Friday, 5 February 2016

KGH: Only use emergency services if you absolutely have to during junior doctors’ strike

KGH: Only use emergency services if you absolutely have to during junior doctors’ strike

Kettering General Hospital says it expects disruption to be minimal during the proposed strike by junior doctors next week, but emergency services should still only be used “if they absolutely have to”. 
Evening Telegraph

Change management part of new line-up of e-learning

Change management part of new line-up of e-learning

PCC has added six new courses to its e-learning programme, which has been expanded to aid the development of leadership and strategic skills in addition to the range of practical courses offered already. 
NHS Networks

Change agents for a value-based culture

Change agents for a value-based culture

The value-based approach is a driver of change in behaviours and culture needed to develop systems of care. But those developing value-based systems also have a role in leading change. 
NHS Networks

'Suicide prevention app' trial

'Suicide prevention app' trial

An NHS mental health trust is working with US researchers to develop an app that may stop people from killing themselves. 
BBC News

Hospitals' bed-blocking 'costing NHS £900m a year'

Hospitals' bed-blocking 'costing NHS £900m a year'

In a new report, Lord Carter of Coles sets out how NHS hospitals can cut costs to save £5bn a year by 2020.

Zika: Spanish officials confirm pregnant woman in Catalonia infected with virus

Zika: Spanish officials confirm pregnant woman in Catalonia infected with virus

Health Ministry says woman infected during a trip to Colombia and the wider population is not at risk. 
Independent

UK cancer death rates after diagnosis drop 10% in ten years

UK cancer death rates after diagnosis drop 10% in ten years

A greater number of people, however, are being diagnosed with and dying from cancer due to age and lifestyle factors

Death rates from cancer in the UK have dropped by 10% over the last decade, thanks to progress in diagnosing and treating the disease, but the number of deaths keeps rising because more people are falling ill.

The figures, released by Cancer Research UK, show the four major killers – breast, bowel, lung and prostate cancer – have become less deadly relatively speaking. In 2013, the latest year for which full figures are available, 284 out of every 100,000 people in the UK died from the disease – around 162,000 people. A decade ago the death rate was 312 in every 100,000. 
Guardian

NHSwhereIstarted campaign calls on NHS workforce to inspire next generation

NHSwhereIstarted campaign calls on NHS workforce to inspire next generation

NHS Employers is calling on staff in the NHS to share images of their first jobs in the NHS on Twitter as part of #NHSwhereIstarted, a new social media campaign. Latest NHS Employers News

Early years of the NHS - in pictures

Early years of the NHS - in pictures

To coincide with the Guardian’s This is the NHS campaign, our new gallery features vintage Guardian and Observer images which offer an insight into the changing face of the NHS in its formative years. The series has been selected from original picture library files now housed in theGNM Archive
Guardian

Confidentiality guidance consultation

Confidentiality guidance consultation

The GMC have restructured their guidance with the aim of making it easier to apply in practice, and have expanded advice in a range of areas, including on sharing information about adults at risk of harm, and doctors’ data protection responsibilities. They have also reviewed several other pieces of explanatory guidance which tackle particular themes of confidentiality doctors commonly encounter. They are seeking views on these changes. Comments must be submitted by 19 February 2016. 
General Medical Council (GMC) 
Consultation
GMC - news

Member briefing: NHS planning guidance

Member briefing: NHS planning guidance

This guidance suggested that local organisations involved in planning and providing health and care services in England must prepare a five year plan which sets out how they will improve quality of services, address funding challenges, and improve the health and wellbeing of people living in their area. It also says that local organisations should engage patients, service users, carers and the public in developing these plans and also engage voluntary and community groups. 

Managing the supply of NHS clinical staff in England

Managing the supply of NHS clinical staff in England

Ensuring there are enough clinical staff with the right skills to meet the demand for high-quality, safe healthcare is essential to the operation of the NHS. However, the current arrangements for managing the supply of clinical staff are fragmented and do not represent value for money, according to the National Audit Office.

The arrangements for managing the supply of clinical staff involve the Department of Health, various arm’s-length bodies and healthcare commissioners and providers. Available data on vacancies are poor but, in 2014, there was a reported overall staffing shortfall of around 5.9%. This equated to a gap of around 50,000 clinical staff. The extent of the shortfall varied between different staff groups and regions.

The creation of Health Education England means that, for the first time, there is a national body specifically tasked with making strategic decisions about planning the future workforce, working collaboratively with local healthcare providers. The national workforce plan is developed from plans prepared by local providers, which means it should be based on a detailed understanding of local circumstances. According to the NAO, however, the process for developing the national long-term workforce plan could be made more robust and Health Education England should be more proactive in addressing the variations in workforce pressures in different parts of the country.

Healthcare providers are responsible for employing clinical staff to deliver healthcare. Hospital trusts’ use of temporary staff has increased significantly, putting pressure on their financial position, and the NAO concluded that there is room for trusts to reduce spending on temporary staff. Temporary staffing gives trusts the flexibility to address short-term workforce pressures, but high levels of temporary staff are an inefficient use of resources. Spending on agency staff increased from £2.2 billion in 2009-10 to £3.3 billion in 2014-15. The Secretary of State for Health announced a cap in October 2015 on how much trusts can pay per shift to help control spending on agency staff; however, the NAO notes that these measures are unlikely to address fully the underlying causes of the increased demand for temporary staff.

At the same time as the use of temporary staff has increased, the NHS has made much less use of overseas recruitment and return-to-practice initiatives to address staffing shortfalls. The number of overseas nurses has fallen, particularly from outside the EEA, where the number of entrants decreased from 11,359 in 2004-05 to just 699 in 2014-15. Some of the decline may have been due to tighter immigration rules for nurses between 2009 and 2015. The decrease was partly offset by a large rise in recruits from within the EEA. The NAO found that a more coordinated and proactive approach to managing the supply of staff could result in efficiencies for the NHS as a whole. 
National Audit Office

National smoking bans are good for your health

National smoking bans are good for your health

New evidence of the befits of smoking bans, especially for non-smokers. 
Evidently Cochrane

Sacked NHS whistleblower handed £1.22m damages

Sacked NHS whistleblower handed £1.22m damages

NHS whistleblower unfairly sacked after exposing concerns about patient safety awarded £1.22 million damages. Telegraph

Thursday, 4 February 2016

Important message: British National Formulary (BNF70) and the Children’s British National Formulary (BNFC 2015)

Important message: British National Formulary (BNF70) and the Children’s British National Formulary (BNFC 2015)

British National Formulary, February 2016

Please be advised that due to errors contained within the previously distributed hard copy version of the British National Formulary (BNF70) and the BNFC (2015) that serious patient safety incidents have been reported through the national reporting and learning system (NRLS).

An adhesive addendum will be produced at the end of February to be placed on the front of all hard copies and where Trusts have distributed copies in house, they should consider re-calling all copies.

All Practitioners are reminded that the most current up to date accurate version of the BNF and BNFC can be accessed via the electronic site here.

You can also access this via the following links

· Via Medicines complete – please click here for further details

· Via NICE evidence summaries – please click here

· Via NICE BNF app – please click here for further details

Lancashire Care Libraries

NHS stops people who have visited areas hit by Zika virus giving blood

NHS stops people who have visited areas hit by Zika virus giving blood

Health service bars those who have been to countries widely affected by the virus from donating blood for four weeks

People who have travelled to countries affected by the Zika virus will not be allowed to donate blood for four weeks after returning home, the NHS has said.

Zika, which the World Health Organisation has declared a public health emergency of international concern, is spread through mosquitoes but there have been a handful of cases of the virus believed to have been sexually transmitted, the most recent in Texas

Confidential inquiry into premature deaths of people with a learning disability

Confidential inquiry into premature deaths of people with a learning disability

This research found that 1,238 children and adults die across England every year because they are not getting the right health care. 
NHS Networks

HEE seeks views on new nursing support role

HEE seeks views on new nursing support role

Health Education England (HEE) is keen to hear views on a new nursing support role, which will work alongside health care support workers and fully-qualified registered nurses to deliver hands on care, focusing on ensuring patients continue to get the compassionate care they deserve. 
NHS Networks

Four in 10 hospitals told to improve care for the dying

Four in 10 hospitals told to improve care for the dying

Watchdog’s data reveals end-of-life care falls below expected standards at 74 NHS hospitals in England, including seven rated as inadequate

More than 40% of hospitals offer indifferent or poor care for the dying, according to the latest data seen by the Guardian, which highlights huge variability between the way NHS facilities deal with the inevitability of death.

Data from the Care Quality Commission supplied to the Guardian reveals the differences across England. Eight hospitals have been rated as outstanding for their end-of-life care – three of them are children’s hospitals (Alder Hey, Great Ormond Street and Sheffield) – and 94 have been classified as good. But 67 hospitals require improvement and seven are inadequate. 

Faith at end of life: public health resource for professionals

Faith at end of life: public health resource for professionals

Public Health England published guidance for professionals, providers and commissioners on the importance of faith at the end of life. 
NHS Networks