx Remediation working group Academy of Medical Royal Colleges This report follows on from the Academys 2009 remediation and revalidation report and the expectation that the medical Royal Colleges and Faculties should be part of the solution for the remediation of doctors. http://aomrc.org.uk/about-us/news/item/academy-published-report-on-remediation-ofdoctors.html
Items in the Health Reforms, Health Visiting and Nursing sections may also be of interest. [back to topics]
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