NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire

Issue No: 70 November 2012

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: 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

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 Kings 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

NHS Library and Information Service North Staffordshire Contents in this issue:
Alcohol ...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Cardiovascular Diseases .......................................................................................................... 4 Carers ....................................................................................................................................... 5 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 5 COPD ....................................................................................................................................... 6 Dementia .................................................................................................................................. 6 Dentists ..................................................................................................................................... 6 Diabetes.................................................................................................................................... 7 Funding and Finances .............................................................................................................. 8 General Practice ....................................................................................................................... 9 Guidance .................................................................................................................................. 9 Health Reforms ....................................................................................................................... 11 Health Visiting ......................................................................................................................... 12 HIV .......................................................................................................................................... 12 Infections and Infection Control .............................................................................................. 12 Integrated Care ....................................................................................................................... 12 Long term Conditions .............................................................................................................. 13 Mental Health.......................................................................................................................... 13 Nursing ................................................................................................................................... 14 Older People ........................................................................................................................... 14 Palliative and End of Life Care ................................................................................................ 14 Patient Care and Safety .......................................................................................................... 15 Pharmacy and Prescribing ...................................................................................................... 16 Physical Activity ...................................................................................................................... 17 Public Health ........................................................................................................................... 17 Research ................................................................................................................................ 18 Safeguarding Children and Vulnerable Adults ........................................................................ 19 Service Management .............................................................................................................. 19 Sexual Health ......................................................................................................................... 20 Social Care ............................................................................................................................. 20 Substance Misuse .................................................................................................................. 21 Tobacco .................................................................................................................................. 21 Vaccination and Immunisation ................................................................................................ 22 Winter Health .......................................................................................................................... 22 Workforce ............................................................................................................................... 22

NHS Library and Information Service North Staffordshire Alcohol

Alcohol strategy consultation Home Office This consultation seeks views on a number of measures set out in the government's alcohol strategy, including pricing of alcohol, and health as a new licensing objective. Closing date for comments: 6 February 2013 http://www.homeoffice.gov.uk/publications/about-us/consultations/alcohol-consultation/
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Cancer
Cancer patients in crisis: responding to urgent needs Royal College of Physicians This report outlines the problems faced by patients and health professionals when cancer patients become ill unexpectedly. It makes recommendations for improvements. Supporting documents include decision aids for community and hospital teams. http://www.rcplondon.ac.uk/resources/cancer-patients-crisis-responding-urgent-needs Overview of Ovarian Cancer in England: Incidence, Mortality and Survival (November 2012) National Cancer Intelligence Network This report presents the latest time trends, trends by age and deprivation, and regional variations in incidence, mortality and survival for invasive ovarian cancer in England. http://www.ncin.org.uk/view.aspx?rid=1740 Profile of ovarian cancer: http://www.ncin.org.uk/publications/data_briefings/a_profile_of_ovarian_cancer_in_england.a spx Patients experience of integrated care: a report Cancer Campaigning Group This report is based on a survey of people living with cancer, and their carers. http://www.cancercampaigninggroup.org.uk/2012/11/20/new-report-from-the-cancercampaigning-group-shows-that-integration-is-vital-for-new-nhs/
Items in the Palliative and End of Life Care section may be of interest. [back to topics]

Cardiovascular Diseases
Comparative Effectiveness of Warfarin and New Oral Anticoagulants for the Management of Atrial Fibrillation and Venous Thromboembolism: A Systematic Review Adam, SS et al. Ann Intern Med. 4 December 2012; vol.157(11) p.796-807

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Lipid lowering efficacy of atorvastatin Adams, SP This Cochrane review is based on 254 trials with 33,505 participants. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008226.pub2/abstract

Carers
Sandwich Caring: combining childcare with caring for older or disabled relatives Carers UK This report aims to understand the impact on carers and wider society of dual caring responsibilities. http://www.carersuk.org/newsroom/item/2853
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Children and Young People

Evaluation of Children's Centres in England (ECCE) - Strand 5: Case studies on the costs of centres in the most deprived areas Department for Education This report is based on 12 case studies. https://www.education.gov.uk/publications/RSG/AllPublications/Page1/DFE-RR256 Improving outcomes for disabled children by integrating early support and prevention services: Luton Borough Council Ofsted The extensive range of integrated early support and prevention services in Luton is improving outcomes for disabled children and preventing situations deteriorating so that child protection or looked after services become necessary. http://www.ofsted.gov.uk/resources/improving-outcomes-for-disabled-children-integratingearly-support-and-prevention-services-luton-bor Output based specification for child health information systems Department of Health The document contains high level technical requirements for information systems to be procured to underpin the delivery of child health services in England. http://www.dh.gov.uk/health/2012/11/chis-requirements/
Items in the Diabetes and Substance Misuse sections may be of interest. [back to topics]

Commissioning
Integrated ambulance commissioning in the new NHS NHS Confederation This briefing is intended for clinical commissioners who may be new to this area. http://www.nhsconfed.org/Publications/briefings/Pages/Integrated-ambulancecommissioning.aspx 5

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Operating principles for Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies NHS Confederation This paper aims to be a practical guide to JSNAs and JHWSs. http://www.nhsconfed.org/Publications/reports/Pages/OperatingPrinciplesJointStrategicNeeds AssessmentsandJointHealthandWellbeingStrategies.aspx
Items in the Health Reforms, Long Term Conditions and Public Health sections may be of interest. [back to topics]

COPD
Antibiotics for exacerbations of chronic obstructive pulmonary disease Vollenweider, DJ et al. This Cochrane review compared antibiotics and placebo. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010257/abstract

Dementia
Delivering major improvements in dementia care and research by 2015: A report of progress Department of Health This report gives an update on the first 7 months of the Prime Ministers Dementia Challenge. http://www.dh.gov.uk/health/2012/11/dementia-progress-report/ Using ICT in activities for people with dementia: a short guide for social care providers Social Care Institute for Excellence This guide is intended for anybody who organises activities for people with dementia. It uses IT which is readily available, and gives clear explanations, so no technical expertise is required. http://www.scie.org.uk/publications/ictfordementia/
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Dentists
Consultation on the draft Standards of Conduct, Performance and Ethics General Dental Council Closing date for comments: 31st December 2012 http://www.gdc-uk.org/GDCcalendar/Consultations/Pages/Review-of-StandardsConsultation.aspx
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NHS Library and Information Service North Staffordshire Diabetes

Air Travel and Insulin Pumps NHS Diabetes This factsheet aims to aid people with diabetes who use continuous subcutaneous insulin infusion therapy (CSII) or continuous glucose monitoring (CGM) to be prepared for air travel. http://www.diabetes.nhs.uk/news_and_events/air_travel_and_insulin_pump_guidance/ Antihypertensive agents for preventing diabetic kidney disease Lv, J et al. This review assessed the benefits and harms of antihypertensive drugs in patients with diabetes. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004136.pub3/abstract Department of Health: The management of adult diabetes services in the NHS House of Commons Public Accounts Committee - Seventeenth Report This report looks at the numbers of people who are developing diabetes complications due to not receiving clinically appropriate care. It considers progress made since the launch of the National Service Framework for diabetes, and also variations in care across different geographical areas. http://www.publications.parliament.uk/pa/cm201213/cmselect/cmpubacc/289/28902.htm Diabetes Prevalence Model for local authorities in England West Midlands Public Health Observatory This model has been updated to reflect the prevalence of diabetes and the distribution of body mass index found in the 2010 Health Survey for England. http://www.yhpho.org.uk/resource/view.aspx?RID=154049 Diabetes transition: Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes. NHS Diabetes This report looks at practical principles which can be used to improve transition care. http://www.diabetes.nhs.uk/news_and_events/nhs_diabetes_releases_new_report_on_transit ion_to_adult_services_for_young_people_with_diabetes/ Hip circumference, height and risk of type 2 diabetes: systematic review and metaanalysis Janghorbani, M et al. This study looked at the relationship between different body measurements and type 2 diabetes in men and women. Obesity Reviews Dec 2012 vol. 13(12) p.1171-1181 Integrated GP led diabetes care in Bexley: the role of an active integrator in developing integration in NHS services NHS Right Care This case study is an example of how care can be integrated through the role of an integrator with clinical leadership as a major part of the process. http://www.rightcare.nhs.uk/downloads/RC_Casebook_Bexley_Diabetes_Care_final.pdf 7

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Optimal prescribing of glucose lowering therapy for patients with type 2 diabetes NHS Diabetes This study was based on the General Practice Research Database, and considered the evidence for three monthly, six monthly and annual monitoring of HbA1c. http://www.diabetes.nhs.uk/news_and_events/nhs_diabetes_press_release__type_2_diabete s_hba1c_monitoring_/
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Funding and Finances

Best practice tariffs and their impact Audit Commission This briefing assesses how best practice tariffs (BPTs) impact at a local level and how implementation can be improved. It also reports findings from a review of the quality of the data underpinning BPTs payment as part of the Payment by Results assurance framework. http://www.auditcommission.gov.uk/nationalstudies/health/financialmanagement/Pages/Bestpracticetariffs.asp x Payment by Results: how can payment systems help to deliver better care? Kings Fund This report reviews the role and objectives of payment systems in the NHS, focusing on Payment by Results (PbR) http://www.kingsfund.org.uk/publications/payment-results-0 Personal Health Budgets BMA This discussion paper is based on a survey of doctors, and highlights concerns about aspects of personal health budgets. http://bma.org.uk/working-for-change/shaping-healthcare/funding/personal-health-budgets Evaluation of the personal health budget pilot programme Department of Health Overall, this report suggests that personal health budgets are beneficial, to both the individual and the NHS, especially when they give people genuine choice and control. The evaluation also sets out some of the things that will be important for the NHS, if it is to introduce personal health budgets successfully. http://www.personalhealthbudgets.dh.gov.uk/Topics/latest/Resource/?cid=8603 Reference costs 2011-12 Department of Health These reference costs give the most detailed picture available about how 248 NHS trusts and NHS foundation trusts spent 53 billion delivering healthcare to patients in 2011 to 2012. http://www.dh.gov.uk/health/2012/11/2011-12-reference-costs/

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Simple Guide to Payment by Results Department of Health This updated guide provides an introduction for newcomers to PbR, from NHS health professionals and administrators, to interested members of the public. http://www.dh.gov.uk/health/2012/11/pbrguide/

General Practice
Find your 1%: Helping GPs to support people to live and die well National End of Life Care Programme The pack contains postcards with support and advice on: identifying people at the end of life; having end of life care conversations; putting plans in place; managing and co-ordinating care; and space to include local information such as the telephone numbers of hospices, palliative care teams and pharmacies which stock palliative care drugs. http://www.endoflifecareforadults.nhs.uk/publications/one-percent-gp-pack Improving GP services in England: exploring the association between quality of care and the experience of patients Kings Fund This report is based on the Patient Survey and the Quality and Outcomes Framework. http://www.kingsfund.org.uk/publications/improving-gp-services-england QOF Business Rules NHS Primary Care Commissioning This is version 24 of the Business Rules. http://www.pcc-cic.org.uk/article/qof-business-rules-v24.0
Items in the Diabetes and Patient Care and Safety, Pharmacy and Prescribing, and Service Management sections may be of interest. [back to topics]

Guidance
NICE Technology Appraisals Ivabradine for the treatment of chronic heart failure TA267 http://guidance.nice.org.uk/TA267 Mannitol dry powder for inhalation for treating cystic fibrosis TA266 http://guidance.nice.org.uk/TA266 NICE Public Health Guidelines Obesity - working with local communities PH42 http://guidance.nice.org.uk/PH42

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Walking and cycling PH41 http://guidance.nice.org.uk/PH41 NICE Quality Standards Drug use disorders QS23 http://guidance.nice.org.uk/QS23 Nutrition support in adults QS24 http://guidance.nice.org.uk/QS24
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NICE Consultation Documents Idiopathic pulmonary fibrosis - pirfenidone: appraisal consultation document Closing date for comments: 19 December 2012 http://guidance.nice.org.uk/TA/Wave23/25/Consultation/DraftGuidance Cholelithiasis and cholecystitis: scope consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 21 December http://www.nice.org.uk/guidance/index.jsp?action=folder&o=61594 Tuberculosis (update): scope consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 10 January 2013 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=61693 Feverish illness in children (update): guideline consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 11 January 2013 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=61582 Physical activity brief advice in primary care (partial update of PH2): draft guidance consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 23 January 2013 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=61552 Abatacept for the treatment of rheumatoid arthritis only after the failure of conventional disease-modifying anti-rheumatic drugs (rapid review of TA234): appraisal consultation Closing date for comments: 10 January 2013 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=61755 10

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Other Guidance Delegating record keeping and countersigning records: Guidance for nursing staff RCN http://www.rcn.org.uk/__data/assets/pdf_file/0005/486662/004337.pdf International Framework for Examination of the Cervical Region for potential of Cervical Arterial Dysfunction prior to Orthopaedic Manual Therapy Intervention International Federation of Orthopaedic Manipulative Physical Therapists http://www.csp.org.uk/news/2012/11/23/uk-leads-way-international-physiotherapy-guidance
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Health Reforms
The Mandate: a mandate from the Government to the NHS Commissioning Board, April 2013 to March 2015 Department of Health The NHS Mandate is structured around five key areas, including preventing premature deaths, patient care and safety, and long term conditions. http://mandate.dh.gov.uk/2012/11/13/nhs-mandate-published/ Practical guides for well-functioning health and wellbeing boards NHS Confederation The guides are: Operating principles for Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies: Enabling joint decision-making for improved health and wellbeing Encouraging integrated working for adults and older people: a practical guide for health and wellbeing boards Health and wellbeing boards: developing a local outcomes framework for adults and older people Health and wellbeing boards and criminal justice agencies: building effective engagement Improving population health: action learning for health and wellbeing boards Patient and public engagement: a practical guide for health and wellbeing boards Support and resources for heath and wellbeing boards http://www.nhsconfed.org/priorities/latestnews/Pages/Practical-guides-for-well-functioningHWBs-published-today.aspx Standards for members of NHS boards and Clinical Commissioning Group governing bodies in England Professional Standards Authority These standards cover the values, competences and behaviours required of NHS board members and CCG governing bodies. https://www.chre.org.uk/_img/pics/library/121102_Standards_FINAL.pdf

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Strategic Clinical Networks: single operating framework NHS Commissioning Board This document sets out the high level framework within which local clinicians can come together and develop local arrangements which meet local circumstances and need. http://www.commissioningboard.nhs.uk/2012/11/12/single-model-scn/
Items in the Public Health section may also be of interest.

Health Visiting
Items in the Workforce section may also be of interest. [back to topics]

HIV
HIV in the United Kingdom: 2012 Report Health Protection Agency This report gives information on the incidence and prevalence of HIV, and on treatment and prevention work. http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1211HIVintheUK2012/

Infections and Infection Control

European Antibiotics Awareness Day 2011: evaluation Department of Health This report shows the success of EAAD activities in 2011 and provides examples of local campaigns that may be of interest to others organising local activities. http://www.dh.gov.uk/health/2012/11/eaad2011-evaluation/ Probiotics for the Prevention of Clostridium difficileAssociated Diarrhea: A Systematic Review and Meta-analysis Johnston, BC et al. This review is based on 20 trials involving 3818 participants. Ann Intern Med. 13 November 2012 Online first
Items in the Pharmacy and Prescribing section may also be of interest. [back to topics]

Integrated Care
Items in the Cancer, Commissioning and Diabetes sections may be of interest.

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NHS Library and Information Service North Staffordshire Long term Conditions
National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care Department of Health The Framework sets out the principles and processes for determining eligibility. It has been revised to reflect the new NHS framework and structures created by the Health and Social Care Act 2012. http://www.dh.gov.uk/health/2012/11/continuing-healthcare-revisions/ NHS Confederation briefing: http://www.nhsconfed.org/Publications/briefings/Pages/NHS-continuing-healthcare.aspx Somerset Community-Based Self-Care Support Service for Adults with Persistent Pain NHS Right Care This case study outlines how this integrated service works, and what the benefits are for patients and providers. http://www.rightcare.nhs.uk/downloads/RC_Casebook_Somerset_Pain_Service_final.pdf
Items in the Public Health section may also be of interest. [back to topics]

Mental Health
Liaison psychiatry in the modern NHS Centre for Mental Health This report is based on 5 case studies, and aims to show how liaison psychiatry can support QIPP. It also makes recommendations for developing liaison psychiatry services in the community. http://www.centreformentalhealth.org.uk/news/2012_liaison_psychiatry.aspx NHS Confederation briefing: http://www.nhsconfed.org/Publications/briefings/Pages/LiaisonPsychiatry-TheWayAhead.aspx Managing the transfer of responsibilities under the Deprivation of Liberty Safeguards: a resource for local authorities and healthcare commissioners Social Care Institute for Excellence This report describes the changes to the identity of the supervisory body in health settings from 1 April 2013. It also offers guidance on how local authorities, hospitals, primary care trusts and Clinical Commissioning Groups can work together to ensure that the rights of vulnerable patients are protected. http://www.scie.org.uk/publications/reports/report62.asp A primary care approach to mental health and wellbeing: case study report on Sandwell NHS Confederation This report focuses on how health service commissioners in Sandwell responded to specific health inequalities to develop a primary care-led approach to improving mental health and wellbeing. http://www.nhsconfed.org/Publications/reports/Pages/CaseStudyReportOnSandwell.aspx 13

NHS Library and Information Service North Staffordshire Nursing

Frontline First: November 2012 update RCN This update looks at the impact of efficiency savings on numbers of nursing posts. http://www.rcn.org.uk/newsevents/news/article/uk/nhs_sleepwalking_into_crisis,_warns_rcn2 Quality with Compassion: the future of nursing education Report of the Willis Commission 2012 The Commission looked at the quality of nurse education, and makes recommendations for improvement in the quality of training, evaluation of training, recruitment, and workforce planning. http://www.williscommission.org.uk/recommendations
Items in the Workforce section may also be of interest. [back to topics]

Older People
Close to home: An inquiry into older people and human rights in home care Equality and Human Rights Commission This report raises concerns about some of the care received by older people. It also looks at problems with commissioning care services. http://www.equalityhumanrights.com/legal-and-policy/inquiries-and-assessments/inquiry-intohome-care-of-older-people/ The cost of cold: why we need to protect the health of older people in winter Age UK This report outlines the problem of excess winter deaths, and the related costs, and makes recommendations for improving housing and enabling people to keep warm. http://www.ageuk.org.uk/Documents/ENGB/Campaigns/The_cost_of_cold_2012.pdf?dtrk=true Older Peoples Health and Wellbeing Atlas West Midlands Public Health Observatory This atlas provides a tool to: identify variations in the health and care of older people at local authority level; comparing different local authorities; and monitor progress to reduce inequalities between local authorities in the health and wellbeing of older people. http://www.wmpho.org.uk/olderpeopleatlas/default.aspx

Palliative and End of Life Care

EPaCCS: Making the case for change National End of Life Care Programme This resource is intended to support commissioners in developing a business case for establishing EPaCCS. The information contained can fit a range of business case templates 14

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and includes the key drivers and evidence for establishing EPaCCS as well as examples of benefits that have been achieved. http://www.endoflifecareforadults.nhs.uk/publications/epaccs-making-the-case-for-change End of Life Care Facilitator Competency Framework form National End of Life Care Programme This competency framework has been developed to support high quality practice by encouraging and assisting end of life care facilitators to continually review their learning and practice. http://www.endoflifecareforadults.nhs.uk/publications/end-of-life-care-facilitators-competencyframework The impact of the Marie Curie Nursing Service on place of death and hospital use at the end of life Nuffield Trust The researchers studied people who received Marie Curie Nursing Service care and died between January 2009 and November 2011, along with matched controls. http://www.nuffieldtrust.org.uk/publications/marie-curie-nursing National Bereavement Survey (VOICES) by PCT Cluster, 2011 Office for National Statistics This survey assesses the quality of care provided to patients at the endof life. http://www.ons.gov.uk/ons/rel/subnational-health1/national-bereavement-survey--voices--bypct-clusters/2011/stb-national-bereavement-survey--voices--by-pct-cluster--2011.html
Items in the General Practice section may be of interest. [back to topics]

Patient Care and Safety

Choosing the place of care: the effect of patient choice on treatment location in England, 2003-2011 Nuffield Trust This report looks at trends in patients choosing to be treated in Independent Sector Treatment Centres or their nearest NHS Trust, since 2006. http://www.nuffieldtrust.org.uk/publications/choosing-place-of-care Interventions for providers to promote a patient-centred approach in clinical consultations Dwamena, F et al. This Cochrane review compared a number of different training interventions intended to improve staff skills in patient-centred care. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003267.pub2/abstract

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Listening and Learning: review of complaint handling by the NHS in England 2011-12 Parliamentary and Health Service Ombudsman This report highlights poor communication from various NHS organisations. It also notes an increase in complaints about patients being removed from GPs lists. The report includes recommendations for improvements. http://www.ombudsman.org.uk/listening-and-learning-2012 Primary medical services pilot: Testing our current inspection methods with GP practices and other primary medical services Care Quality Commission This report is based on a pilot inspection of 42 services. http://www.cqc.org.uk/node/628204 State of Care report 2011/12 Care Quality Commission This report looks at the shape of care services in England and the quality of care that they provide to people. http://www.cqc.org.uk/public/reports-surveys-and-reviews/reports/state-care-report-2011/12 Stories from the present, lessons for the future Patients Association This report lists 13 stories of poor patient care. http://gallery.mailchimp.com/9dd6577cf3f36af3c2f6682ed/files/Patient_Stories_2012.pdf
Items in the General Practice, Social Care and Service Management sections may also be of interest. [back to topics]

Pharmacy and Prescribing

Achieving Savings from High Cost Drugs Department of Health The report is intended to support commissioners and providers in delivering their NHS Constitution obligations and in their introduction of the compliance regime for NICE Technology Appraisals. http://www.dh.gov.uk/health/2012/11/high-cost-drugs-savings/ Bridging the gap: Why some people are not offered the medicines that NICE recommends IMS Health This report is based on interviews with experts, Freedom of Information requests, literature searches, and analysis of deidentified clinical records. http://www.imshealth.com/ims/Global/Content/Insights/IMS%20Institute%20for%20Healthcare %20Informatics/NICE%20report/IMS_Health_Bridging_the_Gap_2012.pdf TARGET antibiotics toolkit RCGP This toolkit will help clinicians and commissioners use antibiotics responsibly. http://www.rcgp.org.uk/TARGETantibiotics 16

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Hospital Prescribing: England, 2011 NHS Information Centre for Health and Social Care This report compares expenditure between primary and secondary care in total and for selected areas, including medicines positively appraised by NICE. The specific area covered this year is AIDS/HIV. http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/hospitalprescribing--england-2011
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Physical Activity
More people more active: How two million people were engaged in being more physically active in just four years Travelactively This report looks at a number of projects across the country which have encouraged people to walk or cycle and the impact it has had on health and wellbeing. http://www.sustrans.org.uk/assets/files/policy/TravelActively_Review2012.pdf
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Public Health
2011 Census, Population and Household Estimates for Wards and Output Areas in England and Wales Office for National Statistics The release provides estimates of: the usually resident population of England and Wales, by five-year age group and sex; the number of households with at least one usual resident; the number of household residents and residents of communal establishments; average household size; and population density. http://www.ons.gov.uk/ons/rel/census/2011-census/population-and-household-estimates-forwards-and-output-areas-in-england-and-wales/index.html Chief Medical Officers Report 2011: volume 1 Department of Health This annual report provides a comprehensive picture of Englands health. It brings together a number of data sources in one place for the first time and is designed to be used by local authorities and local health professionals as they work together to improve the health of local populations. http://www.dh.gov.uk/health/2012/11/cmo/ Health at a Glance: Europe 2012 Organisation for Economic Co-operation and Development This document presents a set of key indicators on health status, determinants of health, long term conditions, and financing in 35 European countries. http://www.oecd.org/els/healthpoliciesanddata/healthataglanceeurope.htm

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Public health functions to be exercised by the NHS Commissioning Board NHS Commissioning Board This agreement sets out the public health functions to be exercised by the NHS CB for the financial year 2013-14. http://www.dh.gov.uk/health/2012/11/sector-7a/ Public Health Outcomes Framework technical refresh Department of Health This refresh improves the range and quality of information in the framework. http://www.dh.gov.uk/health/2012/11/phof-technical-refresh/ Recommendations with regard to GENERALIST SPECIALISTS in public health Recommendations with regard to SENIOR PUBLIC HEALTH APPOINTMENTS Faculty of Public Health These papers are part of a series on workforce development. http://www.fph.org.uk/professional_standards
Items in the Safeguarding Children and Vulnerable Adults and Workforce sections may also be of interest. [back to topics]

Research
European Commissions proposal for a Clinical Trials Regulation Medicines and Healthcare Products Regulatory Agency This consultation seeks views on simplifying regulations on clinical trials. Closing date for comments: 31 December 2012 http://www.mhra.gov.uk/Publications/Consultations/Medicinesconsultations/MLXs/CON20230 0 Industry sponsorship and research outcome Lundh, A et al. This Cochrane review assessed the impact of industry sponsorship on research outcomes. http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000033.pub2/abstract Research Mindedness Social Care Institute for Excellence This learning resource has been produced to help students and practitioners of social care and social work make more effective use of research in their studies and in practice. http://www.scie.org.uk/publications/researchmindedness/index.asp
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NHS Library and Information Service North Staffordshire Safeguarding Children and Vulnerable Adults
Good practice resource - Effective strategic planning for safeguarding: Hampshire Council, Childrens Services Department Ofsted This resource describes how Hampshire Council plans and delivers good quality services for children and young people. http://www.ofsted.gov.uk/resources/good-practice-resource-effective-strategic-planning-forsafeguarding-hampshire-council-children%E2%80%99s-se Protecting people, promoting health: A public health approach to violence prevention for England North West Public Health Observatory This report shows that many of the key risk factors that make individuals, families and communities vulnerable to violence are changeable. It also contains new figures on the cost of violence to the NHS and wider society. http://www.dh.gov.uk/health/2012/11/violence-prevention/
Items in the Children and Young People and Sexual Health sections may also be of interest. [back to topics]

Service Management
A consultation on strengthening the NHS Constitution Department of Health The consultation follows work carried out by the NHS Future Forum on how the Constitution could be strengthened. The Government accepts the Forums recommendations in full and the new proposals reflect this. Closing date for comments: 28 January 2013 http://consultations.dh.gov.uk/nhs-constitution-team/nhs-constitution Doctors and nurses Reform This report uses a number of case studies to highlight aspects of good practice in effectively managing staff to improve patient care. http://www.reform.co.uk/content/15150/research/health/doctors_and_nurses Introduction to the CQC (e-learning) NHS Primary Care Commissioning The course covers the role of CQC; the essential standards; the importance of being compliant; and the benefit to patients. http://www.pcc-cic.org.uk/introduction-cqc-free Leadership in a matrix NHS Confederation This paper looks at the skills and abilities leaders will need to influence the reformed NHS. http://www.nhsconfed.org/Publications/leadership/Pages/Leadership-in-a-matrix.aspx 19

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NHS Outcomes Framework 2013 to 2014 Department of Health This latest version of the framework builds on the previous two versions and contains measures to help the health and care system to focus on measuring outcomes. http://www.dh.gov.uk/health/2012/11/nhs-outcomes-framework/ Supporting documents: Improving health and care: the role of the outcomes frameworks: http://www.dh.gov.uk/health/2012/11/health-care-of/ NHS Confederation Mind Map: http://www.nhsconfed.org/Publications/Pages/NHSoutcomes-framework-2013-14.aspx Pathway peer review to improve quality Health Foundation This paper looks at how peer review can be used cost effectively to improve services. http://www.health.org.uk/publications/pathway-peer-review-to-improve-quality/ Public sector case studies locator Ordnance Survey These projects used Ordnance Survey data to improve health services. http://www.ordnancesurvey.co.uk/oswebsite/case-studies/index.html Spread and Adoption Tool NHS Institute for Innovation and Improvement This tool aims to increase the spread and adoption of innovation in the NHS. http://www.institute.nhs.uk/index.php?option=com_spread_and_adoption
Items in the Children and Young People, Diabetes, General Practice, Health Reforms and Public Health sections may also be of interest. [back to topics]

Sexual Health
Sexual Violence Services: International Overview Department of Health This report gives an overview of models of sexual assault service provision in the United States of America, Canada, Australia, New Zealand, South Africa and the Nordic Countries. http://www.dh.gov.uk/health/2012/11/sexual-violence/
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Social Care
Adult Social Care Outcomes Framework 2013-14 Department of Health The Framework has been co-produced by the Department of Health, the Association of Directors of Adult Social Services (ADASS) and the Local Government Association. It is aligned with the Public Health and NHS Outcomes Frameworks. http://www.dh.gov.uk/health/2012/11/ascof1314/ 20

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Leadership Qualities Framework for Adult Social Care National Skills Academy This Framework aims to describe high quality leadership for social care staff at all levels. https://www.nsasocialcare.co.uk/about-us/leadership-qualities-framework Free registration is required to access this framework. Social Work Education Participation Social Care Institute for Excellence This series of 8 videos looks at different aspects of user and carer involvement in social work education. http://www.scie.org.uk/socialcaretv/topic.asp?t=socialworkeducationparticipation Understanding common induction Social Care Institute for Excellence This guide covers the eight standards care and support workers are expected to complete within 12 weeks of starting work in social care. http://www.scie.org.uk/workforce/induction/index.asp
Items in the Dementia, Older People, Patient and Public Involvement and Research sections may also be of interest. [back to topics]

Substance Misuse
Shooting Up: Infections among people who inject drugs in the UK 2011. An update: November 2012 Health Protection Agency This report outlines a reduction in the numbers of people injecting drugs who share needles, and in the numbers who get hepatitis B. It looks at other common infections. The report also makes recommendations for maintaining current levels of uptake of the hepatitis B vaccine. http://www.hpa.org.uk/Publications/InfectiousDiseases/BloodBorneInfections/ShootingUp/121 1Shootingup2012/ Substance misuse among young people 2011-12 National Treatment Agency for Substance Misuse This report looks at the numbers and demographics of young people who access substance misuse services, and their use of these services. http://www.nta.nhs.uk/news-2012-yp1112.aspx
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Tobacco
Behavioural interventions as adjuncts to pharmacotherapy for smoking cessation Stead, L et al. This Cochrane review is based on 38 studies with 15,000 participants. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009670.pub2/abstract 21

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Quit Kit Campaign 2013 Department of Health This factsheet gives information on the campaign, including how to order Quit Kits. http://campaigns.dh.gov.uk/2012/11/09/quit-kit-campaign-2013/
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Vaccination and Immunisation

NHS Immunisation Statistics: England, 2011-12 NHS Information Centre for Health and Social Care This bulletin brings together information from the Department of Health, the NHS Information Centre and the Health Protection Agency. http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/immunisation/nhsimmunisation-statistics--england-2011-12 Update to the Green Book: Rabies Department of Health http://immunisation.dh.gov.uk/green-book-chapters/chapter-27/
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Winter Health
Keep Warm Keep Well Department of Health This public information leaflet gives advice on staying well in cold weather and the financial help that is available. http://www.dh.gov.uk/health/2012/11/keep-warm/ Winter Watch Department of Health This website brings you regular updates about: how the NHS is coping with the increased demands of the cold winter months, levels of flu-like illness and uptake of flu vaccination. http://winterwatch.dh.gov.uk/
Items in the Older People section may also be of interest. [back to topics]

Workforce
Evaluation of the Equality Delivery System (EDS) for the NHS Shared Intelligence This report looks at how the EDS has been implemented in different Trusts, and makes recommendations for future improvements. http://www.sharedintelligence.net/equality-delivery-system/case-study/

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Helping you increase the health visiting workforce: A recruitment toolkit NHS Employers This toolkit aims to help employers attract the best possible health visiting staff.

http://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/H ealthvisiting/HealthVisitorRecruitmentToolkit/Pages/Healthvisitorrecruitmenttoolkit.asp x
How to: reduce expenditure on medical locums NHS Employers This guide will help NHS trusts identify the issues that are contributing to their locum use and offer advice on how to reduce both use of locum doctors and the cost of the locums used. http://www.nhsemployers.org/PLANNINGYOURWORKFORCE/FLEXIBLEWORKFORCE/AGENCYWORKERS/REDUCINGAGENCYSPEND/HOWTOGUIDES/REDUC ESPENDMEDLOCUMS/Pages/Howtoreduceexpenditureonmedicallocums.aspx Implementing NICE public health guidance for the workplace: Overcoming barriers and sharing success RCP This report is based on a series of workshops and interviews with Trusts who have implemented NICE public health guidance for the workplace. http://www.rcplondon.ac.uk/projects/staff-health-improvement-project Shape of training review: call for evidence GMC The purpose of this review is to make sure training for doctors continues to enable them to provide high quality, safe care which meets the needs of patients and services now and in the future. Closing date for comments: 8 February 2013 https://www.shapeoftrainingevidence.co.uk/consultation_Dtl.aspx?consult_Id=1&status=2&criteria=I Staff Engagement Toolkit NHS Employers The toolkit contains four sections: introducing staff engagement in the NHS; the benefits of staff engagement; how to embed staff engagement in the NHS; and tips, tools and resources. http://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Staffengagement-toolkit/Pages/Staff-engagement-toolkit.aspx Supporting apprentices in the workplace RCN This document looks at the benefits of apprenticeships, and how the RCN can support apprentices.

http://www.rcn.org.uk/__data/assets/pdf_file/0010/486469/004329.pdf
Items in the Nursing, Public Health, Service Management and Social Care sections may also be of interest. [back to topics]

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