NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire

Issue No: 71 December 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:
Arthritis...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 5 COPD ....................................................................................................................................... 6 Dementia .................................................................................................................................. 7 Diabetes.................................................................................................................................... 7 End of Life Care ........................................................................................................................ 7 General Practice ....................................................................................................................... 8 Guidance .................................................................................................................................. 8 Health Reforms ......................................................................................................................... 9 Infections and Infection Control .............................................................................................. 10 Influenza ................................................................................................................................. 10 Integrated Care ....................................................................................................................... 10 Mental Health.......................................................................................................................... 10 Nursing ................................................................................................................................... 11 Nutrition .................................................................................................................................. 11 Obesity.................................................................................................................................... 11 Older People ........................................................................................................................... 11 Patient Care and Safety .......................................................................................................... 12 Pharmacy and Prescribing ...................................................................................................... 12 Physical Activity ...................................................................................................................... 13 Public Health ........................................................................................................................... 13 Research ................................................................................................................................ 14 Safeguarding Children and Vulnerable Adults ........................................................................ 14 Service Management .............................................................................................................. 14 Sexual and Reproductive Health ............................................................................................ 15 Social Care ............................................................................................................................. 15 Stroke ..................................................................................................................................... 16 Substance Misuse .................................................................................................................. 17 Workforce ............................................................................................................................... 17

NHS Library and Information Service North Staffordshire Arthritis

The Impact of Rheumatoid Arthritis Co-morbidities National Rheumatoid Arthritis Society This report identifies the different co-morbidities affecting patients with rheumatoid arthritis, and makes recommendations for improving care. http://www.nras.org.uk/campaign/the_impact_of_rheumatoid_arthritis_comorbidities.aspx
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Cancer
Cancer services coming of age: Learning from the improving cancer treatment, assesment and support for older people project Department of Health This report describes how assessment and support for older patients with cancer can be improved. It includes recommendations for improving services. http://www.dh.gov.uk/health/2012/12/cancer-services-report/ Cancer statistics Office for National Statistics These statistics give information about a range of common cancers. Cancer incidence and mortality in the United Kingdom, 2008-2010 http://www.ons.gov.uk/ons/rel/cancer-unit/cancer-incidence-and-mortality/2008-2010/stbcancer-incidence-and-mortality-in-the-united-kindom--2008-2010.html Cancer Survival by Cancer Network, England: Patients diagnosed 1997-2010 and followed up to 2011 http://www.ons.gov.uk/ons/rel/cancer-unit/cancer-survival-by-cancer-network/patientsdiagnosed-in-1997---2010-and-followed-up-to-2011/stb-cancer-survival-by-cancer-network-diagnosed-1997-2010--2011-follow-up.html Improving Outcomes: A Strategy for Cancer, Second Annual Report 2012 Department of Health This report looks at progress in collecting accurate information about cancer patients, Public Health, and the commissioning and management of services. It also assesses progress against the NHS Outcomes Framework. http://www.dh.gov.uk/health/2012/12/2nd-cancer-annual-report/ National Bowel Cancer Audit 2012 NHS Information Centre for Health and Social Care The report demonstrates a continued improvement in post-operative mortality, an increase in the use of laparoscopic surgery, a significant proportion of patients not undergoing a major resection and patients still having a temporary stoma 12 months after undergoing an anterior resection. http://www.ic.nhs.uk/catalogue/PUB09352
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NHS Library and Information Service North Staffordshire Children and Young People
National Child Measurement Programme: England, 2011-2012 school year NHS Information Centre for Health and Social Care The report provides high-level analysis of the prevalence of underweight, healthy weight, overweight, obese and 'overweight and obese combined' children, in Reception (aged 45 years) and Year 6 (aged 1011 years), in state schools. http://www.ic.nhs.uk/searchcatalogue?productid=10135 Vitamin D: position statement Royal College of Paediatrics and Child Health This statement outlines why vitamin D is important, and makes recommendations for reducing and preventing vitamin D deficiency in children. http://www.rcpch.ac.uk/system/files/protected/page/vitdpositionstatement%20FINAL%202012 1210.pdf Young and physically active: a blueprint for making physical activity appealing to youth World Health Organisation. Regional Office for Europe. This document aims to give information about ways of making physical activity appealing to young people, through the environment and the experience of physical activity. http://www.euro.who.int/en/what-we-publish/abstracts/young-and-physically-active-ablueprint-for-making-physical-activity-appealing-to-youth
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Commissioning
CCG and Local Authority information packs NHS Commissioning Board These information packs set out key data on local outcomes. The Local Authority packs present comparative information on the NHS, Adult Social Care and Public Health Frameworks. The CCG level packs provide a more detailed analysis of NHS outcomes and other relevant indicators. http://www.commissioningboard.nhs.uk/la-ccg-data/ North Staffordshire CCG: http://www.commissioningboard.nhs.uk/la-ccg-data/#ccg-n Stoke CCG: http://www.commissioningboard.nhs.uk/la-ccg-data/#ccg-s Staffordshire and Stoke-on-Trent Local Authorities: http://www.commissioningboard.nhs.uk/laccg-data/#la-s Please note these links take several seconds to load. CCG Indicators: December 2012 release NHS Information Centre for Health and Social Care This is the first publication of Clinical Commissioning Group (CCG) indicators that form part of the CCG Outcomes Indicator Set. The indicators aim to provide clear, comparative information for CCGs and Health and Wellbeing boards about the quality of health services commissioned by CCGs and, as far as possible, the associated health outcomes. http://www.ic.nhs.uk/catalogue/PUB09303 5

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Everyone Counts: Planning for Patients 2013/14 NHS Commissioning Board This document outlines the incentives and levers that will be used to improve services from April 2013. http://www.commissioningboard.nhs.uk/2012/12/17/everyonecounts/ Primary Care Commissioning Application (version 87) Primary Care Commissioning The Application collates, benchmarks and analyses a wide range of primary medical care data at both PCT and practice level. http://www.pcc-cic.org.uk/article/primary-care-commissioning-application Regulations for clinical commissioning groups Department of Health These regulations set out exceptions to CCGs responsibilities, services to be commissioned by the NHS Commissioning Board, and the categories of people that CCGs will be responsible for. http://www.dh.gov.uk/health/2012/12/ccgs-regulations/
Items in the Cancer section may be of interest. [back to topics]

COPD
Data for chronic obstructive pulmonary disease (COPD) and asthma: Making a real difference NHS Improvement This report looks at how data can be used to improve care for patients in primary and acute settings. http://www.improvement.nhs.uk/documents/managingcopd/Data_Guide.pdf What should I expect from? A guide for people with breathing problems in England NHS Improvement This series of patient information leaflets explain different aspects of COPD care. The titles are: What should I expect from assessment and diagnosis of COPD? http://www.improvement.nhs.uk/documents/BLF/Assessment_BK24_2012_v1.pdf What should I expect from a home oxygen service? http://www.improvement.nhs.uk/documents/BLF/Oxygen_BK25_2012_v1.pdf What should I expect from managing flare-ups of my COPD? http://www.improvement.nhs.uk/documents/BLF/Flare-ups_BK23_2012_v1.pdf What should I expect from pulmonary rehabilitation? http://www.improvement.nhs.uk/documents/BLF/PR_BK22_2012_v1.pdf
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NHS Library and Information Service North Staffordshire Dementia

A Future State of Mind: Facing up to the dementia challenge Social Market Foundation This report outlines the case for improving early diagnosis of dementia, looks at patient and health professional barriers to this happening, and makes recommendations for improvement. http://www.smf.co.uk/research/health-and-social-care/a-future-state-of-mind-facing-up-to-thedementia-challenge/
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Diabetes
Diabetic complications and mortality: PCT level analysis of the National Diabetes Audit 2010/11 Diabetes Health Intelligence http://www.yhpho.org.uk/resource/item.aspx?RID=157396
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End of Life Care

An evaluation of the Route to Success resources, related tools and frameworks covering disease specific areas: heart failure; advanced kidney disease; dementia; and long term neurological conditions NHS National End of Life Care Programme This project set out to review how the series of publications and supporting resources have been utilised across four disease specific pathways. http://www.endoflifecareforadults.nhs.uk/publications/ihm-rts-disease-specific An evaluation of the Route to Success resources, related tools and frameworks covering four settings: acute, care homes, domiciliary care and hostels for the homeless NHS National End of Life Care Programme The project set out to review how the Route to Success (RtS) series of publications and supporting resources have been utilised within site-specific settings. http://www.endoflifecareforadults.nhs.uk/publications/ihm-rts-evaluation New version of end of life care quality assessment tool launched NHS National End of Life Care Programme The new version of the End of Life Care Quality Assessment (ELCQuA) tool is now structured around the NICE quality standard for end of life care for adults. The tool is designed to support local service improvement and the commissioning of end of life care services. http://www.endoflifecareforadults.nhs.uk/news/all/new-version-of-end-of-life-care-qualityassessment-tool-launched
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NHS Library and Information Service North Staffordshire General Practice

GP Patient Survey, 2012-13 Wave 1 and 2011-12 Wave 2 aggregated results Department of Health The survey provides information on patients overall experience of Primary Care services and their overall experience of accessing these services. http://transparency.dh.gov.uk/2012/12/13/gp-patient-survey-2012-13-wave-1-and-2011-12wave-2-aggregated-results/ Securing excellence in GP IT services: operating model NHS Commissioning Board This document explains how the management of IT systems for GP practices will be organised from April 2013. It enables clinical commissioning groups to make decisions to suit particular local requirements, ensuring information and technology supports clinical commissioning to improve health outcomes for patients. http://www.commissioningboard.nhs.uk/2012/12/04/gp-it/
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Guidance
NICE Guidance Ectopic pregnancy and miscarriage CG154 http://guidance.nice.org.uk/CG154 NICE Public Health Guidance Hepatitis B and C - ways to promote and offer testing PH43 http://guidance.nice.org.uk/PH43 NICE Consultation Documents Consultation on QOF indicators As part of the Quality and Outcomes Framework (QOF) process, stakeholders have the opportunity to comment on potential new indicators for the QOF. Closing date for comments: 4 February 2013 http://www.nice.org.uk/aboutnice/qof/ConsultationQOFIndicators.jsp Falls: guideline consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 15 February 2013 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62250 Ovarian cancer (metastatic) - bevacizumab (with paclitaxel and carboplatin): appraisal consultation document Closing date for comments: 22 January 2013 http://guidance.nice.org.uk/TA/Wave25/16/Consultation/DraftGuidance 8

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Self harm: quality standard consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 4 February 2013 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62275 Social anxiety disorder: guideline consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 5 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=61871 Stroke Rehabilitation: Guideline consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 14 February 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62228 Other Guidance Standards of care for people living with HIV in 2013 British HIV Association http://www.bhiva.org/standards-of-care-2013.aspx
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Health Reforms
Developing operational delivery networks: the way forward NHS Commissioning Board Operational Delivery Networks (ODNs) will complement the newly created Strategic Clinical Networks. ODNs are focussed on coordinating patient pathways between providers over a wide area to ensure access to specialist support and expertise. http://www.commissioningboard.nhs.uk/2012/12/21/odn/ First wave of clinical commissioning groups NHS Commissioning Board 34 Clinical Commissioning Groups have been authorised by the NHS Commissioning Board, including Stoke-on-Trent CCG and North Staffordshire CCG http://www.commissioningboard.nhs.uk/2012/12/10/wave1-auth
Items in the Commissioning and Research sections may also be of interest. [back to topics]

NHS Library and Information Service North Staffordshire Infections and Infection Control
Eye of the Needle: United Kingdom surveillance of significant occupational exposures to bloodborne viruses in healthcare workers, December 2012 Health Protection Agency This report looks at the number of health professionals who have been exposed to and developed a range of bloodborne infections. It makes recommendations for infection prevention and control procedures. http://www.hpa.org.uk/Publications/InfectiousDiseases/BloodBorneInfections/EyeOfTheNeedl e/1212EyeoftheNeedle2012Report/
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Influenza
UK Pandemic Influenza Communications Strategy 2012 Department of Health, England and Health Departments of the Devolved Administrations of Scotland, Wales and Northern Ireland This is a companion document to the UK Influenza Pandemic Preparedness Strategy, published in November, and the Health and Social Care Influenza Pandemic Preparedness and Response Guidance for the health and social care community, published in April, and should be read alongside these. http://www.dh.gov.uk/health/2012/12/flu-pan-comms/

Integrated Care
A Narrative for person-centred, coordinated (integrated) care: consultation NHS Commissioning Board The purpose of this narrative is to help ensure a shared understanding of what good personcentred, co-ordinated (integrated) care looks like for an individual, using language that everyone can identify with. Closing date for comments: 28 February 2013 http://www.commissioningboard.nhs.uk/2012/12/11/narrative-integrated-care
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Mental Health
Liberating the NHS: No decision about me without me government response Department of Health This document outlines how patients will be able to choose from any provider in England when they are first referred to see a specialist in secondary care. It also outlines plans more broadly to increase patient involvement in decisions about their care and treatment and to increase patient choice. http://www.dh.gov.uk/health/2012/12/choice-response

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NHS Library and Information Service North Staffordshire Nursing

Compassion in practice: nursing, midwifery and care staff, our vision and strategy NHS Commissioning Board The vision is based around six values care, compassion, courage, communication, competence and commitment. It aims to embed these values, known as the Six Cs, in all nursing, midwifery and care-giving settings throughout the NHS and social care to improve care for patients. http://www.dh.gov.uk/health/2012/12/nursing-vision/
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Nutrition
Items in the Children and Young People section may be of interest.

Obesity
Effect of reducing total fat intake on body weight: systematic review and meta-analysis of randomised controlled trials and cohort studies Hooper, L et al. This review looked at the impact of reducing dietary fat, in 73,589 participants, and in a number of subgroups, including adults and children. BMJ 2012;345:e7666 doi: http://dx.doi.org/10.1136/bmj.e7666 (December 2012)
Items in the Children and Young People section may be of interest. [back to topics]

Older People
Care for older people: projected expenditure to 2022 on social care and continuing health care for England's older population Nuffield Trust This report looks at the likely cost of health and social care over the next ten years, based on projected rates of increase of disability and chronic illness. http://www.nuffieldtrust.org.uk/publications/care-for-older-people-projected-expenditure-2022

Improving decision-making in the care and support of older people Joseph Rowntree Foundation This research looks at factors affecting decisions made about the care and support of older people. It makes recommendations for ensuring decisions are made well. http://www.jrf.org.uk/publications/improving-decision-making-care
Items in the Cancer and Social Care sections may be of interest.

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NHS Library and Information Service North Staffordshire Patient Care and Safety
Free to Choose? Reform and Demand Response in the English National Health Service London School of Economics. School of Economic Performance This report looks at the impact of increased patient choice on different groups of patients and on hospitals. http://cep.lse.ac.uk/_new/publications/abstract.asp?index=4145 The health and social care ratings review Nuffield Trust The Nuffield Trust is undertaking a review, for the government, of whether there should be an overall rating to summarise the quality of care provided by different health and social care organisations. The review will also consider what might be included in the rating. Closing date for comments: 15 February 2013 http://www.nuffieldtrust.org.uk/ratings-review Seven Day Consultant Present Care Academy of Medical Royal Colleges This report sets out standards for seven day consultant care, and the primary care and other services needed to support this. It looks at the implications and benefits of implementing seven day consultant care. http://aomrc.org.uk/publications/reports-a-guidance/doc_details/9532-seven-day-consultantpresent-care.html Zero tolerance: Making ambulance handover delays a thing of the past NHS Confederation This report is intended to support healthcare leaders in their efforts to make handover delays a never event in their local health economies. http://www.nhsconfed.org/Publications/reports/Pages/Zero-tolerance.aspx
Items in the General Practice and Service Management sections may also be of interest. [back to topics]

Pharmacy and Prescribing

Improving the use of medicines for better outcomes and reduced waste: An Action Plan Department of Health This report looks at the ways in which the NHS is working to improve the use of medicines and tackle avoidable medicines wastage. http://www.dh.gov.uk/health/2012/12/medicines-reduced-waste/
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NHS Library and Information Service North Staffordshire Physical Activity

Items in the Children and Young People sections may be of interest. [back to topics]

Public Health
2011 Census, Key Statistics for Local Authorities in England and Wales Office for National Statistics These statistics include details of whether or not people consider themselves to be in good health. http://www.ons.gov.uk/ons/rel/census/2011-census/key-statistics-for-local-authorities-inengland-and-wales/index.html Health Survey for England: 2011 Health, social care and lifestyles NHS Information Centre for Health and Social Care The Health Surveys for England monitor trends in the nations health, and estimate the proportion of people in England who have specified health conditions, and the prevalence of certain risk factors and combinations of risk factors associated with these conditions. The survey is also used to monitor progress towards selected health targets. http://www.ic.nhs.uk/catalogue/PUB09300 Mortality in England and Wales, Average Life Span Office for National Statistics These statistics include information on life expectancy and age at death. http://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-england-and-wales/average-lifespan/index.html Perth Charter for the Promotion of Mental Health and Wellbeing Seventh World Conference on the Promotion of Mental Health and the Prevention of Mental and Behavioural Disorders This charter is based on specific principles, including the importance of mental health and mental health promotion for everybody, and the relationships between mental and physical health. http://www.rsph.org.uk/en/about-us/latest-news/press-releases/pressrelease1.cfm/pid/6DFA298B-485C-49E2-B8B9F678CE015936 Public Health England People Transition Policy Department of Health Published as a series of factsheets, this module sets out the agreed framework for the terms and conditions for those transferring into PHE and for new staff appointed to PHE after 1 April 2013. http://www.dh.gov.uk/health/2012/11/phe-ptp-nov/ FAQs: http://healthandcare.dh.gov.uk/phe-faqs-module2
Items in the Cancer section may also be of interest. [back to topics]

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NHS Library and Information Service North Staffordshire Research

Determining arrangements for supporting research in primary and community care Department of Health The paper aims to support local organisations, in collaboration with local networks, to consider how to achieve a smooth transfer of capability within the changing NHS for supporting primary and community care research. http://www.dh.gov.uk/health/2012/12/research-primary-care/
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Safeguarding Children and Vulnerable Adults

Transforming care: A national response to Winterbourne View Hospital Department of Health This report sets out a programme of action to transform services for people with learning disabilities or autism and mental health conditions or behaviours described as challenging. http://www.dh.gov.uk/health/2012/12/final-winterbourne/
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Service Management
Creating change: Innovation health and wealth one year on Department of Health This report demonstrates the progress that is being made, and highlights what more should be done to embed innovation in the NHS. http://www.dh.gov.uk/health/2012/12/ihw-creating-change/ Draft reference costs guidance for 2012-13 Department of Health Closing date for comments: 17 January 2013 http://www.dh.gov.uk/health/2012/12/draft-reference-costs/ Draft Enforcement Guidance: consultation document Monitor This consultation sets out Monitor's general approach to exercising its enforcement powers in relation to potential and actual breaches of the licence and other regulatory obligations Closing date for comments: 11 February 2013 http://www.monitor-nhsft.gov.uk/home/news-events-andpublications/consultations/consultations-and-engagement-monitors-role-sector-re Goods and services carbon hotspots: NHS England breakdown of goods and services carbon footprint by organisation type NHS Sustainable Development Unit This report aims to make it easier for NHS organisations to reduce their carbon footprint. http://www.sdu.nhs.uk/news-events/news/195/Goods-and-Services-Carbon-Hotspots-reportlaunched 14

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Progress in making NHS efficiency savings National Audit Office The NHS made a substantial amount of efficiency savings in 2011-12. These will need to be sustained and built on if savings targets are to be met. http://www.nao.org.uk/publications/1213/nhs_efficiency_savings.aspx The social value guide: implementing the Public Services (Social Value) Act Social Enterprise UK This document explains the Act and its impact, describes what social value is, and gives practical information on how social value can be embedded in different stages of the commissioning and procurement processes. http://www.socialenterprise.org.uk/advice-support/resources/the-social-value-guide Using safety cases in industry and healthcare Health Foundation This report looks at how safety cases, regarded as best practice in industry, might be used to improve safety in healthcare settings. http://www.health.org.uk/publications/using-safety-cases-in-industry-and-healthcare/
Items in the Patient Care and Safety and Safeguarding Children and Vulnerable Adults sections may also be of interest. [back to topics]

Sexual and Reproductive Health

The Morning After: A Cross Party Inquiry into Unplanned Pregnancy 2020Health This report is based on written and oral evidence sessions, and relevant literature. It considers a wide range of factors relating to unplanned pregnancy, including sex and relationships education, access to contraception, and social factors. http://www.2020health.org/2020health/Press/latest-news/Unplanned-Pregnancy-Report.html
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Social Care
Adult Social Care Survey: England, 2011-12, Final NHS Information Centre for Health and Social Care This annual survey took place for the second time in 2011-12. It aims to gain an understanding of service users views and experience rather than measuring quantities of care delivered. The survey also contributes to the Adult Social Care Outcomes Framework. http://www.ic.nhs.uk/searchcatalogue?productid=10128

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Findings from housing with care research: practice examples Joseph Rowntree Foundation This report makes recommendations for improving the care received by older people. It gives practical examples from two other reports produced by the Foundation. Chapter 2 focuses on partnerships with health and social care. http://www.jrf.org.uk/publications/housing-care-research-practice-examples The full reports are available at: Affordability, choices, and quality of life in housing with care http://www.jrf.org.uk/publications/quality-life-housing-care Whose responsibility? Boundaries of roles and responsibilities in housing with care http://www.jrf.org.uk/publications/whose-responsibility-boundaries-housing-care Market Oversight in Adult Social Care Department of Health This consultation seeks views on consultation on new measures to protect people who rely on care services in the event of provider failure. Closing date for comments: 1 March 2013 http://www.dh.gov.uk/health/2012/12/provider-failures/ Supported housing for older people in the UK: An evidence review Joseph Rowntree Foundation This report outlines what is known about supported housing for older people. http://www.jrf.org.uk/publications/supported-housing-older-people-evidence-review Workforce planning for personal assistants: current issues, future challenges Centre for Workforce Intelligence This briefing looks outlines the current personal assistant workforce, and changes in demand, including the growth of personalisation. http://www.cfwi.org.uk/workforce-planning-news-and-review/socialcare/our-priorities/planningfor-personal-assistants
Items in the Older People sections may also be of interest. [back to topics]

Stroke
Health economic analysis of clinical psychology led care after stroke NHS Improvement This paper models the costs and potential cost savings of delivering a psychological support service for people with problems affecting their mood after stroke. http://www.improvement.nhs.uk/stroke/Psychologicalcareafterstroke/HealthEconomicAnalysis .aspx
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NHS Library and Information Service North Staffordshire Substance Misuse

Drugs: Breaking the Cycle House of Commons Home Affairs Committee This report looks at a number of aspects of drug policy, including education and prevention, treatment, and the law. http://www.publications.parliament.uk/pa/cm201213/cmselect/cmhaff/184/18402.htm

Workforce
Items in the Infections and Infection Control, Patient Care and Safety, Service Management and Social Care sections may be of interest. [back to topics]

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