This bulletin highlights recently produced documents that have appeared on websites. The aim is to trawl the web and produce a fortnightly review of what is found (coverage may not be comprehensive). If you have any comments or suggestions regarding this Bulletin, please send an email to library.pct@sthk.nhs.uk. All links are correct at time of publishing. Some documents are large and may take time to open so please be patient when waiting for links to open. If a link is incorrect please email me and I will correct the link and send you the document.For those that are receiving this through an email or through a third party you can view the original Bulletin at http://www.newdocumentsbulletin.blogspot.com/ and also sign up to receive the Bulletin by RSS.
Autism Act 2009 (12th November 2009)An Act to make provision about meeting the needs of adults with autistic spectrum conditions; and for connected purposes.
Act Health Act 2009 (12th November 2009)Primary care trusts are already able to offer personal health budgets that do not involve giving money directly to individuals. The Health Act - which received Royal Assent on 12 November 2009 - will extend these options by allowing selected primary care trust sites to test direct payments as part of a pilot. The aim is to give patients more choice and control over the care they receive.
Information
Identifying effective interventions for preventing underage alcohol consumption (24th November 2009)A report identifying a range of effective interventions aimed at preventing/reducing alcohol use in young people, and particularly underage drinkers.
Report
2009 Annual Evidence Update on Lung Cancer (16th November 2009)This is the fourth Annual Evidence Update (AEU) on Lung Cancer prepared by NHS Evidence - cancer. It includes the systematic reviews and guidance that have been published since November 2008.
Update CAM National Baseline Report (18th November 2009)A baseline population-based survey using the CRUK Cancer Awareness Measure (CAM) developed by the University College London was undertaken in September and October 2008 and included a general sample of 2,216 members of the public. A separate study focused on ethnic minority communities recruited 1,500 respondents from six ethnic groups.
The results showed that with the exception of “a lump or swelling”, less than 30% of the public surveyed were able to recall common cancer symptoms. Awareness of cancer symptoms was lower in men, younger people, those from a lower socioeconomic status group and ethnic minorities. On average, people were only able to recall 2 cancer signs or symptoms.
Report Children's cancer measures for the Manual for Cancer Services (17th November 2009)Following a three month consultation period , this is the final version of the children's measures for inclusion in the Manual of Cancer Services 2008.
Manual and covering letter
Dignity in care: input assessment - DH Interventions (10th November 2009)In May 2009, Opinion Leader were commissioned to undertake an independent review of the Dignity in Care Campaign.
This report sets out the range of interventions employed by Department of Health (DH) in taking forward the Dignity in Care Campaign to support Opinion Leader’s analysis of interventions at a national level.
Report Older people's vision for long term care (18th November 2009)How can we ensure a 'better life' for older people in residential and nursing care homes when their voices are rarely heard?
This study examined the experiences and aspirations of these older people and highlights their ambition to increasingly influence decisions about care, support and wider issues such as:
- Whether or not to move to a care home
- What helps to enhance their quality of life
- What is needed to promote their inclusion in care home, family and wider community life
Report With Respect - Dignity in Homecare and Residential Care (19th November 2009)This training pack will help residential care home owners and domiciliary care providers 'dignity-proof' the care their staff offer, and to raise awareness of the importance of providing services that respect people's privacy, confidentiality and dignity.
Training Pack Walk a mile in my shoes. Scrutiny of dignity and respect for individuals in health and social care services: a guide (12th November 2009)This guide, from the Centre for Public Scrutiny, will assist Overview and Scrutiny Committees (OSCs) to raise awareness and understanding of dignity and respect for individuals who are receiving health and social care services. Using the guide, OSCs should be in a position to:
- review local leadership and partnerships to judge whether services respect the dignity of service users
- promote dignity and respect for individuals and the role of the OSC
- help ensure local health and care services are commissioned and delivered with dignity as a central aspect of care
- gather local intelligence and provide evidence which can be reflected in local reviews of services.
Guide
Promoting the Health and Wellbeing of Looked After Children - revised statutory guidance (16th November 2009)Revised Guidance on Promoting the Health and Wellbeing of Looked After Children has been published jointly by the Department of Health and the Department for Children, Schools and Families. It replaces the guidance, Promoting the Health of Looked After Children, published by the Department of Health in 2002, which was statutory on local authorities. The revised guidance is statutory on local authorities and also on Primary Care Trusts and Strategic Health Authorities.
Guidance Evaluation of Wirral Life Education Centre on the health and wellbeing of primary school children (12th November 2009)An evaluation of a national charity working locally with primary schools, parents and carers, and others in the community to help children make healthy choices.
Report
Commercial and procurement skills (November 2009)It is vital that commissioners of children's services have access to the commercial and procurement skills needed to develop markets and procure services effectively. Every Child Matters have collated resources which signposts commissioners to online commercial and procurement tools, case studies, guidance and sources of information for skill development that have been used or recommended by other professionals working in this field.
Resources Service for people at risk of developing glaucoma (November 2009)NICE have added this commissioning guide to their other commissioning guides. The guide focuses on the referral and monitoring of people who have ocular hypertension or suspected chronic open angle glaucoma and should be read with NICE clinical guideline CG85.
Guide Beyond Practice-based Commissioning: the local clinical partnership (24th November 2009)Practice-based commissioning (PBC) has been a cornerstone of the government’s health service reforms in England since it was introduced in 2005, but it has so far had limited success. With the NHS about to enter a period in which growth in its budget will be severely constrained, it is vital that clinicians, especially doctors, are engaged in decisions about how patient services are designed and delivered and how NHS money is spent.
With the future of PbC in the balance, this joint paper by the Nuffield Trust and the NHS Alliance examines how PBC can be developed. While there may be many ways this could happen, this paper considers one broad model – that of multi-specialty groups of clinicians – for example GPs as well as hospital-based specialists – taking responsibility for the provision and commissioning of local healthcare.
Paper User and carer involvement in Commissioning - an opportunity for PCTs to be world class (November 2009)The Mental Health Improvement Programme (MHIP) and the National Mental Health Development Unit (NMHDU) are about to launch a project of work targeting PCTs to develop and refine methods and processes for increasing engagement and involvement of service users, carers and the public in key areas of the commissioning cycle for mental health and related services.
In the coming weeks PCTs will be invited to collaborate in this initiative as contribution to World Class Commissioning Competency.
Information
Age equality in health and social care: a consultation on preparing the NHS and social care in England for the age requirements in the Equality Bill that affect the provision of services and exercise of public functions (23rd November 2009)In April 2009, the then Secretary of State for Health asked Sir Ian Carruthers OBE, Chief Executive of NHS South West, and Jan Ormondroyd, Chief Executive of Bristol City Council, to undertake a review of age discrimination and age equality in the health and social care sector.The review was set up to help health and social care meet the ban on age discrimination and the new public sector equality duty in the Equality Bill.
The review published its report to the Secretary of State, Achieving age equality in health and social care, on 22 October 2009 and the consultation paper now invites views on the recommendations and conclusions made that are not directly tied to the legislation.
Closing date for comments is 15th February 2010.
Consultation Drugs: Guidance for Schools (13th November 2009)The purpose of this consultation is to gather views on the draft document, Drugs: Guidance for Schools. This document provides guidance to maintained primary, secondary, special schools and pupil referral units (PRUs) in England on all matter relating to drug education and the management of drugs within the school community. It is relevant to all staff, particularly senior managers and those responsible for co-ordinating, teaching and supporting the delivery of drug education. Headteachers and governing bodies are required by law to have regard to the guidance.
Closing date for comments is 15th February 2010.
Consultation
Pacesetters equality impact assessment consultation response (23rd November 2009)The Pacesetters Equality Impact Assessment Consultation response provides feedback on the outcome of the Pacesetters Equality Impact Assessment consultation. The responses from the consultation will be used to inform the future direction of the Pacesetters Programme. The responses will also be fed into a Department of Health/Strategic Health Authority action plan to support the dissemination and sustaining of learning and good practice within the Department and the NHS.
Consultation response Fees for the registration of pharmacy premises: consultation report (20th November 2009)Report on a consultation about the level of the fees to be charged by the Royal Pharmaceutical Society of Great Britain for the registration of pharmacy premises, from 1 January 2010.
Consultation response
Department of Health identity guidelines (19th November 2009)This publication contains identity guidelines on the Department of Health, including layout, logo, colour palette, choice of typefaces, images, incorrect usages, communication with disability groups,different audiences, policy, consultation and delivery, the brand, layouts and templates.
Guidance
Directions about reports on consultation with regard to commissioning decisions and relevant decisions 2009 (13th November 2009)These Directions are issued under sections 17A and 24A, and section 8, of the NHS Act 2006, and trigger the duty on primary care trusts and strategic health authorities to produce reports each year on consultation in relation to commissioning decisions, with effect from April 2010. The first reports will cover the period April 2009 to March 2010 and will be produced before the end of September 2010.
Directions
Improving safety, Reducing harm: Children, young people and domestic violence (18th November 2009)This toolkit provides specific information about children, domestic violence and related issues; an overview of Every Child Matters and the tiers of intervention; principles of commissioning services; risk assessment and safety planning information; guidance for schools; clear explanations of key standards and policies; sample forms and key fact sheets.
Toolkit
The characteristics of bullying victims in schools (12th November 2009)This study represents the first in-depth investigation of pupil and school characteristics in relation to bullying of secondary school pupils aged 14 to 16 in England. This summary presents the topline findings from the full report which is due to be published in January 2010.
Summary
More for less: Are productivity and efficiency improving in the NHS? (12th November 2009)This analytical briefing looks at how NHS money has been spent, whether primary care trusts have been successful in keeping more patients out of hospital, and whether hospitals have become more efficient. It highlights that the NHS is treating more patients at lower cost and trusts are starting to meet the challenges of the future. It suggests NHS trusts are increasing productivity and reducing unit costs. But overall, there is no sign yet that primary care trusts have been successful in moving care from hospitals closer to patients' homes.
Summary
Full Report Auditors' Local Evaluation (ALE) 2009/10 (11th November 2009)The supporting documentation for the Auditors' Local Evaluation (ALE) 2009/10 is now available from the Audit Commission website. This includes the overview and the key lines of enquiry (KLOE) and guidance.
Documents
Improving health, supporting justice: the national delivery plan of the Health and Criminal Justice Programme Board (17th November 2009)The Government's national delivery plan for health and criminal justice as developed by the Health and Criminal Justice Programme Board, building on Lord Bradley's 2009 review of mental health and learning disability in the criminal justice system. This delivery plan contributes to key Government initiatives around protecting the public, reducing health inequalities, reducing reoffending and health improvement and protection.
Guidance Tackling Health Related Worklessness (13th November 2009)The health of the working age population who are out of work forms for focus of this synthesis report. Relevant policy, evidence and intelligence are brought together to highlight to scale of ill health preventing people from working, including policy and examples of best practice interventions for preparing the out of work for employment. A second report focusing on the health and wellbeing of the working age population who are in work will follow in spring 2010.
Report
Achieving better value for money in health care (9th November 2009)Rising public health care spending remains a problem in virtually all Organisation for Economic Co-operation and Development (OECD) and European Union (EU) member countries. As a consequence, there is growing interest in policies that will ease this pressure through improved health system performance. This report report examines selected policies that may help countries better achieve the goal of improved health system efficiency and thus better value for money.
The report is only available to buy, however the introduction and the table of contents are available to view.
Introduction
2009 AIDS epidemic update (24th November 2009)According to new data in the 2009 AIDS epidemic update, new HIV infections have been reduced by 17% over the past eight years. Since 2001, when the United Nations Declaration of Commitment on HIV/AIDS was signed, the number of new infections in sub-Saharan Africa is approximately 15% lower, which is about 400,000 fewer infections in 2008. In East Asia new HIV infections declined by nearly 25% and in South and South East Asia by 10% in the same time period. In Eastern Europe, after a dramatic increase in new infections among injecting drug users, the epidemic has leveled off considerably. However, in some countries there are signs that new HIV infections are rising again.
Report
The development of social well-being in new extra care housing schemes (19th November 2009)Extra care schemes help older people remain independent. But they also aim to provide social opportunities that prevent residents feeling isolated.
This research, which examined how social well-being developed in 15 new-build housing schemes, revealed the following:
- Communal facilities and a diverse range of organised activities need to be available when schemes open as they help residents interact
- Residents involved in running social activities found it gave them ownership of their social lives, supported their independence and encouraged others to join in
- Adequate staff time and resources to support social activities are crucial at the start of a scheme but also over time as some residents become frailer
Report KeyRing: Living Support Networks (LSN) (18th November 2009)LSNs are networks of people who provide support to each other, aided by a volunteer who helps ensure network members realise their full potential and talents.
Care Services Efficiency Delivery's (CSED's) case study looks at three different schemes in separate locations and reviews the potential cost effective nature of LSNs. Each of the schemes helps network members to build their own skills with the support of a volunteer rather than being overly reliant on expensive professional staff and assisting access to universal services rather than costly specialist day services. As well as demonstrating average annual net savings of approximately £1,500 per person, the experience of those using the service underlines the successful nature of this approach.
Information
Case Study
Equality Impact Assessment (EqIA): 18 weeks referral to treatment standard (13th November 2009)This Equality Impact Assessment (EqIA) provides an assessment of the impact of the 18 weeks referral to treatment standard on the six key equality dimensions of ethnicity, disability, gender, age, sexual orientation and religion or belief.
Impact Assessment
Taking a closer look: Child Poverty and Disability (20th November 2009)A new report from Save the Children and The Family Fund reveals that 27% of disabled children across the UK are living in poverty.
The report shows the number of disabled children living in poverty is higher than previous figures have suggested.
Report
Green-top Guideline No. 37. Reducing the risk of thrombosis and embolism during pregnancy and the puerperium (18th November 2009)The Royal College of Obstetricians and Gynaecologists have published the second edition of this guideline, which was originally published in 2004 under the title Thromboprophylaxis During Pregnancy, Labour and after Vaginal Delivery.
Guideline
Joint statement on key legal and ethical obligations for the medicines' supply chain (13th November 2009)The guidance sets out the key legal and ethical obligations that manufacturers, wholesalers, NHS Trusts, registered pharmacies and dispensing doctors have in the supply and trading of medicines. Recent increases in the export of medicines are a major contributor to supply problems and risk jeopardising patient care. It was developed jointly with ten organisations including the Department of Health representing the different parts of the supply chain.
Guidance
EVENT: Service line reporting and management in mental health (4th November 2009)The presentations from this event that was held at the Congress Centre, London for mental health foundation trusts are now available to download from the Audit Commission.
Presentations Report on the prescribing of anti-psychotic drugs to people with dementia (12th November 2009)In recognition of widespread concern about the over-prescription of anti-psychotic drugs, and as part of the priority being given to improving care for people with dementia, Professor Sube Banerjee was asked to undertake an independent clinical review of the use of anti-psychotic drugs. Professor Banerjee has completed his review and the Government has issued its response to his findings.
Report Counting the Cost: caring for people with dementia on hospital wards (17th November 2009)This new report from Alzheimer's Society's reveals unacceptable variations in the quality of care for people with dementia in hospital.
It reveals people with dementia often spend longer in hospital than other people without the condition receiving the same treatment and nursing staff are ill-equipped to provide the specialist dementia care that they need.
Report The Chance of a Lifetime - Preventing early conduct problems and reducing crime (23rd November 2009)The most common childhood mental health difficulties are conduct problems. A very high proportion of those who have the most serious conduct problems during childhood will go on to become involved in criminal activity. Overall, we estimate that around 80% of all criminal activity is attributable to people who had conduct problems in childhood and adolescence.
This paper examines the links between early conduct problems and subsequent offending. It makes the case for greatly increased investment in evidence-based programmes to reduce the prevalence and severity of conduct problems in childhood. It shows that, in addition to improvements in the quality of life for many individuals and their families, the potential long-term benefits to society as a whole are enormous, particularly in terms of crime prevention.
Paper Getting to a good place: partnership working for mental health patients (16th November 2009)This Briefing explores how ambulance services and mental health services can work together to provide the best care for patients with mental health problems.
It sets out the key findings from a joint Ambulance Service Network and Mental Health Network project that looked at the challenges and opportunities for partnership working, including developing alternative care pathways for patients with mental health problems, improving training on mental heath issues for frontline ambulance staff,and encouraging the sharing of information.
Please note that you will need to register with the NHS Confederation website to access this.
Briefing Mental health and the economic downturn (12th November 2009)In September 2009 a one-day meeting on mental health and the economic downturn was held in London. The meeting was convened by the Royal College of Psychiatrists, the Mental Health Network, the NHS Confederation and the London School of Economics and Political Science. The meeting explored the impact the downturn was having on mental health as well as where some of the solutions may lie for those working at a local and national level in service provision and policy.
This briefing builds on the outcomes of that meeting. It outlines the challenges facing the sector and sets out how policy makers, organisational leaders and health and social care professionals should respond.
Briefing
Real accountability: guidance on the NHS duty to report on consultation (13th November 2009)New legislation will come into force in April 2010. The NHS duty to report on consultations will require all PCTs and SHAs that commission services to explain how they have acted upon feedback from patients and the public. ‘Real Accountability’ aims to help the NHS get ready for the legislation. The guidance explains the legal obligations and provides practical help and advice in terms of preparing and publishing reports.
Guidance
Interventional Procedures Guideline IPG319. Percutaneous intradiscal electrothermal therapy for low back pain (23rd November 2009)The National Institute for Health and Clinical Excellence (NICE) has reviewed this guidance, after consultation, which was originally issued in August 2004. The guidance has now been updated and published along with the consultation comments and audit support.
GuidanceInterventional Procedures Guideline IPG318. Bronchoscopic lung volume reduction with airway valves for advanced emphysema (23rd November 2009)Emphysema is a disease of the lungs in which the walls of the air sacs become weak and disintegrate, leaving behind abnormally large air spaces that stay filled with air even when the person breathes out. The lungs also become less able to get enough oxygen into the blood, so the person can feel tired and breathless.
The aim of lung volume reduction surgery is to limit airflow to the part of the lung that's working least well, so that the effort of breathing can be concentrated on the part of the lung that's working better. The procedure is undertaken via a small flexible camera inserted down the wind pipe and placing small, one-way valves in the airways. A typical procedure involves placing 3-4 valves.
GuidanceInterventional Procedures Guidance IPG320. Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus (25th November 2009)Keratoconus is a degenerative condition that usually involves both eyes. It affects the shape of the eyeball and causes blurred vision and light sensitivity. Wearing spectacles or contact lenses can help some people who have this condition. Photochemical corneal collagen cross-linkage is an outpatient procedure. First a local anaesthetic is given in the form of eye drops. Then riboflavin (vitamin B2) drops are applied to the eye, and it is exposed to ultraviolet light. This procedure aims to stabilise the outer coating of the eyeball, called the cornea, with the intention of preventing further changes to its shape.
Guidance
Interventional Procedures Guidance IPG321. Lateral (including extreme, extra and direct lateral) interbody fusion in the lumbar spine (25th November 2009)As a person gets older, the discs between the back bones that provide support can deteriorate because of wear and tear. Sometimes this causes such severe pain and disability that surgery is considered.
Lateral interbody spinal fusion involves the removal of all, or part, of the damaged disc and the insertion of a supportive structure, together with a fragment of bone from the hip. It aims to join the two back bones together to prevent movement of the painful joint. The procedure is done through a cut in the patient’s side.
Guidance Technology Appraisal TA184. Lung cancer (small-cell) - topotecan (25th November 2009)Oral topotecan is recommended as a possible treatment for people with relapsed small-cell lung cancer if:
- re-treatment with the previous treatment is not considered appropriate and
- there is a medical reason why they cannot take the combination of cyclophosphamide, doxorubicin and vincristine (CAV)
Intravenous topotecan is not recommended for people with relapsed small-cell lung cancer.
Guidance
Legal issues relevant to non-heartbeating organ donation (20th November 2009)The Department of Health's view of the legal position in relation to the action that can be lawfully taken prior to death to support non-heartbeating donation, produced in response to Recommendation 3 of the Organ Donation Taskforce Report which states that 'urgent attention is required to resolve outstanding legal, ethical and professional issues in order to ensure that all clinicians are supported and are able to work within a clear and unambiguous framework of good practice.' The intention is that those working in this area will be able to use it to draw up more detailed guidance to support clinical practice. This guidance is only applicable in England and Wales.
Guidance
Exercise peak practice: national summary (23rd November 2009)This report of Exercise Peak Practice is a national summary providing an overview of the ten regional exercises, and documents the high-level areas for further action identified by the delegates who attended. Nationally, Exercise Peak Practice reaffirmed the extent and depth of planning that had already taken place in the NHS in readiness for an influenza pandemic and demonstrated considerable leadership, commitment and planning undertaken by both clinical and managerial staff across the NHS.
Report Swine Influenza: Guidance on vaccination programme payment, data collection and communications (11th November 2009)This is a letter from National Director for Social Care Flu Resilience Roy Taylor to all directors of adult social services. It contains important information for social care workers on the vaccination programme payment, data collection and a communications toolkit.
Information Extending the H1N1 swine flu vaccination programme 2009/10 (19th November 2009)This letter provides information on the extension of the H1N1 swine flu vaccination programme, which will be extended to offer the vaccine to all children over six months of age and under 5 years old.
Information A (H1N1) Swine influenza: Phase Two of the vaccination programme - letter from Roy Taylor (19th November 2009)Letter to update on extending the swine flu vaccination programme.
Information A (H1N1) swine influenza: Phase Two of the vaccination programme - letter from Ian Dalton (19th November 2009)Update on extending the swine flu vaccination programme beyond the initial priority groups.
Information
Dosage of oseltamivir in children under 6 months of age in the swine flu pandemic (19th November 2009)This letter provides information about changes to the dose of oseltamivir in children under 6 months of age during an influenza pandemic outbreak and the steps that need to be taken to ensure a safe transition to the new dosage.
InformationSwine flu H1N1: Update on guidance for preparing maternity services toolkit (20th November 2009)Information and links to other guidance and advice relevant for all services to pregnant women and care for new mothers to enable the continuity of services during this H1N1 pandemic.
Guidance Authorisation of antiviral medicines - guidance on the use of FP10SS forms and Antiviral Authorisation Vouchers during H1N1 (swine flu) pandemic in England (20th November 2009)The guidance has been updated to inform the NHS about the new Antiviral Authorisation Vouchers for children under 1 year of age issued in November 2009.
Guidance The swine flu vaccination programme: prisoners in the clinical risk groups - 2009-2010 (20th November 2009)This letter provides information for prison health care teams, to assist them in delivering the swine flu (influenza A (H1N1v) 2009) vaccine to those prisoners in the clinical priority groups.
Information Swine flu vaccine deliveries and distribution - frequently asked questions (19th November 2009)A document that has been developed to answer frequently asked questions (FAQ) relating to the supply of swine flu vaccine and the ordering of further stocks via the ImmForm website
FAQ Swine flu vaccination: social care communications toolkit (12th November 2009)It is important that all organisations ensure that their staff have a sound understanding of the rationale behind staff vaccination, so that they can make an informed decision about having it. To help local communications teams inform and encourage frontline staff vaccination, the Department of Health has produced a range of communication products, for both adult and children’s social services, to support staff engagement.
Toolkit
Being open: communicating patient safety incidents with patients, their families and carers (19th November 2009)In 2005, the National Reporting and Learning Service (NRLS) issued guidance on communicating effectively with patients when things go wrong. Following changes to the NHS since the launch, the NRLS has reviewed the guidance and developed a new Being open framework.
The new framework is a best practice guide for all healthcare staff, including boards, clinicians and PALS. It explains the principles behind Being open and outlines how to communicate with patients, their families and carers following harm.
Framework
For those who served: Meeting the healthcare needs of veterans in England (13th November 2009)This leaflet has been produced by the Department of Health in partnership with the Royal British Legion. It is aimed at military veterans and provides information on accessing priority treatment (subject to clinical need). It also signposts where additional help can be provided in relation to mental health issues.
Leaflet Swine flu and pregnancy: How to protect yourself and your baby (11th November 2009)This leaflet gives information about:
- the swine flu vaccination that you can have during pregnancy to help protect you and your baby
- precautions you can take to reduce your risk of infection
- treatments that are available if you do become ill.
Leaflet
Guidance for providers: How the Standards for Better Health link to the new registration regulations (13th November 2009)The aim of this guide is to help NHS trusts, including Primary Care Trust (PCT) providers, to begin to consider the new registration regulations which come into force on 1 April 2010.
Please note that you will need to register with NHS Confederation website to access this.
Guide
EVENT: Working with partners to fight Gastrointestinal infection in Children and Merseyside (11th November 2009)The presentations from the above event that was held at the Stobart Stadium, Widnes are now available for download.
Programme
Presentations Population forecasting models updated (18th November 2009)Projecting Older People Population Information System (POPPI) and Projecting Adult Needs and Service Information (PANSI) have been updated and new pages for household growth, hearing impairment and diabetes have been added.
Information
Review of the National Chlamydia Screening Programme (12th November 2009)In December 2008, the Department of Health asked Dr Ruth Hussey, Regional Director of Public Health in the North West, to review the impact of the National Chlamydia Screening Programme and whether the programme is achieving its aims. Dr Hussey's report makes comments on the current programme arrangements, support and drive for delivery. The report is for information so that the NHS can benefit from awareness of the recommendations. We will take forward the recommendations in conjunction with the Public Accounts Committee recommendations that will be published early next year.
Report Young People's sexual health: the National Chlamydia Screening Programme (12th November 2009)The delivery of the Government’s programme to control chlamydia infection in young people to date has not demonstrated value for money, a report by the National Audit Office found today. The Department of Health implemented the Programme in three phases. In 2008-09, six years after the Programme’s launch, testing levels were only just beginning to reach the point where they are likely to significantly reduce the prevalence of chlamydia. The devolved delivery, through Primary Care Trusts, has resulted in duplication and inefficiency.
Report
SocCon (Social Care Condition) reporting guidance for social care: assessing service pressures in a pandemic(13th November 2009)This guidance outlines the need and process for social care services to report a pressures report (named Social care Condition, i.e., SocCon) to the Cabinet Office during the course of the pandemic. This reporting process is also intended to provide a legacy system for monitoring and reporting service capacity issues from social care services in any emergency - not just a pandemic.
Guidance and covering letter
Stroke vital sign: Frequently asked questions (FAQ) (17th November 2009)A number of different clinical and pathway scenarios, and individual points of clarity have now been addressed to aid in the interpretation of the vital signs monitoring return guidance. However, several guiding principles have also been established based on the feedback that has been given to date:
- The FAQ does not deal with clinical issues (e.g. what is the definition of a stroke unit? or what blood tests should patients be given?) Those questions are addressed in the relevant guidance such as the RCP's National Clinical Guideline for Stroke (third edition) and The National Stroke Strategy.
- A revised version of the full Vital Signs Monitoring Return guidance for stroke has been published and is available on the Unify2 web-site. If you are in doubt about whether you are using the latest version, please download it again. Among other changes, the revised version contains more detailed information about TIA clinics.
- This guidance, like The Stroke Strategy itself, applies and refers to adult patients only.
FAQ
Future health: sustainable places for health and well-being (17th November 2009)Drawing on examples and research, Future health shows how good planning can have a positive impact on public health, how health trusts can cut carbon and costs by co-locating services, and how designers can influence people's well-being.
Summary
NHS Health and well-being review (23rd November 2009)The Department of Health commissioned an independent review of the health and well-being of NHS staff in November 2008. This review gathered and analysed evidence relating to health and well-being across the service, to provide the Department with a better understanding of health and well-being in the NHS, and its links to productivity, efficiency, and patient experience. Dr Steve Boorman, who led this review, published an interim report in August 2009, and has now produced a final report of his findings.
Report The contribution of medical students to services in pandemic flu (11th November 2009)Medical students and doctors in training may need to take a more active part in delivering services at a time of national emergency, in order to maintain safe services for patients. This paper provides national guidance about the contribution of medical students (in this case UK wide) but with scope for local interpretation - 'consistent flexibility'.
Guidance The role of healthcare students (England) in pandemic flu - excluding medical students (11th November 2009)Healthcare students can make a helpful contribution to the service during pandemic flu. This guidance covers the potential deployment of nursing, midwifery and other healthcare students.
Guidance
This bulletin highlights recently produced documents that have appeared on websites. The aim is to trawl the web and produce a fortnightly review of what is found (coverage may not be comprehensive). If you have any comments or suggestions regarding this Bulletin, please send an email to library.pct@sthk.nhs.uk. All links are correct at time of publishing. Some documents are large and may take time to open so please be patient when waiting for links to open. If a link is incorrect please email me and I will correct the link and send you the document.For those that are receiving this through an email or through a third party you can view the original Bulletin at http://www.newdocumentsbulletin.blogspot.com/ and also sign up to receive the Bulletin by RSS.
Untold Damage. Children's accounts of living with harmful parental drinking (9th November 2009)New research, carried out by Childline and Scottish Health Action on Alcohol Problems (SHAAP) highlights children's accounts of the severe negative impacts of harmful parental drinking on their lives including emotional stress, physical abuse and neglect.
Report Alcohol Insight Number 65. The Orientation and Integration of Local and National Alcohol Policy in England and Wales (27th October 2009)The study, from the Alcohol Education and Research Council (AERC), was multi-dimensional and employed qualitative documentary analysis and semi-structured interview methods to explore the roles, responsibilities and viewpoints of a range of stakeholders operating at the national or local level.
Report ARTICLE - A randomized controlled trial of an internet-based intervention for alcohol abusers (9th November 2009)This study looked at an internet-based intervention, with research evidence supporting its efficacy to reduce alcohol consumption. The conclusion was that the internet could increase the range of help-seeking options available because it takes treatment to the problem drinker rather than making the problem drinker come to the internet.
Article
National Bowel Cancer Audit 2009 (October 2009)The information Centre has published the National Bowel Cancer Audit which presents findings on data collected for both the 2006/07 and 2007/08 reporting periods, and includes patients with a diagnosis date from 1 April 2006 to 31 July 2008. Among the recommendations are:
- Trusts should establish mechanisms for reviewing their audit data and ensure maximum data completeness of the essential dataset
- All bowel cancer patients should be seen by a clinical nurse specialist
- Trusts and Networks should review their 30 day post operative mortality rates and explore significant variance from Network and national figures
- Trust Service Improvement or Clinical Governance teams should utilise the draft National Bowel Cancer Audit local action plan in support of their service improvement, clinical governance and cancer peer review activity
- Networks and Cancer Service Commissioners should use the findings of this report and its recommendations to support monitoring, review and contracting activity in relation to bowel cancer services.
Executive Summary
Report National Mastectomy and Breast Reconstruction Audit 2009 (October 2009)Figures from this audit reveal that just under half of women (48%) are being offered immediate breast reconstructive surgery when they have a mastectomy. 21% of women having a mastectomy as part of their treatment for breast choose to have the procedure.
Audit Reviewing the Lung Cancer Plan: Are we emerging from the shadow of lung cancer>? (2nd November 2009)The NHS is still failing lung cancer patients, according to the results of the first national review of lung cancer services, published today (2 November 2009) by the UK Lung Cancer Coalition. Despite headway in UK lung cancer prevention, disease awareness and screening, key areas such as diagnosis, treatment rates and access to specialists are still ‘woefully inadequate’ say the UK’s leading lung cancer experts.
Report
Getting ready for registration (9th November 2009)Legislation introducing a new registration system for all regulated health and adult social care services in England has now been laid before Parliament. To help care providers get ready for registration, the Care Quality Commission (CQC) have published three short guides:
- A guide to the new system of registration
- The scope of registration
- NHS Trusts: how to apply for registration overview
Guides
Dignity in care: input assessment - DH interventions (10th November 2009)In May 2009, Opinion Leader were commissioned to undertake an independent review of the Dignity in Care Campaign.
The review aims to answer whether or not the campaign is making a difference to the way services are being provided and commissioned across health, social care, local authorities and the independent sector and the way people experience care.
One of the key objectives set out in the tender specification for the review, was to understand and describe from the viewpoints of a range of stakeholders, which specific interventions or activities at national or local level have worked or not worked well in the campaign and why.
This report sets out the range of interventions employed by DH in taking forward the Dignity in Care Campaign to support Opinion Leader’s analysis of interventions at a national level.
Report The real cost of quality care and support (9th November 2009)The research report, The real cost of quality care and support, is published by the National Care Forum and Counsel and Care as a response to the green paper on the future funding of care. The two organisations say that more resources are needed to fund better quality care.
The report found that care services with high star ratings spend up to 20% more on staff and their training, development and management, as well as putting service users at the centre of everything they do. Not-for-profit providers consistently get better quality ratings.
Report
ARTICLE - Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) (October 2009)This document provides evidence-based guidelines for the diagnosis and management of gastoesophageal reflux and gastroesophageal reflux disease in children. These guidelines were developed based on the Delphi principle.
Guidelines Management of Attention Deficit and Hyperkinetic Disorders in Children and Young People. Sign Guideline 112 (October 2009)Children with ADHD/HKD and their families require a comprehensive package of care, involving education services as well as health.
The guideline aims to provide a framework for evidence based assessment and management of ADHD/HKD which can be applied within a local multidisciplinary and multiagency approach.
Guideline
Joint Guidance on Development of Local Protocols between Drug and Alcohol Treatment Services and Local Safeguarding and Family Services (3rd November 2009)This guidance is intended to help commissioners and providers meet existing commitments by providing the latest information and highlighting good practice.
Guidance Evaluation: Top Tips for Commissioners and Practitioners (October 2009)This paper, from Greater Manchester Public Health Practice Unit, aims to give commissioners and service providers a framework to enable a more efficient method of carrying out evaluation. It explains the purpose of evaluation, types of evaluation with examples, and discusses service user involvement and engagement
Document Outline Service Specification: Personalised Care Planning for People with Long Term Conditions (3rd November 2009)This Outline Service Specification (OSS) has been developed to assist NHS commissioners to put in place appropriate arrangements to ensure people with long-term conditions have informed choice of, and access to, services that best enable them to manage their condition.
Document Meeting the health needs of children and young people a guide for commissioners (3rd November 2009)Healthcare for London has published new NHS guidance on improving healthcare for children and young people in London.
The guide recommends:
- establishing paediatric assessment units in all hospitals that have an A&E department to ensure children get the right care as quickly as possible
- healthcare be delivered in the home where appropriate or as close to home as possible reducing unnecessary visits to hospital
- creating multidisciplinary teams of health professionals to deliver care more locally and making best use of specialist skills in the right setting.
Guide
