16 September 2009

ABOUT THIS BLOG

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.


ALCOHOL

Under the influence - the damaging effect of alcohol marketing on young people (7th September 2009)
This report, from the British Medical Association, examines the damaging effect of alcohol marketing on young people. It aims to identify effective ways of protecting young people from the influence of alcohol promotion and marketing, thereby redressing the excessively pro-alcohol social norms to which they are exposed.
Report

Too much teen spirit (14th September 2009)
St Albans, like so many towns and cities, has its share of young binge drinkers. Police, parents, teachers and healthcare workers seek ways to convince them that what starts out as fun can turn into trouble and danger.

One recent addition to their communications toolbox is a no nonsense film produced by the young people themselves.
Information

Integrated care pathway for alcohol services: from guidance to local delivery (published July 2009 new to website 6th September 2009)
This document is from the Centre for Public Health Research at University of Chester. It includes information with links for best practice in the delivery of alcohol services.
Document

ANNUAL REPORTS

National Poisons Information Service - Annual Report 2008/09 (10th September 2009)
In 2008/9, NPIS received more than 625,000 poisons-related telephone and online enquiries from health care professionals - up 19% from 2007/8. There were in excess of 570,000 online enquiries, up 20%. NPIS has encouraged the use of online enquiries as a first point of call for information while its telephone service is devoted to more complex cases. More than 57,000 telephone enquiries were answered in 2008/09, an increase of around 9%.
Annual Report

BULLETINS/NEWSLETTERS


CNO Bulletin, Issue 81, September 2009 (11th September 2009)

CHILDREN/YOUNG PEOPLE

Protecting Children - Supporting Foster Carers: Dealing with an allegation (September 2009)
Foster carers, like other childcare workers, can find themselves facing allegations about the quality of their care. It is always important that such allegations are taken seriously and investigated properly as experience has shown that, on rare occasions, children are ill-treated by the very people who are supposed to care for them.

This publication is aimed at foster carers and their families, but it will also be helpful to childcare workers involved in investigations of foster carers, looked after young people, their advocates and birth families.
Booklet

Doing Better for Children (1st September 2009)
The well-being of children is high on the policy agenda across the Organisation for Economic Co-operation and Development (OECD). But what is the actual state of child well-being today? How much are governments spending on children and are they spending it at the right times? What social and family policies have the most impact during children’s earliest years? Is growing up in a single-parent household detrimental to children? Is inequality that persists across generations a threat to child well-being? Doing Better for Children addresses these questions and more.
Report

COMMISSIONING

Commissioning for Carers (8th September 2009)
The guide was funded by the Department of Health and serves as blueprint for better commissioning for carers.

Key recommendations in the guides include:

think ‘carer’ in all commissioning and joint strategic needs assessments (JSNA)
improve outcomes, independence and choices for both carers and those they care for
involve carers of all groups and communities in decision-making and planning processes
strengthen the carer support provider market, using a variety of funding approaches.
Guide


Population Health Manager (9th September 2009)
Dr Foster has responded to the increasing focus on reducing the demand for healthcare and developing a deeper understanding of the population, with the development of a new tool. Population Health Manager allows commissioners and public health professionals to define any group of people within a PCT and immediately access all the necessary data about their health including life expectancy, causes of death, prevalence of illness and frequency of admission to hospital.
Information

World class commissioning: September update (15th September 2009)
This letter from Claire Whittington gives a world class commissioning (WCC) progress report, including the launch of WCC assurance Year 2, the PBC national clinical network, new support and development resources including datapacks, and an update on the programme of Integrated Care Pilots.
Update

World class commissioning assurance - launch of Year 2 (16th September 2009)
Today marks the launch of the second year of world class commissioning (WCC) assurance. WCC assurance is the national system that holds PCTs to account, whilst providing support for them as they start to become world class commissioners.

Over 300 NHS chief executives, chairs, PEC chairs and other key stakeholders are gathering in London to hear about the framework for WCC assurance Year 2, which has been refined with extensive input from SHAs and PCTs.

Attendees will each receive a copy of the new WCC assurance handbook. This is a guide for PCTs and SHAs that explains WCC assurance in detail.
Guidance

Department of Health seeks views of commissioners of health and wellbeing (September 2009)
The primary care and community services team at the Department of Health is preparing a guide to commissioning health and wellbeing services, which will look at, among others, practical measures of support for commissioners. The DH PCCS team is running an online survey to seek the views of primary care and practice-based commissioners.
Survey

CONSULTATIONS

Supporting our future NHS workforce: a consultation on the NHS Bursary Scheme (15th September 2009)
This consultation is seeking the views of staff, patients, students and other stakeholders on the future of financial support for NHS-funded students. We are consulting on a number of options that we believe will enhance the existing way in which we support prospective NHS staff through their educational pathway.

Closing date for comments is 11th December 2009
Consultation


Pandemic influenza and the Mental Health Act 1983: consultation on proposed changes to the Mental Health Act 1983 and its associated secondary legislation (10th September 2009)
The Department of Health are inviting comments on proposals for temporary amendments to the Mental Health Act 1983 which may be required in the event of the severe staff shortages that may be expected during an influenza pandemic.

Closing date for comments is 7th October 2009
Consultation


NHS waiting times statistics (8th September 2009)
The Department of Health are consulting on proposals to discontinue some current inpatient and outpatient collections.

Closing date for comments is 1st December 2009.
Consultation

CONSULTATION RESPONSES

The use of 084 telephone numbers in the NHS: Department of Health response to consultation (14th September 2009)
This is the Department’s response to the recent consultation document which sought views from all interested parties on the use of 084 numbers in the NHS. This document sets out proposed action as a result of the consultation.
Consultation response

DENTAL

Guidelines for the Delivery of a Domiciliary Oral Healthcare Service (September 2009)
The British Society for Disability and Oral Health have published these revised guidelines. Some people are not always able to travel to a dental surgery, and for these, access to oral healthcare services is only achievable through the provision of domiciliary oral healthcare.

This document:
  • alerts PCTs and service providers to the need for maintaining and increasing the availability of Domiciliary Oral Healthcare Services (DOHCS)
  • Provides guidance for the commissioning of high quality DOHCS
  • Provides guidance to establish standards for the delivery of high quality DOHCS
Guidance

DEPARTMENT OF HEALTH

Review of the MHRA (Medicines and Healthcare products Regulatory Agency) (8th September 2009)
The Department of Health has a responsibility to carry out reviews of its agencies periodically to ensure they are fit for purpose and are operating in the most efficient way. A review of the Medicines and Healthcare products Regulatory Agency (MHRA) was carried out between October 2008 and March 2009 and the report and recommendations can be found below.
Report

DISABILITIES

Aiming high for disabled children: delivering improved health services (8th September 2009)
Providing effective health services for disabled children will improve outcomes for them and their families, ensure the child receives the best quality of care and provide better value for money. This report examines best practice around the country. It draws on examples of services for disabled children that meet users’ needs, respond to the government agenda and are effective from both a quality and a cost point of view.
Report

DOCTORS

Tomorrow's Doctors (September 2009)
The General Medical Council (GMC) sets the knowledge, skills and behaviours that medical students should learn at UK medical schools. It also sets standards for teaching, learning and assessment. All of these requirements are set out in this publication.
Publication

DRUGS

Druglink street drug trends survey 2009 (11th September 2009)
A downward trend in the quality of illegal drugs on the UK’s street drug market could be driving changes in patterns of drug use, with users increasingly interchanging or combining a range of low quality drugs, according to DrugScope’s 2009 Street Drug Trends Survey.

The survey compiles and analyses feedback from 70 drug services, police forces, drug action teams and service user groups in 20 towns and cities across the UK. It illuminates patterns in the use and supply of substances to give a snapshot view of current UK street drug trends. The survey also compiles the national average prices of different drugs on the UK street drug market.
Survey
Press Release

ELDERLY/OLDER PEOPLE

Luton Borough Council befriending older people (11th September 2009)
The Luton Partnership for Older Persons Project (POPP) helps people at both ends of the spectrum of need:
  • older people with mental health problems who have high levels of need
  • older people with the early symptoms of ill health.
Information

FAMILIES

Think Family Toolkit - Improving Support for Families at Risk (September 2009)
Think Family means securing better outcomes for children, young people and families with additional needs by co-ordinating the support they receive from children’s, young people’s, adults’ and family services.

This Toolkit sets out some of the ways in which these practices can be developed ‘on the ground’ and represents an important step towards setting out how Think Family can be made a reality in day-to-day practice. Much of what it contains has been developed locally and reflects the enormous commitment and ingenuity of those working with children, mothers, fathers and families.
Toolkit

FINANCE

The Quarter: quarter 1, 2009/10 (10th September 2009)
David Flory’s first quarterly report of 2009/10 on NHS finance and service performance, shows that the NHS has started 2009/10 well, building on last year’s success.

The latest data on the reduction of healthcare associated infections (HCAIs) show that the risk of infection with MRSA bacteraemia or C. difficile is at its lowest for five years. Most hospitals are already achieving the 2010 target levels for reducing C. difficile infections by 30 percent against the 2007/08 baseline, having achieved a national reduction of 35 percent over the last financial year. The NHS has sustained operational standards on 18 weeks and has improved access to primary care services by further increasing the number of GP practices offering extended opening hours.
Report

FOOD SAFETY

Report on the increased incidence of Listeriosis in the UK (14th September 2009)
The Advisory Committee on the Microbiological Safety of Food (ACMSF) has, after public consultation, published a report on increased incidence of listeriosis in the UK.

Following reports of an increase in cases of listeria, predominantly in the over-60s age group, the Food Standards Agency sought advice from the ACMSF, an independent scientific advisory committee, on the reasons for this change. Similar increases were also reported in other European countries, including France and Germany.

Recommendations include:
  • studies to investigate differences in virulence of listeria
  • maintaining targeted active surveillance for listeria spp. in foods is important to inform control of this organism
  • information on food consumption patterns of the over 60s (including vulnerable groups) is needed to inform approaches to risk management
  • communicating general food safety advice to the over 60s, as well as to those involved in their care and preparation of their food
Report
News item

GENERAL PRACTICE

New PAGB/RCGP Flu leaflet to be delivered to Pharmacies and GP surgeries (11th September 2009)
The Proprietary Association of Great Britain (PAGB) and the Royal College of General Practitioners (RCGP) have jointly published a new leaflet "The battle against flu and colds". The leaflet will be delivered to pharmacies and GP surgeries across the UK from 14th September 2009.
Leaflet

HOUSING

Building better lives (9th September 2009)
Building better lives finds that councils feel pressured into focusing on building brand new housing - 94 per cent of councils have prioritised new and/or affordable housing targets through their local area agreements, but fewer than a third prioritised targets relating to their existing housing stock. This is despite the financial savings, environmental improvements and social benefits of doing so.

If councils thought of housing more broadly, they could do more to combat poverty, ill-health, educational under-achievement and help strengthen their local communities. The recession makes a strategic view of housing all the more important.
Report

LOCAL AUTHORITY/GOVERNMENT

Guidance on direct payments for community care, services for carers and children's services: England 2009 (4th September 2009)
The aim of this guidance is to assist local councils in making direct payments. Together with the Annexes, it also provides guidance on how local councils might manage and administer direct payments. It replaces ‘Direct payments guidance: community care, services for carers and children’s services (Direct Payments) guidance’ issued in 2003. The guidance has been updated to reflect recent legislative changes that extend direct payments to previously excluded groups. An impact assessment and equality impact assessment have been carried out.
Guidance

Taking forward the role of council regulators (10th September 2009)
This section of the Improvement & Development Agency (IDeA) website aims to facilitate a greater contribution by local authority regulatory services (LARS) to the health of communities they service.

The section includes 6 case studies:
  • setting up a new post of a health and wellbeing co-ordinator
  • development of an integrated impact assessment and the setting up of a health 'peer challenge' system
  • looks at the way NHS National Service Frameworks have been used within a council to develop a health improvement statement and joint training
  • discusses the work of a council's health improvement management group
  • setting up of a non-profit social enterprise company to extend a council's regulatory services beyond enforcement to include health advice and promotion, including acting as the national lead on shisha smoking
  • looks at the work of a council's licensing and food standards staff in screening for sexually transmitted diseases and promoting health eating in food outlets.
Information

LONG-TERM CONDITIONS

Your health, your way: a guide to long term conditions and self care - communications toolkit (11th September 2009)
This toolkit provides all of the assets and artwork to enable you to implement a communications campaign at a local level.

An introduction to Your health, your way (formally the patients prospectus) is included within this section of the toolkit.
Toolkit

MENTAL HEALTH

Information sharing and mental health (9th September 2009)
This guidance sets out some of the issues relating to the exchange of information between mental health trusts and outside organisations and individuals. It sets out when, why and how information can safely be exchanged for the benefit of the individual and the public.
Guidance

Mental Health First Aid Guidelines (September 2009)
The Mental Health First Aid Guidelines contain information about how a member of the community can give initial help to someone who they think might be developing or experiencing a mental illness or a mental health crisis. Nine different guidelines are now available and include information on early intervention in the disorders of depression, psychosis, eating disorders, problem drinking and problem drug use. In addition, four mental health crisis situations are also covered: suicidal thoughts and behaviours, non-suicidal self-injury, panic attacks and assisting (adult or child) after a traumatic event.
Guidelines

Implementing Recovery (9th September 2009)
This position paper, from the Sainsbury Centre for Mental Health, sets out the ten major challenges for mental health services to put recovery at the heart of their everyday practice.

Implementing recovery means supporting people to take much greater control over the way that they are treated. It means challenging stigma and discrimination much more assertively in communities. And it requires mental health professionals to work in a very different way to support service users' own priorities and their hopes for the future.
Paper

NHS

Does improving quality save money? (1st September 2009)
This report, from The Health Foundation, reviews the evidence of whether improving quality can also save money for health service providers. It explores the cost saving potential of initiatives to improve quality and the barriers to success.
Report

NICE

Latest Implementation Tools (9th September 2009)
Tools to aid implementation of latest NICE guidance.

Schizophrenia (update): Guide to Resources

TA176 Colorectal cancer (first line) - cetuximab: Costing Template and Audit Support

TA177 Eczema (chronic) - alitretinoin: Costing Template and Audit Support

TA178 Renal Cell Carcinoma: Costing Statement and Audit Support

IPG311 Extracorporeal shockwave therapy for refractory plantar fasciitis: Audit Support

IPG313 Extracorporeal shockwave therapy for refractory tennis elbow: Audit Support

IPG314 Ultrasound-guided foam sclerotherapy for varicose veins: Audit support


School-based interventions to prevent smoking: consultation on the draft guidance (3rd September 2009)
NICE is developing public health intervention guidance School-based interventions to prevent the uptake of smoking among children.

All registered stakeholders for the above public health intervention guidance are invited to comment on the draft guidance.

Closing date for comments is 1st October 2009.
Consultation


Hypertensive disorders during pregnancy: draft guideline consultation (3rd September 2009)
A clinical practice guideline on Hypertensive disorders during pregnancy is being developed for use in the NHS in England, Wales and Northern Ireland. Registered stakeholders for this guideline are invited to comment on the provisional recommendations via this website.

Closing date for comments is 29th October 2009.
Consultation


Donor breast milk banks: guideline consultation (8th September 2009)
A clinical practice guideline on Donor breast milk banks is being developed for use in the NHS in England, Wales and Northern Ireland. Registered stakeholders for this guideline are invited to comment on the provisional recommendations via this website.

Closing date for comments is 6th October 2009.
Consultation


Hepatocellular carcinoma (advanced and metastatic) - sorafenib (first line): appraisal consultation 2 (9th September 2009)
The Department of Health has asked the National Institute for Health and Clinical Excellence (NICE) to produce guidance on using sorafenib for the treatment of advanced hepatocellular carcinoma in the NHS in England and Wales. The Appraisal Committee has had its third meeting to consider the evidence submitted by the manufacturer and the views of non-manufacturer consultees and commentators, and clinical specialists and patient experts.

Closing date for comments is 30th September 2009.
Consultation


Cervical cancer (recurrent) - topotecan: final appraisal determination (10th September 2009)
After considering the feedback from consultation, the Appraisal Committee has prepared a Final Appraisal Determination (FAD) on Cervical cancer (recurrent) – topotecan and submitted it to the Institute.

The FAD has been sent to the formal consultees for this appraisal who have 15 working days to consider whether they wish to appeal against it. Subject to any appeal by consultees, the FAD may be used as the basis for the Institute's guidance on the use of the appraised technology in the NHS in England and Wales.

Please note that the appeal period for this appraisal will close at 5pm on 25 September 2009.
FAD


Preventing and reducing HIV transmission among African communities: consultation on the draft scope (11th September 2009)
NICE is developing public health intervention guidance on preventing and reducing HIV transmission among African communities living in England: guidance for sexual health services

All registered stakeholders for the above public health intervention guidance are invited to comment on the draft scope.

Closing date for comments is 9th October 2009.
Consultation


Preventing and reducing HIV transmission among men who have sex with men: draft scope consultation (11th September 2009)
NICE is developing public health intervention guidance on preventing and reducing HIV transmission among African communities living in England: guidance for sexual health services

All registered stakeholders for the above public health intervention guidance are invited to comment on the draft scope.

Closing date for comments is 9th October 2009.
Consultation


Crohn's disease - infliximab (review) and adalimumab: appraisal consultation (14th September 2009)
The Department of Health and the Welsh Assembly Government have asked the National Institute for Health and Clinical Excellence (NICE or the Institute) to conduct a multiple technology appraisal of infliximab and adalimumab for the treatment of Crohn's disease and provide guidance on their use to the NHS in England and Wales. The Appraisal Committee has had its first meeting to consider both the evidence submitted and the views put forward by non-manufacturer consultees and commentators, and by the clinical specialist and patient expert representatives nominated for this appraisal by non-manufacturer consultees and commentators. The Committee has developed preliminary recommendations on the use of infliximab and adalimumab.

Closing date for comments is 7th October 2009.
Consultation

PANDEMIC INFLUENZA

Critical care strategy: managing the H1N1 flu pandemic (September 2009)
This strategy sets out the Department of Healths approach to managing critical care during the swine flu pandemic by increasing the number of available critical care beds and preventing people becoming seriously ill as a result of swine flu.
Guidance
Covering letter

Letter from Chief Medical Officer

Pandemic influenza paediatric clinical pathways: information for health care professionals working in primary care and the community (10th September 2009)
This guidance should be used with the adult modules and provides additional paediatric information suitable for clinical staff in locations where acute medical care may be provided to children. This information should be used in combination with local training by paediatric specialist staff as available to you.
Guidance

Pandemic influenza: paediatric clinical pathways: information for health care professionals working in hospitals (7th September 2009)
This guidance provides paediatric information for hospital-based clinical staff who may need to care for children acutely unwell with influenza during a pandemic.
Guidance


Measures in school settings (11th September 2009)
WHO is today issuing advice on measures that can be undertaken in schools to reduce the impact of the H1N1 influenza pandemic. Recommendations draw on recent experiences in several countries as well as studies of the health, economic, and social consequences of school closures. These studies were undertaken by members of a WHO informal network for mathematical modelling of the pandemic.
Information

PARLIAMENTARY PUBLICATIONS

PATIENT AND PUBLIC INFORMATION

A guide to receiving direct payments from your local council. A route to independent living (4th September 2009)
This updated guide offers advice to people who are thinking about or who are already getting direct payments from their local council social services department.
Guide

PATIENT SAFETY

Safety in doses: improving the use of medicines in the NHS (3rd September 2009)
This report, published by the National Patient Safety Agency (NPSA), identifies risks and areas for action based on a detailed analysis of 72,482 medication incidents. The report includes examples of how local practice may help to prevent future incidents.
Report

PHARMACY

Good Dispensing Guidelines - England (15th September 2009)
The Royal Pharmaceutical Society has launched this document to help pharmacists focus on the ways IT systems will affect their current practices as the profession moves increasingly towards the electronic pharmacy age.

The guidelines are for pharmacists using the Electronic Prescription Service (EPS) Release 2.
Guidelines
Press Release

POVERTY

ARTICLE - Comparison between geographies of mortality and deprivation from the 1900s and 2001: spatial analysis of consensus and mortality statistics (10th September 2009)
The objective of this study was:
  • To examine the geographical relation between mortality and deprivation in England and Wales at the start of the 20th and 21st centuries.
  • To explore the evidence for a strengthening or weakening of this relation over the century and test for relations between the mortality and deprivation patterns of a century ago and modern mortality and causes of death
The results show that there was no evidence of a significant change in the strength of the relation between deprivation and mortality between the start and end of the 20th century. Despite all the medical, public health, social, economic and political changes over the 20th century, patterns of poverty and mortality and the relations between them remain firmly entrenched.
Article

SOCIAL CARE

Exercise Prometheus (10th September 2009)
Exercise Prometheus is a Department of Health funded exercise for the social care sector to assess and develop its resilience planning in readiness for a second wave of the pandemic swine flu. Designed as an 'off the shelf' package primarily for use by local authorities in partnership with their local providers of social care, the exercise has been developed by the Health Protection Agency from experience gained in previous pandemic influenza exercises.
Guidance

SOCIAL EXCLUSION

Link Up, Link In (September 2009)
A new toolkit supporting public service workers in helping at-risk groups into stable employment and accommodation has been launched by HM Government, as part of the Link Up, Link In campaign. The toolkit provides a range of case studies, guidance and useful facts, showing how organisations across the country are working together to improve the lives of vulnerable people. It forms part of the Government’s commitment to get more people from groups such as people with a learning disability, people with mental health problems, care leavers and offenders under probation supervision, into a stable home and sustainable employment.
Toolkit

STATISTICS

Place Survey: England - Headline Results 2008 (Revised) (originally published 23rd June 2009, revised version published 7th September 2009)

MRSA and C. Difficile continue to fall (10th September 2009)






WOMEN'S HEALTH

Health and public sector professionals to help improve health services for victims of domestic violence (11th September 2009)
Health and public sector professionals are being asked for their views on how the NHS can improve its services for women and girls who have been victims of violence and sexual assault.

Health and public sector professionals will be asked for their views on areas including:
  • Service delivery - early identification, access to healthcare services, staff awareness and attitudes maximising NHS resources
  • Service commissioning – needs assessment, NHS commissioning, joint commissioning, commissioning from non-NHS providers
  • Partnership working – information sharing, service level agreements and protocols, collaborative service delivery
Press Release
Taskforce page