Thursday, 11 September 2014

Healthcare funds distribution unfair, audit finds

Healthcare funds distribution unfair, audit finds


Report says some areas are struggling because of an unfair Whitehall system to allocate £79n in resources

Some local healthcare services in England have been underfunded because of an unfair Whitehall system to allocate £79bn in resources, a report by the government's auditors has concluded.

The government is making slow progress towards a proper and accurate distribution of money to local commissioners of healthcare, the National Audit Office said. Many decisions are being made on individual civil servants' judgments instead of being based on evidence, the report found. Guardian

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Daily walk is 'like a magic pill' to slow ageing

Daily walk is 'like a magic pill' to slow ageing

Walking half an hour a day can prevent obesity and diabetes, lower the risk of some cancers, relieve depression and anxiety, scientist say. Telegraph

NHS England Chief Executive committed to improving dementia diagnosis

NHS England Chief Executive committed to improving dementia diagnosis

NHS England is committed to pushing up dementia diagnosis rates, Chief Executive Simon Stevens has told the Alzheimer’s Society Conference today.

The pledge comes as NHS England publishes a new Dementia Toolkit aimed at helping GPs make more timely diagnosis of the crippling condition and, importantly, what they can do in terms of vital post-diagnostic support.

The support covers many areas and is mainly directed at the person with the diagnosis or their carer. It relates to both emotional support and practical task-based help including specific interventions such as cognitive stimulation therapy.

Mental health: New Guardianship cases increase slightly after three year decline

Mental health: New Guardianship cases increase slightly after three year decline


•Wide regional variation in numbers of Guardianship cases
IC QOF

Prescription sleeping pills linked to Alzheimer’s risk

Prescription sleeping pills linked to Alzheimer’s risk

“Prescription sleeping pills … can raise chance of developing Alzheimer's by 50%,” reports the Mail Online.

This headline is based on a study comparing the past use of benzodiazepines, such as diazepamand temazepam, in older people with or without Alzheimer’s disease. It found that the odds of developing Alzheimer’s were higher in people who had taken benzodiazepines for more than six months.

Benzodiazepines are a powerful class of sedative drugs. Their use is usually restricted to treating cases of severe and disabling anxiety and insomnia. They are not recommended for long-term use, because they can cause dependence.

It’s also important to note that this study only looked at people aged 66 and above, therefore it is not clear what the effects are in younger people. Also, it is possible that the symptoms these drugs are being used to treat in these older people, such as anxiety, may in fact be early symptoms of Alzheimer’s. The researchers tried to reduce the likelihood of this in their analyses, but it is still a possibility.

Overall, these findings reinforce existing recommendations that a course of benzodiazepines should usually last no longer than four weeks.

Hundreds report waking up during surgery

Hundreds report waking up during surgery

“At least 150, and possibly several thousand, patients a year are conscious while they are undergoing operations,” The Guardian reports. A report suggests “accidental awareness” during surgery occurs in around one in 19,000 operations.

The report containing this information is the Fifth National Audit Project (NAP5) report on Accidental Awareness during General Anaesthesia (AAGA) – that is, when people are conscious at some point during general anaesthesia. This audit was conducted over a three-year period to determine how common AAGA is.

People who regain consciousness during surgery may be unable to communicate this to the surgeon due to the use of muscle relaxants, which are required for safety during surgery. This can cause feelings of panic and fear. Sensations that the patients have reported feeling during episodes of AAGA include tugging, stitching, pain and choking.

There have been reports that people who experience this rare occurrence may be extremely traumatised and go on to experience post-traumatic stress disorder (PTSD).

However, as the report points out, psychological support and therapy given quickly after an AAGA can reduce the risk of PTSD.

Wednesday, 10 September 2014

Research reveals 14 per cent of people in Northampton affected by hearing loss

Research reveals 14 per cent of people in Northampton affected by hearing loss

Around 14 per cent of people in Northampton are affected by hearing loss, according to new figures. Northampton Chronicle & Echo

Northamptonshire completes 20 million steps during one weekend

Northamptonshire completes 20 million steps during one weekend

Residents of Northamptonshire reached a target of walking 20 million steps during one weekend. Northampton Chronicle & Echo

Dementia patients 'face care tax'

Dementia patients 'face care tax'

Dementia patients in the UK face what is, in effect, a "care tax" because they are left to sort out much of the care they need themselves, experts say. BBC News

The costs of specialised care

The costs of specialised care

Patients requiring specialised care are usually treated by specialist teams with particular expertise and equipment. Concentrating services in this way should be cost-effective but there is concern that national tariffs might fail to fully reflect the true costs associated with treating patients that require specialised care. This is because the healthcare resource groups (HRGs), used to categorise patients and on which national tariffs are based, may not perfectly differentiate between patients that do and do not receive specialised care. This analysis aims to identify whether or not a patient received specialised care and evaluate whether and by how much such patients have higher costs than those allocated to the same HRG. Centre for Health Economics (CHE)
Report
CHE publications

Alzheimer's now costs the UK £26bn every year, major new research suggests

Alzheimer's now costs the UK £26bn every year, major new research suggests

Two million Britons will suffer from Alzheimer’s by 2050, according to the most comprehensive review of the disease to date - which also reveals the costs of the condition to the UK have soared to £26bn a year. Independent

Stressed and depressed should be fast-tracked for NHS help

Stressed and depressed should be fast-tracked for NHS help

The country's most senior doctor says NHS should look at speedier ways to help those suffering from anxiety, stress and depression, with a 24 per cent rise in sick days caused by such conditions. Telegraph

Research and analysis: Ebola virus disease: epidemiological update

Research and analysis: Ebola virus disease: epidemiological update

Epidemiology of the Ebola virus disease outbreak in Guinea, Liberia, Sierra Leone, Nigeria and Senegal (new imported case). Public Health England

Regular walking breaks 'protect arteries'

Regular walking breaks 'protect arteries'


Just a five-minute walk every hour helps protect against damage of sitting all day,” the Mail Online reports. A study of 12 healthy but inactive young men found that if they sat still without moving their legs for three hours, the walls of their main ...
and more »

Health News from NHS Choices

Sibling bullying linked to young adult depression

Sibling bullying linked to young adult depression

Being bullied regularly by a sibling could put children at risk of depression when they are older,” BBC News reports. A new UK study followed children from birth to early adulthood. Analysis of more than 3,000 children found those who reported ... Health News from NHS Choices

Guidance: SEND: guide for health professionals

Guidance: SEND: guide for health professionals


This guide is for:
clinical commissioning groups
health professionals
local authorities

It explains the duties and responsibilities of health professionals who deal with children and young people with special educational needs and disabilities (SEND) and their families.

This guide should be read alongside the ‘Special education needs and disability code of practice: 0 to 25’.

Department of Health

Major NHS IT system successfully rebuilt and launched while supporting thousands of health staff and patients

Major NHS IT system successfully rebuilt and launched while supporting thousands of health staff and patients

September 09, 2014: A highly complex national IT system that provides the foundation for round-the-clock patient care has been successfully rebuilt in a project led by the Health and Social Care Information Centre (HSCIC). IC QOF

Annual report of the Chief Medical Officer 2013: public mental health priorities

Annual report of the Chief Medical Officer 2013: public mental health priorities

This report looks at the epidemiology of public mental health, the quality of evidence, possible future innovations in science and technology, and the economic case for good mental health. It also outlines the importance of both treating mental health as equal to physical health and of focusing on the needs and safety of people with mental illness.  Department of Health 

Health Premium Incentive Scheme (HPIS) 2014/15 and public health allocations: a technical consultation

Health Premium Incentive Scheme (HPIS) 2014/15 and public health allocations: a technical consultation

This consultation seeks views on plans for the introduction of HPIS, a scheme which rewards local authorities for public health improvements made in line with selected indicators from the public health outcomes framework. The consultation is also seeking views on technical aspects of public health funding allocations for 2015 to 2016. The consultation closes on 23 October 2014. Department of Health (DH)  

Sleeping pills 'linked to dementia'

Sleeping pills 'linked to dementia'

Long-term use of pills for anxiety and sleep problems may be linked to Alzheimer's, research suggests. BBC News

Some patients 'awake' during surgery

Some patients 'awake' during surgery

Scientists suggest one in 19,000 undergoing an operation under general anaesthetic wake up during surgery, based on the biggest study into the subject. BBC News

E-cigarettes: a review of the evidence-base for regulation

E-cigarettes: a review of the evidence-base for regulation

Sally Adams summarises a recent review of e-cigarettes, which looks at use, content, safety, effects on smokers and the potential for harm and benefit. The Mental Elf

Why the elderly can go downhill, after the loss of their partner

Why the elderly can go downhill, after the loss of their partner

Bereavement can have a devastating impact on the immune systems of older people and may explain why many elderly spouses die soon after the loss of their loved ones, scientists have said. Independent

GP crisis as soaring numbers refusing to take patients

GP crisis as soaring numbers refusing to take patients

Investigation finds hundreds of GP surgeries are closing their lists to new arrivals, forcing out existing patients or facing closure. Telegraph

Tuesday, 9 September 2014

£30 million scheme will improve service for X-ray patients at Kettering General Hospital

£30 million scheme will improve service for X-ray patients at Kettering General Hospital

Patients at Kettering General Hospital are set to benefit from improved X-ray and other medical image provision thanks to a new £30 million scheme being used by hospitals in the area. Northampton Evening Telegraph

Research and analysis: Chief Medical Officer (CMO) annual report: public mental health

Research and analysis: Chief Medical Officer (CMO) annual report: public mental health

This report looks at the epidemiology of public mental health, the quality of evidence, possible future innovations in science and technology, and the economic case for good mental health.

It also outlines the importance of both treating mental health as equal to physical health and of focusing on the needs and safety of people with mental illness.

Highlights from the report include:
mental health is just as important as physical health, mental health services need to be valued and the scale of the burden of disease caused by mental illness needs to be acknowledged
more needs to be done to help people with mental illness stay in work, as since 2009, the number of working days lost to ‘stress, depression and anxiety’ has increased by 24% and the number lost to serious mental illness has doubled
there have been some very interesting technological innovations in mental healthcare and our understanding of the causes and development of mental illness is increasing through techniques such as neuroimaging, neuropsychology, genetics and blood-based biomarkers
Department of Health

A Comparison of How Four Countries Use Health IT to Support Care for People with Chronic Conditions

A Comparison of How Four Countries Use Health IT to Support Care for People with Chronic Conditions

A comparative analysis of how four high-income nations—Australia, Canada, Denmark, and the United States—are using health information and communications technologies (ICTs) to manage care for chronically ill patients identified four key themes. Commonwealth Fund

Plan to use apps/social media for drug safety information

Plan to use apps/social media for drug safety information

MHRA heads development to use new tech for drug safety. OnMedica

Older patients at risk because drugs are tested on the young 

Older patients at risk because drugs are tested on the young 

When it comes to anyone much older than 65, doctors have little evidence to tell them what drug or treatment works. One in six people over 65 takes ten or more medicines. Daily Mail

October release for NIB strategy

October release for NIB strategy

The National Information Board is set to release its new informatics strategy in October, outlining a ten-year plan for how to make the most of data and technology in healthcare. EHI News

Integrated Care Experiences and Outcomes in Germany, the Netherlands, and England

Integrated Care Experiences and Outcomes in Germany, the Netherlands, and England

In this study, Commonwealth Fund–supported researchers evaluated three new integrated delivery networks in Germany, the Netherlands, and England. Commonwealth Fund

Weekend staff shortages are the fatal flaw at the heart of the NHS

Weekend staff shortages are the fatal flaw at the heart of the NHS


In our new blog, NHS staff will be talking about the issues that affect their working lives. In this post, a hospital doctor admits that were a long way from true seven-day care
We bean counters need to speak out about NHS cuts


Ive worked enough hospital shifts to know the reality of the NHS on the wrong side of the clock. At night and during the weekend, sometimes only a handful of doctors are responsible for hundreds of patients.

This is the fatal flaw at the heart of our health service, and it is catching up with us. No amount of hard graft or good intentions can make up for the wrong amount of the right people. Guardian

Continue reading...

Measuring up? The health of NHS cancer services

Measuring up? The health of NHS cancer services


This report highlights key concerns regarding the pressures on NHS cancer services following the NHS reorganisation and the Health and Social Care Act 2012. It calls for urgent action to increase investment, particularly in diagnostic services, and also highlights the need to review both the leadership and commissioning of cancer services so they are fit to meet the looming demands of an ageing population and the predicted rapid increase in cancer cases. Cancer Research UK
Report
Press release

Why you really do need to wash your hands at work: Infections can spread from an office door handle to half the workforce in just two...

Why you really do need to wash your hands at work: Infections can spread from an office door handle to half the workforce in just two...

Touching lift buttons and keyboards were among fastest ways to spread the bug. Disinfectant wipes and regularly washing hands were best way to kill germs, study found. Daily Mail

Monday, 8 September 2014

County NHS sets out changes to elderly mental health care

County NHS sets out changes to elderly mental health care

A consultation on future staffing structures for the county’s mental health services for older adults has been launched. Northampton Evening Telegraph

One in five Northampton General Hospital cancer patients not treated as expected within 62 days of diagnosis

One in five Northampton General Hospital cancer patients not treated as expected within 62 days of diagnosis

More than one in five cancer patients at Northampton General Hospital are not treated as expected within 62 days of being diagnosed. Northampton Chronicle & Echo

Has the cause of autism finally been uncovered? Brain injury in the womb or early in a child's growth may be the root of the disorder

Has the cause of autism finally been uncovered? Brain injury in the womb or early in a child's growth may be the root of the disorder

Brain injury that occurs in the womb or early in a child's growth may be the root cause of autism according to new research. Daily Mail

Key to a long life is a waist measuring less than half your height

Key to a long life is a waist measuring less than half your height

Waist to height ratio can have an impact on life expectancy, 20 year study finds. Telegraph

Cancer services weakened by coalition's NHS shakeup, says report

Cancer services weakened by coalition's NHS shakeup, says report


Charity says health service feeling squeeze as shrinking budgets leave specialists struggling to cope with rising demand

Cancer services have been weakened by the coalition's shakeup of the NHS and lack the money to cope with the growing number of people getting the disease, a report on Monday claims.

Diagnostic and treatment services are under such strain that improvements in recent years are in danger of unravelling, according to the charity Cancer Research UK. Its findings are based on anonymous interviews with 45 leading cancer experts and an online survey of 450 other NHS cancer personnel. Guardian

Continue reading...

Sibling bullying ups depression risk

Sibling bullying ups depression risk

Being bullied regularly by a brother or sister could put children at risk of depression when they are older, suggests a study. BBC News

Twice as many cases of early dementia than was thought

Twice as many cases of early dementia than was thought

Charity calls for more help for younger people with dementia as new figures disclose twice as many cases as was thought among those aged between 30 and 65. Telegraph

Big care home chains to face new inspections

Big care home chains to face new inspections

Britain's big care home chains are to face a tough new regime of corporate inspections to prevent financial problems from leading to poor or dangerous care for elderly residents, England's first chief inspector of social care said. Independent

Your questions on personal health budgets answered

Your questions on personal health budgets answered

This briefing, produced in partnership with Think Local Act Personal, highlights relevant information, support and guidance and answers some frequently asked questions. NHS Networks

Press release: Smokers encouraged to swap fags for gags

Press release: Smokers encouraged to swap fags for gags

Stoptober, the 28-day stop smoking challenge from Public Health England, is encouraging smokers to swap their fags for gags to help them quit for good this October.
Top British comedians including Paddy McGuinness, Al Murray, Simon Brodkin (aka Lee Nelson, Jason Bent and Dr Bob) and Andi Osho will bring a touch of the British sense of humour to help quitters through this difficult and daunting challenge.
Smoking is no laughing matter and neither is quitting. Two-thirds of smokers say they want to quit but only 4 in 10 told a recent survey that they have tried in the last year. There is no doubt that quitting is tough, but it is known that people who quit do feel better in time.
Evidence shows that if a smoker can go 28 days without a cigarette, they are 5 times more likely to stay permanently smoke-free. Quitting smoking can be a difficult process but successfully quitting has significant health, monetary and social benefits.
The 2013 campaign saw 250,000 people take part and 65% of those who took part successfully quit for 28 days. Public Health England (PHE) is hoping even more will get involved this year by searching ‘stoptober’ online and signing up.

Friday, 5 September 2014

Barker report confronts injustices of long-term care

Barker report confronts injustices of long-term care


Commission on the future of health and social care has unveiled a radical but deliverable plan
Kate Barker: Health and social care must be radically reshaped around need

The commission on the future of health and social care in England, established by the Kings Fund under economist Kate Barker, has unveiled a radical but deliverable plan for extending free at the point of need care into social services.

The commissions final report shuns the usual obsession with how to fund hospitals, instead focusing on the needs of patients with long-term conditions. It was heavily influenced by the emotionally charged evidence from its panel of service users and carers. Their distress, despair, sense of injustice and incomprehension at the unfairness of the current system drove the commission to look for a new approach, built around patient needs rather than the current arbitrary and irrational distinctions between health and social care. Guardian

Continue reading...

Bad paperwork putting patients at risk when discharged from hospital

Bad paperwork putting patients at risk when discharged from hospital

NHS England issues patient safety alert to GPs after finding 10,000 cases of poor communication between hospitals and GPs about patient care after they are discharged. Telegraph

Revalidation: a quality improvement or regulatory intervention?

Revalidation: a quality improvement or regulatory intervention?

Linking to his published research, Dr Julian Archer asks whether revalidation is about poor performance or the opportunity to drive up standards in all practitioners through quality improvement measures. Health Foundation

E-cigarette criticisms 'alarmist'

E-cigarette criticisms 'alarmist'

Warnings about e-cigarettes are "alarmist" - and increasing their use could save thousands of lives a year in the UK, researchers say. BBC News

NHS and social care bodies take next step towards integrated health and social care for individuals

NHS and social care bodies take next step towards integrated health and social care for individuals


Integrated Personal Commissioning is a new voluntary approach to joining up health and social care for people with complex needs. This proposal offers service users, local commissioners, and the voluntary sector the chance to bring health and social care spend together for individuals.

NHS England, LGA, TLAP and ADASS have published a joint prospectus inviting expressions of interest from the voluntary sector, providers and commissioners in the IPC programme. NHS Networks

NHS Networks smashes membership milestone

NHS Networks smashes membership milestone

Credited by an existing networks member as one of the most innovative ideas to come out of the NHS, demand for support is increasing every month and every week around 400 new members sign up to NHS Networks. More ... NHS Networks

Preventing suicide: a global imperative

Preventing suicide: a global imperative

This report aims to increase awareness of the public health significance of suicide and suicide attempts, to make suicide prevention a higher priority on the global public health agenda, and to encourage and support countries to develop or strengthen comprehensive suicide prevention strategies in a multisectoral public health approach. It provides a global knowledge base on suicide and suicide attempts as well as actionable steps for countries based on their current resources and context to move forward in suicide prevention. World Health Organization (WHO)
Report
WHO - press release

Thursday, 4 September 2014

Care home in Northampton put elderly people at risk through lack of information about staff

Care home in Northampton put elderly people at risk through lack of information about staff A care home in Northampton was deemed to be providing “a serious risk that people would be harmed” because it could not prove who worked there, inspectors have said. Northampton Chronicle and Echo

A new settlement for health and social care Final report

A new settlement for health and social care Final report This is the final report from the independent Commission on the Future of Health and Social Care in England. In it, the commission discusses the need for a new settlement for health and social care to provide a simpler pathway through the current maze of entitlements. The commission, chaired by Kate Barker, proposes a new approach that redesigns care around individual needs regardless of diagnosis, with a graduated increase in support as needs rise, particularly towards the end of life. The commission has concluded that this vision for a health and care system fit for the 21st century is affordable and sustainable if a phased approach is taken and hard choices are taken about taxation. The King's Fund

See also:

NHS Pension Scheme: Comparison of the new and existing schemes

NHS Pension Scheme: Comparison of the new and existing schemes Read more about a comparison of the benefits and features from the current NHS Pension Scheme and the new 2015 NHS Pension Scheme. NHS Employers

Four jailed over £1.1m Basildon Hospital scam

Four jailed over £1.1m Basildon Hospital scam Four health experts who executed a "well-planned" fraud at a hospital they nicknamed "Bas Vegas" have been jailed. The group billed the NHS £1.1m for their firm's heart and lung services but only worked half their contracted hours at Basildon Hospital. BBC News

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Ebola death toll exceeds 1,900

Ebola death toll exceeds 1,900 More than 1,900 people have now died in West Africa's Ebola outbreak, 40% of them in the past three weeks, the World Health Organization says. BBC News

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Lumpectomy 'as effective as double mastectomy'

Lumpectomy 'as effective as double mastectomy' “Double mastectomy for breast cancer 'does not boost survival chances' – when compared to breast-conserving surgery," The Guardian reports.

The news is based on the results of a large US cohort study of women with early stage breast cancer in one breast.

It found that the 10-year mortality benefit associated with bilateral mastectomy (removal of both breasts) was the same as breast-conserving surgery (also known as lumpectomy, where the cancer and a border of healthy tissue is removed) plus radiotherapy.

Unilateral mastectomy (removal of the affected breast) was associated with a slightly increased risk of 10-year mortality, although the absolute difference was only 4%.

In the UK, bilateral mastectomy may be recommended for women at high risk of breast cancer due to family history, or because of a gene mutation (for example mutations in the BRCA1 and BRCA2 genes). A bilateral mastectomy can then be followed by breast reconstruction surgery, restoring the original look of the breasts.

Disadvantages of a bilateral mastectomy compared to a lumpectomy include a longer recovery time and a higher risk of complications.

This study suggests that bilateral mastectomy may not be associated with any significant survival benefit over breast conserving therapy plus radiotherapy for most women.

Gay people report worse experiences with GPs

Gay people report worse experiences with GPs Study finds gay, lesbian and bisexual people are more likely to report communication problems and have less trust in their GP

Gay people are less likely to have a positive experience with their family doctor than their heterosexual peers, researchers have found. Lesbian, gay or bisexual people are up to 50% more likely than heterosexuals to report negative experiences with the GP services.

They are more likely to identify problems with communication with medics at their local practice, have less trust and confidence in their family doctor and have a worse level of overall satisfaction with services, the study found. Continue reading... The Guardian

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Could community services be the Lidl of the NHS?

Could community services be the Lidl of the NHS? As hospitals become more complex, we may see smaller local organisations stepping in to provide crucial services to the public

Is it time to revive community health services?

Youd be forgiven for thinking that when innovative new services and products reach the market and cause established household names to fall by the wayside, its simply a matter of consumer choice. But there is an observable science to what happens.

All innovations, whether in the shops where we choose to buy our weeks food, or the airlines we fly with, or in services we use, fall into two distinct categories: they are either sustaining or disruptive. Continue reading... The Guardian

Elderly spend weeks too long in hospitals due to lack of housing, Age UK warns

Elderly spend weeks too long in hospitals due to lack of housing, Age UK warns Vulnerable elderly patients are waiting weeks in hospital, costing the NHS millions of pounds, because of a lack of suitable housing, Age UK has warned. The Independent

Tens of thousands of patients given drugs they're known to be allergic to each year

Tens of thousands of patients given drugs they're known to be allergic to each year Thousands of patients have been put at “serious risk of harm” after being given drugs to which they were known to be allergic, the medicines watchdog has warned. The Independent

Tuesday, 2 September 2014

Trust revises dementia care plans

Trust revises dementia care plans The NHS trust overseeing dementia care in Northamptonshire launches a revised plan to restructure services. BBC Northamptonshire

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PODCAST: What is the NHS internal market and is it any good? - The Information Daily

PODCAST: What is the NHS internal market and is it any good? - The Information Daily REALITYBITES is a weekly podcast conversation on healthcare and UK health and care services between Ben Gowland, Chief Executive of the Nene CCG, and Joe Tibbetts, publisher of The Information Daily and HealthCare Innovation Daily.

Go with the flow: matching capacity with demand in hospitals

Go with the flow: matching capacity with demand in hospitals As the pressure on policymakers to find a way of stemming the rise in emergency attendances and admissions is growing ever more acute, Bryan Jones discusses how learning from our Flow Cost Quality programme can help. Health Foundation

Evidence for success: the guide to getting evidence and using it

Evidence for success: the guide to getting evidence and using it This guide offers easy to follow, step-by-step guidance and resources to support organisations to use evidence to influence policy and practice. It also provides guidance on the use of evidence to influence funding and commissioning decisions and highlights other key resources. Knowledge Translation Network

Hospitals seeing more skin cancer

Hospitals seeing more skin cancer The number of people admitted to hospital for skin cancer treatment in England rose by nearly a third in five years, figures show. BBC News

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Patients to set agenda for senior NHS managers

Patients to set agenda for senior NHS managers First ever Citizen Assembly will grill NHS England board on questions set by patients. OnMedica

Why are doctors so reluctant to be leaders in the NHS?

Why are doctors so reluctant to be leaders in the NHS? Many doctors associate leadership roles with a heavier workload, lack of resources and mistrust in management

The NHS needs a leadership revolution

Doctors rarely enter the health service to manage and lead they do so to help patients, to give advice as trusted healthcare professionals. This is an age-old truth but also an increasingly challenging and pertinent one given the central position of medical leadership within the 21st-century NHS. In light of high-profile news regarding care quality and efficiency, as well as increasing management and financial responsibilities for doctors and senior medical professionals, establishing successful leadership is vital to the future of the NHS.

Within this context, and with 58% of respondents from our survey of more than 100 leaders in the NHS having little or no confidence that they have successors in place for medical leadership roles, surely its time to think differently about how we manage medical leadership talent? Continue reading... The Guardian

35,000 patients wrongly struck off GP registers

35,000 patients wrongly struck off GP registers Patients are being denied check-ups and cancer screening after being cut off NHS lists as health authorities botch attempts to update records. The Daily Telegraph

Monday, 1 September 2014

East Midlands Ambulance Service loses 42,000 records

East Midlands Ambulance Service loses 42,000 records The ambulance service that covers Northamptonshire has lost thousands of patients’ records. Northamptonshire Telegraph

Former Northampton MP says NHS payments to people with long-term illnesses are at a ‘standstill’

Former Northampton MP says NHS payments to people with long-term illnesses are at a ‘standstill’ NHS payments to help people with long-term illnesses are at a virtual standstill in Northamptonshire, a former MP has said. Northampton Chronicle and Echo

Patient safety alert on risks arising from breakdown and failure to act on communication during handover at the time of discharge from secondary care

Patient safety alert on risks arising from breakdown and failure to act on communication during handover at the time of discharge from secondary care A patient safety alert has been issued by NHS England as part of its work to improve the quality and timeliness of communication with primary and social care when patients are discharged from hospital.

NHS England is asking organisations for information about their current local practices and challenges that will help form a national picture around handover at discharge. They are also being asked to provide examples of successful local initiatives designed to improve their discharge handover processes. In addition, other groups including GPs, community nurses, social care, voluntary sector and medicines reconciliation are being asked to share their views on how the process can be improved.

This information will be used by NHS England to develop a range of resources and recommendations to help healthcare providers to improve patient safety around handover at a local level.

You can read the full risks arising from breakdown and failure to act on communication during handover at the time of discharge from secondary care patient safety alert.

You can also read a review of National Reporting and Learning System (NRLS) incident data relating to discharge from acute and mental health trusts between 1 October 2012 and 30 September 2013.

No assumptions: a narrative for personalised, coordinated care and support in mental health

No assumptions: a narrative for personalised, coordinated care and support in mental health This resource describes the critical outcomes and success factors in the care, support and treatment of people who use mental health services, from their perspective. It is aimed at NHS and council commissioners and providers of services to organise person-centred care and recovery-oriented support for mental and physical health and to know when they are achieving it. National Voices

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Good surgical practice

Good surgical practice This guidance outlines the standards of practice that are expected of all surgeons as well as the skills, values and attitudes that underpin the profession and has been developed with surgeons and patient groups. It highlights surgical leadership and teamwork as crucial for achieving high-quality patient care and provides surgeons with a model that they should aspire to in day to day practice. Royal College of Surgeons

Third of women discharged too early after giving birth says new RCM report

Third of women discharged too early after giving birth says new RCM report Over a third (40%) of women were discharged from hospital before they were ready after having a baby according to a report published today by the Royal College of Midwives (RCM).

The report also says that women are not getting the level of postnatal care recommended by NICE and that continuity of care is suffering, leading to poorer care for women and their babies.

The report makes a number of recommendations to help improve postnatal care. These include having enough midwives to ensure all women receive the number of postnatal visits they need. It also recommends that the appropriate number of visits should be decided by the midwife in discussion with the woman.

See also:

VIDEO: Are e-cigarettes safe?

VIDEO: Are e-cigarettes safe? Inside Out goes to the lab to investigate what is in e-cigarettes while we unwrap the arguments surrounding them. BBC News

'Urgent' call for obesity taskforce

'Urgent' call for obesity taskforce Doctors' leaders are calling for an emergency taskforce to be set up to tackle childhood obesity in England. BBC News

Test Ebola drug '100% effective'

Test Ebola drug '100% effective' The only trial data on the experimental Ebola drug ZMapp shows it is 100% effective in monkey studies, even in later stages of the infection. BBC News

3 per cent of patients have EPR access

3 per cent of patients have EPR access Fewer than 3% of patients have access to their GP medical records online, according to figures from the Health and Social Care Information Centre's indicator portal. E-Health Insider 

Study finds plain cigarette pack fears 'unfounded'

Study finds plain cigarette pack fears 'unfounded' "Cigarette plain packaging fear campaign unfounded," reports The Guardian.

After Australia introduced plain packaging laws in 2012, opponents of the legislation argued it would lead to a number of unintended consequences, including:

  • the market would become flooded by cheap Asian brands
  • smokers would be more likely to buy illegal unbranded tobacco (including raw unbranded loose tobacco known locally in Australia as "chop-chop")
  • smokers would be less likely to buy their cigarettes from smaller mixed businesses such as convenience stores and petrol stations, meaning that small businesses would suffer

But a new study conducted in Victoria, Australia, suggests these fears are unfounded.

Researchers compared the responses smokers gave in a telephone survey one year before the introduction of standardised packaging, with responses given one year after its introduction.

The study found no evidence the introduction of standardised packaging had changed the proportion of people purchasing from small mixed-business retailers, purchasing cheap brands imported from Asia, or using illicit tobacco.

But this study did not investigate whether there had been an increase in the use of counterfeit branded tobacco products. The researchers noted that smokers may be unaware they are smoking counterfeit products.

In conclusion, the study suggests there is no evidence for many of the "fears" proposed by opponents of standardised packaging.

Calls for greater disclosure on NHS chiefs' meetings with private US health insurer

Calls for greater disclosure on NHS chiefs' meetings with private US health insurer Critics warn of more privatisation as UnitedHealth leads firms seeking £1bn worth of contracts/

A handful of consultancy firms and a health insurance giant bidding for NHS contracts have been operating a discreet forum at which they receive regular briefings from senior health service managers charged with ushering in the new era of competition among its providers. The revelation has raised fears that the NHS is falling victim to a land grab by a few powerful business interests.

Documents obtained under the Freedom of Information Act by the campaign group Spinwatch shine a light on the workings of an obscure group whose existence and limited membership has alarmed campaigners who want the NHS to remain public. Continue reading... The Guardian

Deaths from childhood cancer fall by up to 74 per cent in a decade

Deaths from childhood cancer fall by up to 74 per cent in a decade Doctors are winning the battle against childhood cancer, with deaths plummeting over the last decade. But health experts say there is more work to do. The Daily Telegraph

Treating mental illness is a global task, say experts

Treating mental illness is a global task, say experts The world's leading psychiatrists have launched a historic bid to include mental health in the UN's post-2015 development goals. The Independent

Cuts blamed as NHS cancer waiting time targets missed for second quarter in a row

Cuts blamed as NHS cancer waiting time targets missed for second quarter in a row The NHS in England is experiencing its worst ever long-term slump in performance against key cancer waiting times, leaving thousands of patients waiting weeks for treatment for suspected cancers, according to new figures. The Independent

Friday, 29 August 2014

Independent report: Establishing food standards for NHS hospitals

Independent report: Establishing food standards for NHS hospitals

The report looks at standards relating to patient nutrition and hydration, healthier eating across hospitals and sutainable food and catering services.

NHS adoption of the recommended standards will be required through the NHS contract meaning that hospitals will have a legal duty to comply with the recommendations.

The panel, set up by Health Minister Dr Dan Poulter and led by Dianne Jeffrey from Age UK, examined existing food standards, advising on how they should be applied and monitored.

The NHS receives 480 written complaints per day

The NHS receives 480 written complaints per day

· Almost 175,000 reported complaints made in 2013-14. ICQOF

Data factsheets on weight, obesity and physical activity

Data factsheets on weight, obesity and physical activity


These factsheets compile up-to-date key information and data about obesity and its determinants in an easily readable format. The data factsheets will be a useful resource for policy makers, practitioners and anyone with an interest in obesity. Public Health England (PHE)
Factsheets

Spend and outcome tool (SPOT) for local authorities

Spend and outcome tool (SPOT) for local authorities


This tool gives local authorities an overview of spend and outcome across key areas of business for public health and its sub-programmes. The tool is an interactive spreadsheet and is also accompanied by factsheets for each local authority. Public Health England (PHE)
Tool
PHE news

Government told to invest in ambulance services as complaints soar

Government told to invest in ambulance services as complaints soar

Paramedics have called on the Government to urgently invest in ambulance services after new figures revealed complaints about delayed emergency responses have soared in the past year. Independent

Walk a mile a day to beat cancer

Walk a mile a day to beat cancer

Walking just one mile at a moderate pace every day could reduce the risk of death from breast and prostate cancer, Macmillan Cancer Support suggests. Telegraph

Empowering mental health service users to become more involved in decisions about their care: the DECIDE RCT

Empowering mental health service users to become more involved in decisions about their care: the DECIDE RCT

Laurence Palfreyman highlights an RCT of the DECIDE intervention, which aims to build awareness of the service user’s role in decisions about their care including how they can become more involved and seek information from independent sources. The Mental Elf

Electrical stimulation 'aids memory'

Electrical stimulation 'aids memory'

Electromagnetic stimulation of a specific part of the brain may improve the ability to remember certain facts, researchers say. BBC News

Tomato-rich diet 'reduces prostate cancer risk'

Tomato-rich diet 'reduces prostate cancer risk'

“Tomatoes ‘cut risk of prostate cancer by 20%’,” the Daily Mail reports, citing a study that found men who ate 10 or more portions a week had a reduced risk of the disease.

The study in question gathered a year’s dietary information from 1,806 men who were found to have prostate cancer and 12,005 who were clear after random prostate checks. The researchers compared the diets and adjusted the results to take into account factors such as age, family history of prostate cancer and ethnicity.

They found that men who ate more than 10 portions of tomatoes or tomato products per week have an 18% reduced risk of prostate cancer compared to men who ate less than 10.

As this was a case controlled study, and not a randomised controlled trial, it cannot prove that eating more tomatoes prevents prostate cancer. It can only show an association.

Depression therapy aids other cancer symptoms

Depression therapy aids other cancer symptoms

"Depression therapy could help cancer patients fight illness," reports The Daily Telegraph.

The headline follows a study of intensive treatment of clinical depression given to people who had both depression and cancer – delivered as part of their cancer care. It found that not only did people’s mood improve, but cancer-related symptoms such as pain and fatigue were also reduced compared to that seen with the usual care given.

The treatment programme, called Depression Care for People with Cancer (DCPC), involves a team of specially trained cancer nurses and psychiatrists who work closely with the patient’s cancer doctors and GP.

Thursday, 28 August 2014

Cancer Drugs Fund gets £160m more for innovative treatments

Cancer Drugs Fund gets £160m more for innovative treatments

Fund that helps patients receive pioneering medicines not routinely funded by the NHS will be extended to 2016

Thousands more cancer patients in England will be offered vital treatments in a £160m boost to the Cancer Drugs Fund (CDF), the Department of Health said today.

The fund, which has helped more than 55,000 cancer patients since it was set up four years ago, will be increased from £200m a year to £280m a year. Guardian
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One in six hospital sites score 100 per cent on cleanliness in patient-led assessments

One in six hospital sites score 100 per cent on cleanliness in patient-led assessments


11 per cent increase in public involvement on 2013

*Regional data available from this report

218 hospital sites (16.1 per cent) scored 100 per cent for cleanliness3 in the latest Patient-Led Assessments of the Care Environment (PLACE)4report. The report released today by the Health and Social Care Information Centre (HSCIC) saw 1,356 hospital sites assessed.

PLACE results for 2014 show that the national average score for cleanliness has increased by 1.5 per cent on 2013. This improvement was across all site types5 except treatment centres; the largest increase was in the Community sector at 1.9 per cent.

PLACE is now in its second year and aims to give the public a chance to assess a range of non-clinical services within the NHS and the independent and private healthcare sector in England.

The assessment criteria used within PLACE represents aspects of the care environment which patients and the public have identified as important6.

PLACE covers four specific areas: cleanliness; food and hydration; privacy, dignity and wellbeing; and condition, appearance and maintenance7. IQOF

Depression in cancer 'overlooked'

Depression in cancer 'overlooked'

Three-quarters of cancer patients who are depressed are not getting the psychological therapy they need, researchers say. BBC News

Tomatoes linked with fighting cancer

Tomatoes linked with fighting cancer

Eating tomatoes may lower the risk of prostate cancer, research suggests. BBC News

The relationship between delayed discharge and care home bed supply

The relationship between delayed discharge and care home bed supply


It aims to answer two questions: Does the supply of care home beds in a local authority (LA) affect hospital discharge delays and does the supply of care home beds in neighbouring LAs affect delayed discharges ie are there spillovers?

The report uses data that is only recently available on delays for hospital patients in 147 LAs between 2010-2012, distinguishing between those delays caused by social care and those due to hospitals. NHS Networks

Can giving addicts access to medical records aid recovery?

Can giving addicts access to medical records aid recovery?


Putting people with substance misuse problems in control could help with treatment and save NHS resources
Could bedside TVs be used to give patients access to medical records?

As a clinical psychologist whos spent many years helping people recover from drug and alcohol problems, I know that the substance misuse sector can be a minefield for both service users and practitioners.

While much has improved, someone recovering from a drug and alcohol addiction is still cared for by an often bewildering array of organisations. This is something that can cause stress in the individual and the system. I believe that giving individuals more control over their lives and treatment can lead to huge benefits all round.
Guardian

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