clinical effectiveness bulletin no. 51 april 2011

8/7/2019 Clinical Effectiveness Bulletin no. 51 April 2011

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NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletinfor PCTs in North Staffordshire

Issue No: 50 March 2011

About this Bulletin:

It aims to draw attention to some of the key documents and reviews on clinicaleffectiveness that have been published in the previous month.

Where possible, links to the full text documents are included. If the article is in ajournal, you can contact the Health Library for a copy.Link to request form:http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437[Please note - a charge of 2 per request is payable for most copies]

If you need further assistance, please contact the Health Library or the NHSOutreach Librarians, details below.

The bulletin can be e-mailed to colleagues who may also find it useful.

A list of websites that are checked in the production of this bulletin are listed onthe first page. Please suggest further useful sites.

Feedback is always welcomed to inform future issues of the bulletin.

Contact information

Bulletin produced by NHS Outreach LibrariansTel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429)

E-mail: [email protected]@northstaffs.nhs.uk

North Staffs Health Library

Tel: 01782 556565Fax: 01782 556582

E-mail:[email protected]

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http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]


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Sources for Clinical Effectiveness Bulletin

Please suggest further sites that should be monitored in the production of this bulletin

Websites

Bandolierhttp://www.medicine.ox.ac.uk/bandolier/Cochrane Library http://www.thecochranelibrary.com/CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/

- DARE (Database of Abstracts of Reviews of Effects)- NHS Economic Evaluation Database

Department of Healthhttp://www.dh.gov.uk/en/index.htmHealth Technology Assessment (HTA) Database http://www.hta.ac.ukNICEhttp://www.nice.org.uk/NHS Evidence Specialist Collectionshttp://www.library.nhs.uk/specialistcollections/

SIGNhttp://www.sign.ac.uk/new.html

Contents in this issue

Alcohol Mental HealthCancer Nursing

Cardiovascular Diseases Obesity

Care After Death Patient Care and Safety

Children and Young People Prescribing

Commissioning Prison Health

Dementia Public Health

Diabetes Safeguarding VulnerableAdults

Emergency Care Service Management

Environment Sexual Health

General Practice SmokingGuidance Vaccinatio n and

Immunisation

Infections Waste Management

Long Term Conditions Women s Health

Matern al and Infant Health Workforce

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http://www.medicine.ox.ac.uk/bandolier/http://www.thecochranelibrary.com/http://www.dh.gov.uk/en/index.htmhttp://www.hta.ac.uk/http://www.nice.org.uk/http://www.nice.org.uk/http://www.library.nhs.uk/specialistcollections/http://www.library.nhs.uk/specialistcollections/http://www.sign.ac.uk/new.htmlhttp://www.medicine.ox.ac.uk/bandolier/http://www.thecochranelibrary.com/http://www.dh.gov.uk/en/index.htmhttp://www.hta.ac.uk/http://www.nice.org.uk/http://www.library.nhs.uk/specialistcollections/http://www.sign.ac.uk/new.html


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Alcohol

Psychological Interventions with Families of Alcohol Misusers: A Systematic ReviewAlcohol Education and Research CouncilThe authors concluded that involving the family in treatment, including responding to their own

needs directly, and largely regardless of the nature of the intervention, can bring huge benefits tofamily members, including children and the alcohol misusing relatives, as well as bringingpotential cost-savings to services.http://www.aerc.org.uk/insightPages/libraryIns0078.html

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Cancer

Interventions for preventing oral mucositis for patients with cancer receiving treatmentWorthington, HV et al.The authors concluded that two interventions, cryotherapy (ice chips) and keratinocyte growthfactor (palifermin), showed some benefit in preventing mucositis. Sucralfate is effective inreducing the severity of mucositis, and a further seven interventions, aloe vera, amifostine,intravenous glutamine, granulocyte-colony stimulating factor (G-CSF), honey, laser and antibioticlozenges containing polymixin/tobramycin/amphotericin (PTA) showed weaker evidence ofbenefit. These were evaluated in patients with different types of cancer, undergoing differenttypes of cancer treatment. Benefits may be restricted to the disease and treatment combinationsevaluated.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD000978/frame.html

Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapyFurness, S et al.The authors concluded that chemotherapy, in addition to radiotherapy and surgery, is associatedwith improved overall survival in patients with oral cavity and oropharyngeal cancers. There isinsufficient evidence as to which agent or regimen is most effective and the additional toxicity

associated with chemotherapy given in addition to radiotherapy and/or surgery cannot bequantified.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006386/frame.html

Manual for Cancer Services: Network Service User Partnership Group MeasuresDepartment of HealthFollowing a three month consultation period, this is the final version of the Measures for inclusionin the Manual of Cancer Services 2008.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125728TheAcute oncology - including metatastic spinal cord compression measuressection of themanual is at:http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D

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Medical interventions for high grade vulval intraepithelial neoplasia (VIN)Pepas, L et al.Imiquimod appears to be effective, but its safety needs further examination. Its use is associatedwith side effects which are tolerable, but more extensive data on adverse effects are required.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007924/frame.html

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http://www.aerc.org.uk/insightPages/libraryIns0078.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD000978/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD000978/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006386/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125728http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125728http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125727http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125727http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007924/frame.htmlhttp://www.aerc.org.uk/insightPages/libraryIns0078.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD000978/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006386/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125728http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125728http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125727http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125727http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007924/frame.html


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Cardiovascular Diseases

Angiotensin receptor blockers and risk of myocardial infarction: meta-analyses and trialsequential analyses of 147,020 patients from randomised trialsBangalore, S et al.The authors concluded that this large and comprehensive analysis produced firm evidence to

refute the hypothesis that angiotensin receptor blockers increase the risk of myocardial infarction(ruling out even a 0.3% absolute increase). Compared with controls, angiotensin receptorblockers reduce the risk of stroke, heart failure, and new onset diabetes.BMJ 2011; 342:d2234 doi: 10.1136/bmj.d2234 (Published 26 April 2011)

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Care after Death

Guidance for staff responsible for care after death (last offices)National End of Life Care ProgrammeDeveloped with the National Nurse Consultant Group (Palliative Care), this guidance sets out keyprinciples. It is intended as a guide for training, as well as for informing the development of

organisational protocols for this area of care, and it aims to provide a consistent view thataccommodates Englands diverse religious and multi-cultural beliefs.http://www.endoflifecareforadults.nhs.uk/publications/guidance-for-staff-responsible-for-care-after-death

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Children and Young People

The learning: What good looks likeDepartment of HealthThe Children and Young Peoples Emotional Wellbeing and Mental Health National SupportTeam helped Local Authorities, Primary Care Trusts, health organisations, Childrens Trusts andother statutory and voluntary partners to:

identify opportunities to improve commissioning and delivery systems to achieve betteroutcomes for children and young peoples emotional well-being and mental health; and

review the whole system from prevention through to specialist services.This document is based on the learning from the Teams visits as well as evidence of what works.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126001

Efficacy of proton-pump inhibitors in children with gastroesophageal reflux disease: asystematic reviewVan der Pol, RThe authors concluded that Proton-Pump Inhibitors (PPIs) are not effective in reducingGastroesophageal Reflux Disease symptoms in infants. Placebo-controlled trials in older children

are lacking. Although PPIs seem to be well tolerated during short-term use, evidence supportingthe safety of PPIs is lacking.PEDIATRICS (doi:10.1542/peds.2010-2719). Published online April 4, 2011.

Facing the Future: A Review of Paediatric ServicesRoyal College of Paediatrics and Child HealthThis report models the potential implications of the Facing the Future standards for paediatricservices in the UK. It maps the current acute service configuration in the UK, proposes possiblesolutions to these problems, and imagines three possible scenarios for the configuration of

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http://www.bmj.com/content/342/bmj.d2234.abstracthttp://www.endoflifecareforadults.nhs.uk/publications/guidance-for-staff-responsible-for-care-after-deathhttp://www.endoflifecareforadults.nhs.uk/publications/guidance-for-staff-responsible-for-care-after-deathhttp://www.endoflifecareforadults.nhs.uk/publications/guidance-for-staff-responsible-for-care-after-deathhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126001http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126001http://pediatrics.aappublications.org/cgi/content/abstract/peds.2010-2719v1http://www.bmj.com/content/342/bmj.d2234.abstracthttp://www.endoflifecareforadults.nhs.uk/publications/guidance-for-staff-responsible-for-care-after-deathhttp://www.endoflifecareforadults.nhs.uk/publications/guidance-for-staff-responsible-for-care-after-deathhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126001http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126001http://pediatrics.aappublications.org/cgi/content/abstract/peds.2010-2719v1


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inpatient units. The workforce implications of these scenarios are also explored. It alsorecommends the increased involvement of childrens nurses and GP trainees in some aspects ofcare.http://www.rcpch.ac.uk/facingthefuture

Fundamentals of Commissioning Health Services for ChildrenChild and Maternal Health ObservatoryThis paper looks at how some primary care trusts have not only reduced admissions butcommissioned services which deliver better outcomes for children and young people.http://www.chimat.org.uk/resource/item.aspx?RID=106744

Pharmacological treatment for Attention Deficit Hyperactivity Disorder (ADHD) in childrenwith comorbid tic disordersPringsheim, T et al.Methylphenidate, clonidine, guanfacine, desipramine and atomoxetine appear to reduce ADHDsymptoms in children with tics. Although stimulants have not been shown to worsen tics in mostpeople with tic disorders, they may nonetheless exacerbate tics in individual cases. In theseinstances, treatment with alpha agonists or atomoxetine may be an alternative. Although there isevidence that desipramine is effective for both tics and ADHD in children, safety concerns willlikely continue to limit its use in this population.

http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007990/frame.html

Steroids and bronchodilators for acute bronchiolitis in the first two years of life:systematic review and meta-analysisHartling, L. et al.The authors concluded that evidence shows the effectiveness and superiority of adrenaline foroutcomes of most clinical relevance among outpatients with acute bronchiolitis, and evidencefrom a single precise trial for combined adrenaline and dexamethasone.BMJ 2011; 342:d1714 doi: 10.1136/bmj.d1714 (Published 6 April 2011)

Items in the Mental Health, Obesity and Sexual Health sections may also be of interest.

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Commissioning

Commissioning for the future: learning from a simulation of the health system in 2013/14Kings FundThe reforms set out in the coalition governments White Paper have wide ramifications,particularly for GPs. NHS Lincolnshire decided to help GPs to understand the issues andbehaviours that might emerge as a result of the reforms by running a simulation exercise with TheKings Fund. Observations on the day and reflections provided by the participants are pulledtogether into a number of key themes. This simulation provides insight into some of the potentialrisks and opportunities of the new regulatory and management structures being implemented.The report offers observations about individual and organisational behaviours and about systemdynamics as a whole.http://www.kingsfund.org.uk/publications/future_commissioning.html

Commissioning: further issuesHouse of Commons Health Select CommitteeThis report recommends a number of significant changes to the Health and Social Care Bill,currently before Parliament. It includes proposals that representatives of nurses, hospital doctors,public health experts and local communities should all be involved as decision makers alongsideGPs in NHS commissioning. The Select Committee believe it is vital to make these changes to

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http://www.rcpch.ac.uk/facingthefuturehttp://www.chimat.org.uk/resource/item.aspx?RID=106744http://www.chimat.org.uk/resource/item.aspx?RID=106744http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007990/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007990/frame.htmlhttp://www.bmj.com/content/342/bmj.d1714.abstracthttp://www.kingsfund.org.uk/publications/future_commissioning.htmlhttp://www.kingsfund.org.uk/publications/future_commissioning.htmlhttp://www.rcpch.ac.uk/facingthefuturehttp://www.chimat.org.uk/resource/item.aspx?RID=106744http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007990/frame.htmlhttp://www.bmj.com/content/342/bmj.d1714.abstracthttp://www.kingsfund.org.uk/publications/future_commissioning.html


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enable the NHS to meet the unprecedented challenge it faces of finding 4% annual efficiencysavings over the next four years.http://www.publications.parliament.uk/pa/cm201011/cmselect/cmhealth/796/79602.htm

Guidance on the NHS Standard Contract for Care Home Services 2011/12Department of HealthThis document is to be read be in conjunction with the NHS Standard Contract for Care Homes.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126313

Impact of Quality and Outcomes Framework on health inequalities: Summary of full reportKings FundThis research aimed to examine whether the GMS contract and, in particular, the QOF wascontributing to improvements in public health and reductions in health inequalities; the focus wason health inequalities as determined by income deprivation. The research looks at: incentives forprevention and public health activities; differences in performance by deprivation; impact onpopulation health; practice characteristics; exception reporting (allowing certain patients to beexcluded from the performance figures); case finding (actively seeking to identify new people atrisk). The paper draws out the implications of those findings for future development of QOF andother pay-for performance schemes and concludes that general practice should be supported in

its responsibility for improving public health and reducing inequalities.http://www.kingsfund.org.uk/publications/impact_of_quality.html

Implementing GP CommissioningPolicy ExchangeThis report suggests that the Health and Social Care Bills proposals to abolish every PrimaryCare Trust by 2013 could lead to the new structure replicating the existing system in all but name.The report says that by slowing down the proposed reforms, the potential to deliver real andlasting transformation in the NHS is enormous.http://www.policyexchange.org.uk/publications/publication.cgi?id=233

Liberating the NHS: orders of change?Health Services Management Centre

This paper suggests that overall, the NHS reform proposals in the current Health and Social CareBill represent a large degree of continuity or evolution from previous reform agendas. However,they also raise the point that the combined impact of the reforms when implemented may havethe potential to bring about radical change as the scale and speed of the proposed changes takeeffect. They reflect on the contextual factors likely to affect the implementation of the policyproposals and raise some practical implications for researchers and practitioners to consider inrelation to this new reform agenda.http://www.hsmc.bham.ac.uk/news/news/2011/4/policy-paper-eleven.shtml

National Health Service Landscape ReviewHouse of Commons Public Accounts CommitteeThis report provides an overview of aspects of the NHS reforms to date. The report draws out anumber of risks associated with the transition to the new model that need to be managed. The

Committee intend to review the progress of the reforms at regular intervals and this report signalsthe sorts of issues it will want to examine in future. (NHS Sheffield Library Service Daily HealthBulletin)http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/764/76402.htm

The NHS Performance Framework: Implementation guidance - 2011/12Department of HealthThis guidance is intended to support the application of the NHS Performance Framework; toinform Strategic Health Authorities (SHAs) as the regional system managers and Primary CareTrusts (PCTs) as the local commissioners of NHS services of when they should intervene to

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http://www.publications.parliament.uk/pa/cm201011/cmselect/cmhealth/796/79602.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126313http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126313http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126313http://www.kingsfund.org.uk/publications/impact_of_quality.htmlhttp://www.kingsfund.org.uk/publications/impact_of_quality.htmlhttp://www.policyexchange.org.uk/publications/publication.cgi?id=233http://www.hsmc.bham.ac.uk/news/news/2011/4/policy-paper-eleven.shtmlhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/764/76402.htmhttp://www.publications.parliament.uk/pa/cm201011/cmselect/cmhealth/796/79602.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126313http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126313http://www.kingsfund.org.uk/publications/impact_of_quality.htmlhttp://www.policyexchange.org.uk/publications/publication.cgi?id=233http://www.hsmc.bham.ac.uk/news/news/2011/4/policy-paper-eleven.shtmlhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/764/76402.htm


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address poor performance; and to inform NHS organisations of the criteria against which theirperformance will be assessedhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126030

Reducing expenditure on low clinical value treatments: a health briefingAudit CommissionThis health briefing suggests that the NHS could save up to 500 million a year by carrying outfewer ineffective or inefficient treatments. It argues that a single approach to defining these lowvalue treatments could help to reduce the duplication of effort between primary care trusts (PCTs)and help to ensure consistency across the country. The briefing considers some PCTs' efforts todecommission treatments of low clinical value. Decommissioning treatments can free up moneythat could be better spent on other treatments, but decisions can be controversial. The briefingshows how strong leadership within PCTs, as well as good communication between PCTs, andGPs, patients and the public, are crucial success factors.http://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/lowclinicalvalue/Pages/Default_copy.aspx

Shadow consortia: Developing and electing a transitional leadership (updated version)BMA

This guidance outlines a number of options that will need to be considered when developing thetransitional leadership structures that will take shadow consortia forward. It also gives guidanceon how to appoint the transitional leadership, giving information about elections, andselection and election processes.http://www.bma.org.uk/images/whitepapergpcguidance6_apr2011version_tcm41-205257.pdf

Transforming Community Services: Demonstrating and Measuring Achievement:Community Indicators for Quality ImprovementDepartment of HealthThis document introduces 43 indicators for quality improvement for voluntary, local use in acommunity setting. These carefully chosen indicators will help to raise the standard of caredelivered to patients and communities.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D

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Variations in health care: the good, the bad and the inexplicableKings FundThis report explores the possible causes of variation, shows the different ways in which variationscan be measured, and analyses variations by PCT in rates of elective hospital admissions forselected procedures. It also breaks the information down into : variations in common, clinicallyeffective procedures, trends in variation, variation in day case rates, variation in low effectivenessprocedures, variation in pre-operative health, preference-sensitive variations. Even after allowingfor legitimate factors that affect rates of surgery, significant variations were found between PCTs

even among common interventions known to be effective. Recommendations are made in thereport for tackling this problem.http://www.kingsfund.org.uk/publications/healthcare_variation.html

Who pays? Establishing the responsible commissionerDepartment of HealthThis document sets out a framework for establishing responsibility for commissioning anindividual's care within the NHS, i.e. determining who pays for a patients care.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078466

Working together for a stronger NHS

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126030http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126030http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126030http://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/lowclinicalvalue/Pages/Default_copy.aspxhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/lowclinicalvalue/Pages/Default_copy.aspxhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/lowclinicalvalue/Pages/Default_copy.aspxhttp://www.bma.org.uk/images/whitepapergpcguidance6_apr2011version_tcm41-205257.pdfhttp://www.bma.org.uk/images/whitepapergpcguidance6_apr2011version_tcm41-205257.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126110http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126110http://www.kingsfund.org.uk/publications/healthcare_variation.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078466http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078466http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126030http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126030http://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/lowclinicalvalue/Pages/Default_copy.aspxhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/lowclinicalvalue/Pages/Default_copy.aspxhttp://www.bma.org.uk/images/whitepapergpcguidance6_apr2011version_tcm41-205257.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126110http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126110http://www.kingsfund.org.uk/publications/healthcare_variation.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078466http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078466


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Department of HealthThis document describes why the way we provide health and care needs to change and the planto modernise the NHS, and invites the reader to get involved in the process.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125848Details of the Listening Exercise: http://healthandcare.dh.gov.uk/listening-exercise-how-to-get-involved/

Items in the Children and Young People, Diabetes, Maternal and Infant Health, MentalHealth, Prescribing, Public Health, Service Management and Sexual Health sections mayalso be of interest.

[back to topics]

Dementia

Lack of Evidence for the Efficacy of Memantine in Mild Alzheimer DiseaseSchneider, LSThe authors concluded that, despite its frequent off-label use, evidence is lacking for a benefit of

memantine in mild Alzheimers Disease (AD), and there is meagre evidence for its efficacy inmoderate AD. Prospective trials are needed to further assess the potential for efficacy ofmemantine either alone or added to cholinesterase inhibitors in mild and moderate AD.Arch Neurol. Published online April 11, 2011. doi:10.1001/archneurol.2011.69

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Diabetes

Assessment of Services to Reduce Diabetes-related MortalityDepartment of HealthThis workbook was developed by the Health Inequalities National Support Teams (HINST) with70 local authorities covering populations in England. Local areas could use this approach when

analysing whether a population level improvements could be achieved from a set of best-practiceand established interventions. This is offered as useful resource for commissioners.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332

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Emergency Care

NHS emergency planning guidance: planning for the management of burn-injured patientsin the event of a major incident: interim strategic national guidanceDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D

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Toolkit to improve quality of urgent and emergency careRoyal College of General PractitionersThis toolkit is for all providers of urgent and emergency care, including clinicians and non-clinicians, out of hours doctors, emergency departments, walk-in centres, GP medical practices,pre-hospital emergency care doctors, NHS Pathways, NHS Direct, the Ambulance Service, andurgent care centres. It provides practical guidance to providers on checking the quality and careprovided and continually improving care regardless of setting.

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125848http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125848http://healthandcare.dh.gov.uk/listening-exercise-how-to-get-involved/http://healthandcare.dh.gov.uk/listening-exercise-how-to-get-involved/http://healthandcare.dh.gov.uk/listening-exercise-how-to-get-involved/http://archneur.ama-assn.org/cgi/content/abstract/archneurol.2011.69http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125840http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125840http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125848http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125848http://healthandcare.dh.gov.uk/listening-exercise-how-to-get-involved/http://healthandcare.dh.gov.uk/listening-exercise-how-to-get-involved/http://archneur.ama-assn.org/cgi/content/abstract/archneurol.2011.69http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125840http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125840


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http://www.rcgp.org.uk/news/press_releases_and_statements/new_toolkit_to_improve_quality.aspx

[back to topics]

Environment

Update on the Fukushima Incident, 31 March 2011Health Protection AgencyThe HPA, Environment Agency and the Scottish Environment Protection Agency (SEPA) will

jointly provide a weekly update of their air monitoring findings associated with the Fukushimaevent via the HPA website. This will be posted at 2pm every Thursday.The latest weekly update is available at:http://www.hpa.org.uk/NewsCentre/NationalPressReleases/2011PressReleases/

[back to topics]

General Practice

APHO General Practice ProfilesAssociation of Public Health ObservatoriesThese profiles are designed to assist GPs, emerging consortia and PCTs to ensure that they areproviding and commissioning effective and appropriate healthcare services for their localpopulation. In addition to viewing individual practice profiles, you can draw together a cluster ofpractices and view the resulting profile. Each constituent practice can be compared with thecluster and the England average. Alternatively, practices can be compared with their PCT andEngland.http://www.apho.org.uk/PRACPROF/

Guidance: GP extended hours access scheme directed enhanced service 1 April 2011 to31 March 2012Department of Health

Guidance for PCTs to support them in implementing the amended Extended Hours AccessScheme.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125940

Items in the Commissioning and Long Term Conditions sections may also be of interest.

[back to topics]

Guidance

NICE Clinical GuidelinesThe diagnosis and treatment of lung cancer

Clinical guidelines CG121http://guidance.nice.org.uk/CG121

The recognition and initial management of ovarian cancerClinical guidelines CG122http://guidance.nice.org.uk/CG122

NICE Technology Appraisals

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http://www.rcgp.org.uk/news/press_releases_and_statements/new_toolkit_to_improve_quality.aspxhttp://www.rcgp.org.uk/news/press_releases_and_statements/new_toolkit_to_improve_quality.aspxhttp://www.hpa.org.uk/NewsCentre/NationalPressReleases/2011PressReleases/http://www.apho.org.uk/PRACPROF/http://www.apho.org.uk/PRACPROF/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125940http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125940http://guidance.nice.org.uk/CG121http://guidance.nice.org.uk/CG122http://www.rcgp.org.uk/news/press_releases_and_statements/new_toolkit_to_improve_quality.aspxhttp://www.rcgp.org.uk/news/press_releases_and_statements/new_toolkit_to_improve_quality.aspxhttp://www.hpa.org.uk/NewsCentre/NationalPressReleases/2011PressReleases/http://www.apho.org.uk/PRACPROF/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125940http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125940http://guidance.nice.org.uk/CG121http://guidance.nice.org.uk/CG122


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Everolimus for the second-line treatment of advanced renal cell carcinomaTechnology appraisals TA219http://guidance.nice.org.uk/TA219

Golimumab for the treatment of psoriatic arthritisTechnology appraisals TA220http://guidance.nice.org.uk/TA220

Romiplostim for the treatment of chronic immune or idiopathic thrombocytopenic purpuraTechnology appraisals TA221http://guidance.nice.org.uk/TA221

Trabectedin for the treatment of relapsed ovarian cancerTechnology appraisals TA222http://guidance.nice.org.uk/TA222

[back to topics]

NICE Consultation DocumentsColorectal cancer: guideline consultationClosing date for comments: 24 May 2011http://guidance.nice.org.uk/CG/Wave16/2/Consultation/Latest

Consultation on NICE's proposals for making the guideline development process moreefficientClosing date for comments: 19 July 2011http://www.nice.org.uk/aboutnice/howwework/developingniceclinicalguidelines/clinicalguidelineprocessreviewconsultation.jsp

Magnetic resonance image-guided transcutaneous focused ultrasound for uterine fibroidsInterventional Procedure (IPG231)Closing date for comments 19 May 2011http://guidance.nice.org.uk/IPG231

Management of multiple sclerosis in primary and secondary careClinical Guideline CG8Closing date for comments 16 May 2011Only registered stakeholders can comment register or contact the registered stakeholderorganisation that most closely represents your interests and pass your comments to them.http://guidance.nice.org.uk/CG8/ReviewProposal

Microwave ablation for the treatment of metastases in the liverInterventional procedure (IPG220)Closing date for comments 19 May 2011http://guidance.nice.org.uk/IPG220

Self-harm (longer term management)Closing date for comments: 7 June 2011http://guidance.nice.org.uk/CG/WaveR/82/Consultation/Latest

Smoking harm reductionPublic Health GuidanceClosing date for comments: 13 May 2011http://guidance.nice.org.uk/PHG/Wave23/23/ScopeConsultationWalking and cycling

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http://guidance.nice.org.uk/TA219http://guidance.nice.org.uk/TA220http://guidance.nice.org.uk/TA221http://guidance.nice.org.uk/TA221http://guidance.nice.org.uk/TA222http://guidance.nice.org.uk/TA222http://guidance.nice.org.uk/CG/Wave16/2/Consultation/Latesthttp://guidance.nice.org.uk/CG/Wave16/2/Consultation/Latesthttp://www.nice.org.uk/aboutnice/howwework/developingniceclinicalguidelines/clinicalguidelineprocessreviewconsultation.jsphttp://www.nice.org.uk/aboutnice/howwework/developingniceclinicalguidelines/clinicalguidelineprocessreviewconsultation.jsphttp://www.nice.org.uk/aboutnice/howwework/developingniceclinicalguidelines/clinicalguidelineprocessreviewconsultation.jsphttp://guidance.nice.org.uk/IPG231http://guidance.nice.org.uk/CG8/ReviewProposalhttp://guidance.nice.org.uk/CG8/ReviewProposalhttp://guidance.nice.org.uk/IPG220http://guidance.nice.org.uk/TA219http://guidance.nice.org.uk/TA220http://guidance.nice.org.uk/TA221http://guidance.nice.org.uk/TA222http://guidance.nice.org.uk/CG/Wave16/2/Consultation/Latesthttp://www.nice.org.uk/aboutnice/howwework/developingniceclinicalguidelines/clinicalguidelineprocessreviewconsultation.jsphttp://www.nice.org.uk/aboutnice/howwework/developingniceclinicalguidelines/clinicalguidelineprocessreviewconsultation.jsphttp://guidance.nice.org.uk/IPG231http://guidance.nice.org.uk/CG8/ReviewProposalhttp://guidance.nice.org.uk/IPG220


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Public Health GuidanceClosing date for comments: 25 May 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=54280

[back to topics]

Other GuidanceRevised guidance and competences for the provision of services using GPs with SpecialInterests (GPwSIs): Dermatology and skin surgeryNHS Primary Care Commissioninghttp://www.pcc.nhs.uk/uploads/commissioning/2011/04/revised_guidance_and_competences_for

_the_provision_of_services_using_gps_with_special_interests.pdf

Prevention and management of venous thromboembolism (audit tool)SIGNhttp://www.sign.ac.uk/guidelines/audit/tools.html

Stroke rehabilitationSIGN

Patient version of guidelinehttp://www.sign.ac.uk/patients/publications/118/index.html

Treating psoriasis and psoriatic arthritisSIGNPatient version of guidelinehttp://www.sign.ac.uk/patients/publications/121/index.html

[back to topics]

Other Health Technology AssessmentsAdalimumab, etanercept, infliximab, rituximab and abatacept for the treatment ofrheumatoid arthritis after the failure of a tumour necrosis factor inhibitor: a systematic

review and economic evaluationMalottki K, et al.This study found rituximab and abatacept to be more effective compared with supportive care(including ongoing disease-modifying antirheumatic drugs) in rheumatoid arthritis after failure of aTNF inhibitor. Use of an alternative TNF inhibitor in this patient population may provide somebenefit according to evidence from observational studies, but there remain uncertainties withregard to the magnitude of the benefit and its cost-effectiveness.Health Technol Assess 2011;15(14)

Peginterferon alfa and ribavirin for chronic hepatitis C in patients eligible for shortenedtreatment, re-treatment or in HCV/HIV co-infection: a systematic review and economicevaluationHartwell D

This study found that patients may be successfully treated with a shorter course of peginterferonand ribavirin combination therapy without compromising the likelihood of achieving a sustainedvirological response. Economic evaluation showed that treatment with peginterferon alfa inspecified subgroups of patients yielded quality-of-life gains without excessive increases in costs.Health Technol Assess 2011;15(17)

[back to topics]

Infections

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http://www.pcc.nhs.uk/uploads/commissioning/2011/04/revised_guidance_and_competences_for_the_provision_of_services_using_gps_with_special_interests.pdfhttp://www.pcc.nhs.uk/uploads/commissioning/2011/04/revised_guidance_and_competences_for_the_provision_of_services_using_gps_with_special_interests.pdfhttp://www.pcc.nhs.uk/uploads/commissioning/2011/04/revised_guidance_and_competences_for_the_provision_of_services_using_gps_with_special_interests.pdfhttp://www.sign.ac.uk/guidelines/audit/tools.htmlhttp://www.sign.ac.uk/patients/publications/118/index.htmlhttp://www.sign.ac.uk/patients/publications/118/index.htmlhttp://www.sign.ac.uk/patients/publications/121/index.htmlhttp://www.hta.ac.uk/project/2055.asphttp://www.hta.ac.uk/project/2043.asphttp://www.pcc.nhs.uk/uploads/commissioning/2011/04/revised_guidance_and_competences_for_the_provision_of_services_using_gps_with_special_interests.pdfhttp://www.pcc.nhs.uk/uploads/commissioning/2011/04/revised_guidance_and_competences_for_the_provision_of_services_using_gps_with_special_interests.pdfhttp://www.sign.ac.uk/guidelines/audit/tools.htmlhttp://www.sign.ac.uk/patients/publications/118/index.htmlhttp://www.sign.ac.uk/patients/publications/121/index.htmlhttp://www.hta.ac.uk/project/2055.asphttp://www.hta.ac.uk/project/2043.asp


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Explanatory memorandum to the National Health Service (general medical servicescontracts) (prescription of drugs etc.) (amendment) regulations 2011. 2011 no. 680.Legislation.gov.ukThe regulations have been changed to allow Tamiflu and Relenza to be prescribed on the NHSfor patients who are at risk of developing medical complications from influenza. The changes will

be important in the future management of flu outbreaks. (Department of Health).http://www.legislation.gov.uk/uksi/2011/680/pdfs/uksiem_20110680_en.pdf

Results from the mandatory surveillance of meticillin resistant Staphylococcus aureus(MRSA) bacteraemiaHealth Protection AgencyThis is the first set of mandatory monthly data for meticillin sensitive Staphylococcus aureus(MSSA) blood stream infection. The new data comes after last years government commitment toensure patients have access to a wider range of information about healthcare associatedinfections (HCAIs) to improve transparency and help drive down infections.http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/StaphylococcusAureus/EpidemiologicalData/MandatorySurveillance/staphmonthlymandatoryreporting/

Items in the Maternal and Infant Health section may also be of interest.

[back to topics]

Long Term Conditions

The GP Practice index: exploring variation in COPD care and cost. (2nd ed.)Dr. Foster IntelligenceDr Foster has reviewed non-elective hospital admissions for COPD from January to December2010. These admissions, which through improved community care could be preventable, can belinked to individual GP practices. The report shows:

Disparity in GP practices with a low number of registered COPD patients but a higherthan expected level of non-elective hospital admissions for COPD, highlighting where

there may be a lack of engagement in primary care. Disparity between GP practices with a high level of COPD patients and a higher than

expected level of non-elective admissions, suggesting problems of ongoing care.

Potential cost savings if GP practices with significantly higher than expected non-electiveadmissions matched expected levels.

The aim of this baseline analysis is to highlight the variation between PCTs from a nationalperspective.http://www.drfosterintelligence.co.uk/downloads/latestnews/GP%20Practice%20Index%202nd%20Edition.pdf

Snapshot: Co-Creating HealthThe Health FoundationCo-creating health helps people with long-term conditions to take control of their health and

supports them to self-manage. This snapshot provides an overview of the programme and a list ofthe sites involved, as well as explaining why self-management support is so important.http://www.health.org.uk/publications/snapshot-co-creating-health/

[back to topics]

Maternal and Infant Health

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http://www.legislation.gov.uk/uksi/2011/680/pdfs/uksiem_20110680_en.pdfhttp://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/StaphylococcusAureus/EpidemiologicalData/MandatorySurveillance/staphmonthlymandatoryreporting/http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/StaphylococcusAureus/EpidemiologicalData/MandatorySurveillance/staphmonthlymandatoryreporting/http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/StaphylococcusAureus/EpidemiologicalData/MandatorySurveillance/staphmonthlymandatoryreporting/http://www.drfosterintelligence.co.uk/downloads/latestnews/GP%20Practice%20Index%202nd%20Edition.pdfhttp://www.drfosterintelligence.co.uk/downloads/latestnews/GP%20Practice%20Index%202nd%20Edition.pdfhttp://www.health.org.uk/publications/snapshot-co-creating-health/http://www.health.org.uk/publications/snapshot-co-creating-health/http://www.legislation.gov.uk/uksi/2011/680/pdfs/uksiem_20110680_en.pdfhttp://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/StaphylococcusAureus/EpidemiologicalData/MandatorySurveillance/staphmonthlymandatoryreporting/http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/StaphylococcusAureus/EpidemiologicalData/MandatorySurveillance/staphmonthlymandatoryreporting/http://www.drfosterintelligence.co.uk/downloads/latestnews/GP%20Practice%20Index%202nd%20Edition.pdfhttp://www.drfosterintelligence.co.uk/downloads/latestnews/GP%20Practice%20Index%202nd%20Edition.pdfhttp://www.health.org.uk/publications/snapshot-co-creating-health/


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Early versus late epidural analgesia and risk of instrumental delivery in nulliparouswomen: a systematic reviewWassen, MMLH et al.The authors concluded that there is no increased risk of caesarean delivery or instrumentalvaginal delivery for women receiving early epidural analgesia at cervical dilatation of 3 cm or lessin comparison with late epidural analgesia.BJOG: An International Journal of Obstetrics & Gynaecology 118(6) p.655-61, May 2011

Hepatitis B antenatal screening and newborn immunisation programme: Best practiceguidanceDepartment of HealthThis document contains guidance for commissioners in improving the uptake rate of existinginfant hepatitis B immunisation programmes for newborns who are at risk of hepatitis B infection.This guidance should be considered as supplementary to UK National Screening Committee andNational Institute of Clinical Excellence guidance.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195

Hepatitis B: Pathway stages to protection - Actions, roles, responsibilities and standards

Department of HealthThis document provides commissioners and providers with best practice guidance on screeningand the vaccination of babies born to Hepatitis B positive mothers.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202

Introducing Solid Foods: Giving your baby a better start in lifeDepartment of HealthPatient information leaflethttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125823

Off to the best start: Important information about feeding your baby

Department of HealthPatient information leaflethttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125826

Parents' views on the maternity journey and early parenthoodDepartment of HealthThe three projects synthesised in these documents explored how parents feel about thepregnancy and parenthood journeys and their expectations of the health service. The researchgives valuable insights on pregnancy and early parenthood services, and how these might beimproved.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125891

[back to topics]

Mental Health

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http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2011.02906.x/abstracthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125823http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125823http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125823http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125826http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125826http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125891http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125891http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2011.02906.x/abstracthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125823http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125823http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125826http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125826http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125891http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125891


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Count me in 2010Care Quality CommissionThis report calls for organisations outside of the health care sector to help improve mental healthand well-being among black and minority ethnic (BME) groups. This to tackle the economic andsocial factors that contribute to higher-than-average hospital admission rates among some ethnicgroups.http://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfm

Fulfilling and Rewarding Lives: Evaluating progressDepartment of HealthThis guidance and self-assessment framework is to help support Local Authorities and NHSorganisations and their partners to implement the statutory guidance Implementing Fulfilling andrewarding lives in their localities. The self-assessment is primarily for commissioners as atemplate to begin their planning to respond to the statutory guidancehttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125703

Mental health promotion and mental illness prevention: the economic case

Department of HealthThis report presents the key findings of a project on the economic case for mental healthpromotion and prevention, based on a detailed analysis of costs and benefits for fifteen differentinterventions. These included health visiting and reducing post-natal depression; school-basedinterventions to reduce bullying; early detection for psychosis; workplace screening fordepression and anxiety disorders; population-level suicide awareness training and intervention;and tackling medically unexplained symptoms.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126085

Social Care and Mental Health Indicators from the National Indicator Set - 2009-10: FinalreleaseNHS Information Centre

This National Indicator Set (NIS) underpins the performance framework for local government. TheNHS Information Centre collects information on 12 of the indicators which relate to social careand mental health services. This report relates to the period April 2009 March 2010. It replacesinformation in the provisional report which was published on 30 September 2010.http://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-release

Talking therapies: a four-year plan of actionNHS ConfederationThis Briefing summarises the main points of the Department of Healths 'Talking therapies: a fouryear plan of action' and outlines the key questions that boards should be asking.http://www.nhsconfed.org/Publications/briefings/Pages/Talking-therapies.aspx

Items in the Alcohol, Children and Young People and Prison Health sections may also beof interest.

[back to topics]

Nursing

14
http://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125703http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125703http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126085http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126085http://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.nhsconfed.org/Publications/briefings/Pages/Talking-therapies.aspxhttp://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125703http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125703http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126085http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126085http://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.ic.nhs.uk/statistics-and-data-collections/social-care/adult-social-care-information/social-care-and-mental-health-indicators-from-the-national-indicator-set--2009-10-final-releasehttp://www.nhsconfed.org/Publications/briefings/Pages/Talking-therapies.aspx


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Spirituality in nursing care: a pocket guideRoyal College of NursingThis is a guide to enable nursing staff to address questions about the spiritual part of care. In2010, the RCN commissioned a survey on spirituality. It revealed that members wanted: moreeducation and guidance about spiritual care; clarification about personal and professionalboundaries; and support in dealing with spiritual issues. This guide hopes to achieve these bydefining spiritual care, providing tips on preparing to give spiritual care and where to seek furtherinformation.http://www.rcn.org.uk/__data/assets/pdf_file/0008/372995/003887.pdf

[back to topics]

Obesity

Brief interventions for weight managementNational Obesity ObservatoryThis paper provides a guide to current best available evidence on brief interventions for weightmanagement with adults. Brief interventions are interventions focused on changing behaviour that

are limited by time often to a few minutes per session.http://www.noo.org.uk/gsf.php5?f=10181&fv=10702

National Bariatric Surgery Register reportBritish Obesity and Metabolic Surgery Society (BOMSS)The first National Bariatric Surgery Register report has been published - the first comprehensive,prospective, nationwide analysis of outcomes from bariatric surgery in the United Kingdom andIreland. It contains pooled national outcome data for bariatric and metabolic surgery in the UnitedKingdom. Eighty four surgeons and their teams working at 86 hospitals contributed data onpatients treated up to March 2010.http://www.british-obesity-surgery.org/news.htm

Strategic high impact changes: childhood obesityDepartment of HealthThis document captures the learning and evidence gathered from the Childhood Obesity NationalSupport Teams (CONST) 44 visits to local health economies across the country. It translates thislearning into what the CONST believe could make the greatest impact in addressing obesity in alocal area. Identifying four key areas for implementation, the document provides researchedexamples and references evidencing the potential impact of the suggested interventions. Itdocument is a summary of local views on good practice. The suggested approaches are notmandatory, and reflect learning from a snapshot in time.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126104

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Patient Care and SafetyLetter on driving improvement and learning from NHS complaints informationMonitor, Department of Health, CQC et al.http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=4780

Reablement: a cost-effective route to better outcomesSCIE

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http://www.rcn.org.uk/__data/assets/pdf_file/0008/372995/003887.pdfhttp://www.noo.org.uk/gsf.php5?f=10181&fv=10702http://www.british-obesity-surgery.org/news.htmhttp://www.british-obesity-surgery.org/news.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126104http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126104http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=4780http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=4780http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=4780http://www.rcn.org.uk/__data/assets/pdf_file/0008/372995/003887.pdfhttp://www.noo.org.uk/gsf.php5?f=10181&fv=10702http://www.british-obesity-surgery.org/news.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126104http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126104http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=4780http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=4780


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People using reablement welcome the emphasis on helping them gain independence and betterfunctioning, although evidence on user and carer views needs to be strengthened. Reablementimproves outcomes, particularly in terms of restoring peoples ability to perform usual activitiesand improving their perceived quality of life. From a social care perspective, there is a highprobability that reablement is cost effective. Reablement achieves cost savings through reducingor removing the need for ongoing support via traditional home care. However, there is currentlylittle evidence to suggest that it reduces health care costs.http://www.scie.org.uk/publications/briefings/briefing36/index.asp

UNISON duty of care handbook: For members working in health and social careUnisonThis handbook aims to help all health and social care staff maintain the duty of care to patients/service users, colleagues and the public, particularly when there is pressure on services. It is apractical guide to empower UNISON members to have a positive influence and be the guardiansof safe, effective and high-quality services.http://www.unison.org.uk/healthcare/dutyofcare/index.asp

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PrescribingAll Wales Audit: Towards Appropriate Non-Steroidal Anti- Inflammatory Drug (NSAID)Prescribing 2010-2012: Quality Improvement ToolkitAll Wales Medicines Strategy GroupThis document is for use by primary care general practitioners to highlight safety issuesassociated with NSAID prescribing, particularly in patients with a higher risk of side effects.http://www.wales.nhs.uk/sites3/page.cfm?orgid=371&pid=46937

Cost-effective prescribing: Better Care Better Value (BCBV) indicator on statinsDepartment of HealthThe guidance clarifies that the indicators are not intended for use as targets. It should be read inconjunction with the guidance on the GP contract for 2011/12.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125815

Good practice in prescribing and managing medicines and devices: a draft forconsultationGeneral Medical CouncilThis draft guidance is intended to replace Good practice in prescribing medicines, which waspublished in 2008. The guidance is for all doctors, whatever their specialty and wherever theywork. The consultation will interest patients, doctors, other healthcare professionals, employersand organisations that represent their interests.Consultation closing date: 27 May 2011https://gmc.e-consultation.net/econsult/consultation_Dtl.aspx?consult_Id=180

Handbook for controlled drugs accountable officers in England

National Prescribing CentreThe purpose of this handbook is to help Accountable Officers (AOs) to fulfil their role, particularlyfor those new to the post. The handbook emphasises legal requirements as well as providingrecommendations for further reading. It is intended to supplement existing guidance produced bythe Department of Health (DH) to underpin the regulations and will complement any additionalface to face training designed to support AOs.http://www.npc.nhs.uk/controlled_drugs/ao_handbook.php

Prescription Cost Analysis, England - 2010

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http://www.scie.org.uk/publications/briefings/briefing36/index.asphttp://www.unison.org.uk/healthcare/dutyofcare/index.asphttp://www.wales.nhs.uk/sites3/page.cfm?orgid=371&pid=46937http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125815http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125815https://gmc.e-consultation.net/econsult/consultation_Dtl.aspx?consult_Id=180http://www.npc.nhs.uk/controlled_drugs/ao_handbook.phphttp://www.npc.nhs.uk/controlled_drugs/ao_handbook.phphttp://www.scie.org.uk/publications/briefings/briefing36/index.asphttp://www.unison.org.uk/healthcare/dutyofcare/index.asphttp://www.wales.nhs.uk/sites3/page.cfm?orgid=371&pid=46937http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125815http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125815https://gmc.e-consultation.net/econsult/consultation_Dtl.aspx?consult_Id=180http://www.npc.nhs.uk/controlled_drugs/ao_handbook.php


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NHS Information CentrePrescription Cost Analysis (PCA) provides details of the number of items and the net ingredientcost of all prescriptions dispensed in the community in England. The drugs dispensed are listedby British National Formulary (BNF) therapeutic class.http://www.ic.nhs.uk/pubs/prescostanalysis2010

Proceed with caution: an economic perspective on the UKs value based pricing proposalsSchool of Health and Related ResearchWhilst the opportunity to purchase new medicines based on value to society is one that should bewelcomed, we should proceed with caution. We highlight ten issues that should be consideredrelating to innovation, the role and meaning of funding threshold and the adjustments to reflectburden of illness, therapeutic innovation and improvement and wider societal factors.http://www.shef.ac.uk/content/1/c6/11/94/02/HEDS%20DP%2011-04.pdf

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Prison Health

Environmental Design Guide: adult medium secure services

Department of healthThe guidance describes overarching principles for the design of adult medium secure inpatientservices and sets out the security requirements for these services.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126178

Good Practice Procedure Guide: The transfer and remission of adult prisoners under s47and s48 of the Mental Health ActDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125767

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Public Health

Implementing NICE public health guidance for the workplace: a national organisationalaudit of NHS trusts in EnglandRoyal College of PhysiciansThe audit questions reflect evidence-based guidance from NICE covering:

Managing long-term sickness absence and incapacity for work (PH19)

Promoting physical activity in the workplace (PH13)

Promoting mental wellbeing through productive and healthy working conditions (PH22)

Workplace interventions to promote smoking cessation (PH5)

Obesity (CG43)

Promoting and creating environments that encourage and support physical activity (PH8).The national results form a baseline relevant to both trusts that participated in the audit and thosethat were unable to.http://www.rcplondon.ac.uk/resources/nice-public-health-guidance-workplace-organisational-audit

The public health national support teams 2006-11Department of HealthThis workbook was developed by the National Support Teams with 70 local authorities inEngland. Local areas could use this approach when analysing whether a population level

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http://www.ic.nhs.uk/pubs/prescostanalysis2010http://www.shef.ac.uk/content/1/c6/11/94/02/HEDS%20DP%2011-04.pdfhttp://www.shef.ac.uk/content/1/c6/11/94/02/HEDS%20DP%2011-04.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126178http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126178http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125767http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125767http://www.rcplondon.ac.uk/resources/nice-public-health-guidance-workplace-organisational-audithttp://www.ic.nhs.uk/pubs/prescostanalysis2010http://www.shef.ac.uk/content/1/c6/11/94/02/HEDS%20DP%2011-04.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126178http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126178http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125767http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125767http://www.rcplondon.ac.uk/resources/nice-public-health-guidance-workplace-organisational-audit


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improvement could be achieved from a set of best-practice and established interventions. This isoffered as a useful resource for commissioners; use is NOT mandatory.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125789

Items in the Mental Health section may also be of interest.

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Safeguarding Vulnerable Adults

Speaking up for vulnerable adults: what the whistleblowers sayPublic Concern at WorkWe are calling for proactive promotion of best practice in whistleblowing arrangements and thesupport available for whistleblowers. This includes training and guidance for managers on how tohandle concerns, employers providing feedback when responding to concerns, a greaterawareness of rights, zero tolerance of whistleblower victimisation, and clearer guidance abouthow and when to approach relevant authorities.http://www.pcaw.co.uk/news_attachments/Speaking%20up%20for%20vulnerable%20adults,

%20what%20the%20whistleblowers%20say,%20PCAWApril2011.pdf

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Service Management

Budget 2011 - reaction and briefing for membersNHS ConfederationThis briefing sets out the main points in the budget for the NHS.http://www.nhsconfed.org/OurWork/latestnews/Pages/Budget-2011.aspx

Equity and excellence: Liberating the NHS - managing the transitionDepartment of Health

This guidance outlines the process of aligning PCT employees during the transition to support thedevelopment of emerging GP consortia and associated commissioning support functions. Q&A iscurrently being developed to support employers and staff to understand better the Assignment forTransition guidance. This will be made available on the Social Partnership Forum website.http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124440NB Transition documents are at the bottom of the page.How is the NHS performing? Quarterly monitoring reportKings FundThis monitoring report is the first of a regular quarterly review, which will combine publiclyavailable data on selected NHS performance measures with views from a panel of financedirectors on the key issues their organisations are facing.http://www.kingsfund.org.uk/publications/quarterly_monitoring.html

Lessons from PFI and other projectsNational Audit OfficeThe report concludes that lessons from the large body of experience of using PFI can be appliedto improve other forms of procurement and help Government achieve its aim of securing annualinfrastructure delivery cost savings of 2 billion to 3 billion. Government should also do more toact as an intelligent customer in the procurement and management of projects.http://www.nao.org.uk/publications/1012/lessons_from_pfi.aspx

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125789http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125789http://www.pcaw.co.uk/news_attachments/Speaking%20up%20for%20vulnerable%20adults,%20what%20the%20whistleblowers%20say,%20PCAWApril2011.pdfhttp://www.pcaw.co.uk/news_attachments/Speaking%20up%20for%20vulnerable%20adults,%20what%20the%20whistleblowers%20say,%20PCAWApril2011.pdfhttp://www.pcaw.co.uk/news_attachments/Speaking%20up%20for%20vulnerable%20adults,%20what%20the%20whistleblowers%20say,%20PCAWApril2011.pdfhttp://www.nhsconfed.org/OurWork/latestnews/Pages/Budget-2011.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124440http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124440http://www.kingsfund.org.uk/publications/quarterly_monitoring.htmlhttp://www.nao.org.uk/publications/1012/lessons_from_pfi.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125789http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125789http://www.pcaw.co.uk/news_attachments/Speaking%20up%20for%20vulnerable%20adults,%20what%20the%20whistleblowers%20say,%20PCAWApril2011.pdfhttp://www.pcaw.co.uk/news_attachments/Speaking%20up%20for%20vulnerable%20adults,%20what%20the%20whistleblowers%20say,%20PCAWApril2011.pdfhttp://www.nhsconfed.org/OurWork/latestnews/Pages/Budget-2011.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124440http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124440http://www.kingsfund.org.uk/publications/quarterly_monitoring.htmlhttp://www.nao.org.uk/publications/1012/lessons_from_pfi.aspx


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Measurement for Quality and Cost Case StudiesNHS Institute for Innovation and ImprovementOne-page summaries of a number of Quality and Cost case studies from across England.http://www.institute.nhs.uk/cost_and_quality/qipp/measurement_for_quality_and_cost_case_studies.html

More for less 2009/10: are efficiency and productivity improving in the NHS?Audit CommissionThe Audit Commission has produced a number of reports, analyses and updates, as part of theMore for Less series, looking at how NHS money has been spent, whether primary care trustshave been successful in keeping more patients out of hospital, and whether hospitals havebecome more efficient.http://www.audit-commission.gov.uk/health/trustpractice/reports/Pages/default_copy.aspx

Public Service Output, Inputs and Productivity: HealthcareOffice for National StatisticsThis article updates estimates of changes in UK publicly funded healthcare output, inputs andproductivity that were last published in Total Public Service Output and Productivity in July 2010and gives the first estimate for 2009.http://www.statistics.gov.uk/cci/article.asp?ID=2666

Items in the Children and Young People, Commissioning and Safeguarding VulnerableAdults sections may also be of interest.

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Sexual Health

Progestin-only contraceptives: effects on weightLopez, L et al.The authors found little evidence of weight gain when using progestin-only contraceptives. Meangain was less than 2 kg for most studies up to 12 months, and usually similar for the comparisongroup using another contraceptive. Appropriate counselling about typical weight gain may helpreduce discontinuation of contraceptives due to perceptions of weight gain.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD008815/frame.html

Response to sexual violence Needs Assessments (RSVNA) toolkit: informing thecommissioning and development of co-ordinated specialist services for victims of sexualviolenceDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668

Views of contraceptive service delivery to young people in the UK: a systematic reviewand thematic synthesisBaxter, S et al.

This review suggests that the most significant concern for young people is the preservation ofanonymity and confidentiality. The fear of staff being critical or unfriendly also presents aconsiderable obstacle to some young people. Issues of service accessibility are also highlighted.The review suggests that varying preferences among young people with regard to which serviceto access requires choice to be preserved and, where possible, extended. This requires servicesto work effectively together to consider provision across a locality.J Fam Plann Reprod Health Care 2011;37 (2) p.71-84 doi:10.1136/jfprhc.2010.0014

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http://www.institute.nhs.uk/cost_and_quality/qipp/measurement_for_quality_and_cost_case_studies.htmlhttp://www.institute.nhs.uk/cost_and_quality/qipp/measurement_for_quality_and_cost_case_studies.htmlhttp://www.audit-commission.gov.uk/health/trustpractice/reports/Pages/default_copy.aspxhttp://www.statistics.gov.uk/cci/article.asp?ID=2666http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD008815/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD008815/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://jfprhc.bmj.com/content/37/2/71.abstracthttp://www.institute.nhs.uk/cost_and_quality/qipp/measurement_for_quality_and_cost_case_studies.htmlhttp://www.institute.nhs.uk/cost_and_quality/qipp/measurement_for_quality_and_cost_case_studies.htmlhttp://www.audit-commission.gov.uk/health/trustpractice/reports/Pages/default_copy.aspxhttp://www.statistics.gov.uk/cci/article.asp?ID=2666http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD008815/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://jfprhc.bmj.com/content/37/2/71.abstract


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SmokingCompetitions and incentives for smoking cessationCahill, K et al.The authors concluded that smokers may quit while they take part in a competition or receiverewards for quitting, but generally do no better than unassisted quitters once the rewards stop.

Competitions and rewards may attract more people to make a quit attempt than might otherwisedo so, but cessation rates remain broadly the same as for non-contestants.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004307/frame.html

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Vaccination and Immunisation

ImmForm websiteDepartment of HealthThe ImmForm website is the system used by the Department of Health, the National HealthService and the Health Protection Agency to record data in relation to uptake againstimmunisation programmes, incidence of flu-like illness and provide vaccine ordering facilities for

the NHS. Further information and helpsheets are available at:http://www.dh.gov.uk/en/Publichealth/Immunisation/Immform/index.htm[back to topics]

Waste Management

Freedom of Information report on waste managementRoyal College of NursingThis report gives the results of the survey on waste management in the NHS. It calls for more of afocus on efficiently managing waste and makes recommendations for improvement.http://www.rcn.org.uk/__data/assets/pdf_file/0005/372308/004108.pdf

Hospital Inpatient Waste Identification ToolInstitute for Healthcare ImprovementThe Waste Identification Tool provides a systematic method for hospital frontline clinical staff,members of the financial team, and leaders to identify clinical and operational waste andsubsequently prioritize and implement waste reduction initiatives that will result in cost savings forthe organization. Guidance for customizing the tool is included in the paper.http://www.ihi.org/IHI/Results/WhitePapers/HospitalInpatientWasteIDToolWhitePaper.htm(Registration with the site required. Registration is free.)

Safe management of healthcare wasteDepartment of HealthThis guidance manual updates the 2006 Health Technical Memorandum (HTM) 07-01. It hasbeen produced as a best practice guide to the management of healthcare waste. The key

changes include: an update to statutory requirements; a focus on the waste hierarchy throughprocurement practices; a drive to address the carbon impact related to waste; the integration ofnew sector guides on GPs, dental practices, and community pharmacies; an emphasis onpractical advice through case study examples (in particular on offensive waste streams) and stafftraining material; and a review of terminology used for healthcare, clinical and non-clinical wastes.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126345

[back to topics]

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http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004307/frame.htmlhttp://www.dh.gov.uk/en/Publichealth/Immunisation/Immform/index.htmhttp://www.rcn.org.uk/__data/assets/pdf_file/0005/372308/004108.pdfhttp://www.ihi.org/IHI/Results/WhitePapers/HospitalInpatientWasteIDToolWhitePaper.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126345http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126345http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004307/frame.htmlhttp://www.dh.gov.uk/en/Publichealth/Immunisation/Immform/index.htmhttp://www.rcn.org.uk/__data/assets/pdf_file/0005/372308/004108.pdfhttp://www.ihi.org/IHI/Results/WhitePapers/HospitalInpatientWasteIDToolWhitePaper.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126345http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126345


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Womens Health

Items in the Cancer and Sexual Health sections may be of interest.

[back to topics]

Workforce

GMP Framework for appraisal and revalidationGeneral Medical CouncilThe Good Medical Practice Frameworksets out the broad areas which should be covered inmedical appraisal and on which recommendations to revalidate doctors will be based. TheFramework is based on Good Medical Practice, the GMCs core ethical guidance for doctors,which sets out the principles and values on which good practice is founded. The Framework willform the basis of a standard approach for all appraisals, in which licensed doctors must take partin order to revalidate.http://www.gmc-uk.org/doctors/revalidation/revalidation_gmp_framework.asp

Health visiting return to practice and recruitment drive

Department of HealthThese documents outline the governments Health Visitor Implementation Plan recruitment offer,and provide answers to frequently asked questions for NHS employers.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125598

National Allied Health Professional Leadership Challenge ToolkitDepartment of HealthThe national Allied Health Professional (AHP) Leadership challenge programme provided clinicalleadership development to nearly 1000 AHPs in bands 5-9. This toolkit takes the learning fromthat programme providing the information and tools to develop leadership challenges to sit anyorganisations needs.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D

H_125817

NHS Workforce: Summary of staff in the NHS: Results from September 2010 CensusNHS Information CentreThis publication covers hospital, community, general and personal medical services. This year'sworkforce census shows an increase in almost all staff categories but a decrease in numbers formanagers and senior managers and for bank nursing staff.http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-numbers

Nursing pre-registration education presentationsNHS EmployersThese two presentations are designed to help employers communicate the changes to pre-registration nursing education.

http://www.nhsemployers.org/PlanningYourWorkforce/Nursing/toolsandresources/Pages/NursingPreRegistrationEducationPresentations.aspx

Positive action provisionsNHS EmployersThis page includes information about the positive action provisions in relation to the Equality Act2010.http://www.nhsemployers.org/EmploymentPolicyAndPractice/EqualityAndDiversity/EqualityAct/Pages/Postiveactionprovisions.aspx

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http://www.gmc-uk.org/doctors/revalidation/revalidation_gmp_framework.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125598http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125598http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125817http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125817http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125817http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-numbershttp://www.nhsemployers.org/PlanningYourWorkforce/Nursing/toolsandresources/Pages/NursingPreRegistrationEducationPresentations.aspxhttp://www.nhsemployers.org/PlanningYourWorkforce/Nursing/toolsandresources/Pages/NursingPreRegistrationEducationPresentations.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/EqualityAndDiversity/EqualityAct/Pages/Postiveactionprovisions.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/EqualityAndDiversity/EqualityAct/Pages/Postiveactionprovisions.aspxhttp://www.gmc-uk.org/doctors/revalidation/revalidation_gmp_framework.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125598http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125598http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125817http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125817http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-numbershttp://www.nhsemployers.org/PlanningYourWorkforce/Nursing/toolsandresources/Pages/NursingPreRegistrationEducationPresentations.aspxhttp://www.nhsemployers.org/PlanningYourWorkforce/Nursing/toolsandresources/Pages/NursingPreRegistrationEducationPresentations.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/EqualityAndDiversity/EqualityAct/Pages/Postiveactionprovisions.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/EqualityAndDiversity/EqualityAct/Pages/Postiveactionprovisions.aspx


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Responsible Officers (ROs)NHS EmployersThis page includes information on the Responsible Officer role, including legislation andguidance, RO training and duties and responsibilities.http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/MedicalRevalidation/Pages/ResponsibleOfficers.aspx

Twenty centres to put health visitors at the heart of the communityDepartment of HealthTwenty health visiting sites across the country, including NHS Stoke-on-Trent, have beenselected to lead the way in fast tracking the delivery of the Governments vision to improve thehealth and well being of children, families and communities.http://www.dh.gov.uk/en/MediaCentre/Pressreleases/DH_125655

Items