clinical effectiveness bulletin no. 73 february 2013

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NHS Library and Information Service North Staffordshire 1 Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire Issue No: 73 February 2013 About this Bulletin: It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Where possible, links to the full text documents are included. If the article is in a journal, NHS and Public Health staff in Stoke and North Staffordshire 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 NHS Outreach Librarians, details below. The bulletin can be e-mailed to colleagues who may also find it useful. A list of websites checked in the production of this bulletin is on the 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 Librarians  Tel: 01782 679564 or 0300 123 1535 ext/FeatureNet 8429) E-mail: [email protected] [email protected]  North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: [email protected]  

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Page 1: Clinical Effectiveness Bulletin no. 73 February 2013

7/29/2019 Clinical Effectiveness Bulletin no. 73 February 2013

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NHS Library and Information Service North Staffordshire

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Clinical Effectiveness Bulletin 

for NHS Primary Care in North

StaffordshireIssue No: 73 – February 2013

About this Bulletin:

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

Where possible, links to the full text documents are included. If the article is in a journal, NHSand Public Health staff in Stoke and North Staffordshire can contact the Health Library for acopy.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 NHS OutreachLibrarians, details below.

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

A list of websites checked in the production of this bulletin is on the first page. Please suggestfurther useful sites.

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

Contact information

Bulletin produced by NHS Outreach Librarians 

Tel: 01782 679564 or 0300 123 1535 ext/FeatureNet 8429)

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

North Staffs Health Library

Tel: 01782 679500Fax: 01782 679582

E-mail: [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

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

Health Technology Assessment (HTA) Database http://www.hta.ac.uk Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/  Department of Health http://www.dh.gov.uk/en/index.htm King’s Fund http://www.kingsfund.org.uk/ NeLM (National Electronic Library for Medicines) news bulletin http://www.nelm.nhs.uk/en/ NICE http://www.nice.org.uk/

SIGN http://www.sign.ac.uk/new.html 

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Contents in this issue: 

 Asthma ...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Cardiovascular Diseases .......................................................................................................... 4 Children and Young People ...................................................................................................... 5Commissioning ......................................................................................................................... 5Dementia .................................................................................................................................. 6Dental Health ............................................................................................................................ 6End of Life Care ........................................................................................................................ 6Eye Health ................................................................................................................................ 6General Practice ....................................................................................................................... 6Guidance .................................................................................................................................. 6Health Reforms ......................................................................................................................... 8Health Visitors ........................................................................................................................... 8HIV ............................................................................................................................................ 9 Infection Control ........................................................................................................................ 9 Kidney Disease ......................................................................................................................... 9 Liver Disease ............................................................................................................................ 9 Maternal Health ...................................................................................................................... 10 Mental Health .......................................................................................................................... 10 Nursing ................................................................................................................................... 10 Obesity .................................................................................................................................... 10 Offender Health ...................................................................................................................... 10 Pain......................................................................................................................................... 10 Patient Care and Safety .......................................................................................................... 11 Pharmacy and Prescribing ...................................................................................................... 11 Physical Activity ...................................................................................................................... 12 Public Health ........................................................................................................................... 12 Safeguarding Children and Vulnerable Adults ........................................................................ 13 Screening ................................................................................................................................ 14 Service Management .............................................................................................................. 14 Sexual Health ......................................................................................................................... 15 Social Care ............................................................................................................................. 15 Substance Misuse .................................................................................................................. 16 Tobacco .................................................................................................................................. 16 Vaccination and Immunisation ................................................................................................ 16 Workforce ............................................................................................................................... 17 

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Asthma

Nurse versus physician-led care for the management of asthmaKuethe, MC et al.This Cochrane review assessed differences in the number of asthma exacerbations, asthma

severity, costs, and quality of life, between patients receiving nurse or doctor led care.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009296.pub2/abstract  

Vaccines for preventing influenza in people with asthmaCates, CJ et al.This Cochrane review assesses the benefits and risks of flu vaccines for people with asthma.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000364.pub4/abstract  

[back to topics] 

Cancer 

Facing the fight alone: Isolation among cancer patientsMacmillan Cancer SupportThis report looks at the support networks available to patients, including by age, gender andgeographic region. It considers the impact social isolation has on cancer patients, and their ability to look after themselves and manage their condition.http://www.macmillan.org.uk/Aboutus/OurNotAlonecampaign/Ournotalonecampaign.aspx  

Items in the Screening section may be of interest.

[back to topics] 

Cardiovascular Diseases

Cardiovascular Disease ProfilesSouth East Public Health ObservatoryThese profiles provide a snapshot of key issues relating to heart disease and stroke, includingprevention, incidence, and mortality. They have been designed to help health and well-beingboards and local health services to assess the impact of these elements of cardiovascular disease on their local populations and the services provided to meet those needs.http://www.sepho.org.uk/CVDprofiles.aspx  

Deaths from cardiovascular diseases: Implications for end of life care in England

National End of Life Care Intelligence NetworkThis report describes the patterns in mortality from cardiovascular diseases in England,highlighting variation in place and cause of death by age, sex, socioeconomic deprivation anddisease group.http://www.endoflifecare-intelligence.org.uk/resources/publications/deaths_from_cardiovascular_diseases.aspx  

[back to topics] 

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Children and Young People

Better health outcomes for children and young peopleDepartment of HealthThe pledge is part of the government’s response to the Children and Young People’s Health

Outcomes Forum. It outlines ambitions for different aspects of services for children and youngpeople, including providing high quality, evidence based, integrated services, and includingchildren and young people in decision making.http://www.dh.gov.uk/health/2013/02/national-pledge-cyp/  

Changes in children’s BMI between 2006/07 and 2011/12National Obesity ObservatoryPrevalence of obesity and mean BMI (adjusted for age) have been used to summarise theBMI of the child population by school year and sex. Analysis has also been conducted toexamine changes by level of socioeconomic deprivation, by ethnic group, and across the BMIdistribution.http://www.noo.org.uk/NCMP/National_report  

Family Nurse workforce: A study for the FNP national unit; study into the local costs of the FNP programme in EnglandDepartment of HealthThese two reports look at the Family Nurse workforce, including career plans, recruitment andretention, and the cost of the Family Nurse Partnership programme.http://www.dh.gov.uk/health/2013/02/evaluation-fnp/  

[back to topics] 

Commissioning 

2013/14 NHS Standard ContractNHS Commissioning BoardThe contract is for use by commissioners when commissioning healthcare services (other than those commissioned under primary care contracts) and is adaptable for use for a broadrange of services and delivery models.http://www.commissioningboard.nhs.uk/nhs-standard-contract/  

Securing the best value for patients: consultation response documentDepartment of HealthThis document outlines the approach taken by the government in the regulations onprocurement, patient choice and competition.http://www.dh.gov.uk/health/2013/02/consultation-responses-commissioners/  The regulations are available at http://www.dh.gov.uk/health/2013/02/ppcc-regulations-2013/  Primary Care Commissioning has produced a summary of the regulations available athttp://www.pcc-cic.org.uk/article/procurement-choice-and-competition-regulations-0  

Items in the Dental Health, Eye Health and Sexual Health sections may be of interest.

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Dementia

Items in the Offender Health section may be of interest.

Dental Health

Securing Excellence in Commissioning NHS Dental ServicesNHS Commissioning BoardThis new national single operating model takes a care pathway approach to dental services.http://www.commissioningboard.nhs.uk/2013/02/13/dental/  

[back to topics] 

End of Life Care

Items in the Cardiovascular Diseases section may be of interest.

Eye Health

Better data, better care: ophthalmic public health data reportCollege of OptometristsThis report has been compiled through a process of research and engagement within theophthalmic public health sector. It looks at how IT systems and data can be used to improveunderstanding of the quality of optometry services.http://www.college-optometrists.org/en/utilities/document-summary.cfm?docid=BEA30498-BFEC-4CEF-8F2DBD6985E0617E 

Commissioning better eye care: Clinical commissioning guidance - glaucoma

College of Optometrists, and Royal College of OphthalmologistsThis resource aims to help those designing and commissioning eye care improve the value of their services.http://www.rcophth.ac.uk/page.asp?section=631&sectionTitle=Commissioning+and+Value+for+Money+in+Ophthalmology 

[back to topics] 

General Practice 

Items in the Substance Misuse section may be of interest.

[back to topics] 

Guidance

NICE GuidanceFertility: assessment and treatment for people with fertility problemsCG156http://guidance.nice.org.uk/CG156 

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NICE Technology AssessmentsMacular oedema (diabetic) - ranibizumabTA274http://guidance.nice.org.uk/TA274 

Stroke and systemic embolism (prevention, non-valvular atrial fibrillation) - apixaban

TA275http://guidance.nice.org.uk/TA275 

NICE Quality StandardsAsthmaQS25http://guidance.nice.org.uk/QS25 

The epilepsies in adultsQS26http://guidance.nice.org.uk/QS26 

The epilepsies in children and young peopleQS27http://guidance.nice.org.uk/QS27 

[back to topics] 

NICE Consultation DocumentsUrinary incontinence (update): guideline consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.

Closing date for comments: 26 Marchhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=62657  

Varicose veins: guideline consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.Closing date for comments: 26 Marchhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=62742  

Attention deficit hyperactivity disorder: quality standard consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation that

most closely represents your interests.Closing date for comments: 21 Marchhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=62824  

Psoriasis: quality standard consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.Closing date for comments: 26 Marchhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=62880  

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Familial hypercholesterolaemia: quality standard consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.Closing date for comments: 28 Marchhttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=62916  

[back to topics] 

Other GuidanceGuidance for the Investigation Committee and case examiners when consideringallegations about a doctor's involvement in encouraging or assisting suicideGMChttp://www.gmc-uk.org/Guidance_for_FTP_decision_makers_on_assisting_suicide.pdf_51024815.pdf 

When a patient seeks advice or information about assistance to dieGMC

http://www.gmc-uk.org/When_a_patient_seeks_advice_or_information_about_assistance_to_die.pdf_51001356.pdf  

Health Reforms

Introducing Health Education England: Our Strategic IntentHealth Education EnglandThis document sets out the purpose of HEE and the role it will play in leading education,training and development across the system to deliver improvements in the quality of care for patients. It also includes high level guidance for workforce planners.

http://hee.nhs.uk/2013/01/31/our-strategic-intent/  

Local Authorities: Health and Wellbeing Boards and Health Scrutiny RegulationsDepartment of HealthThe publication of these regulations provide a step forward in enabling local authorities tofinalise local preparations for health and wellbeing boards and health scrutiny arrangements.http://healthandcare.dh.gov.uk/hwbs-health-scrutiny-regulations-2013/  

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

[back to topics] 

Health Visitors

Why Health Visiting? A review of the literature about key health visitor interventions,processes and outcomes for children and families.King’s College London. National Nursing Research Unit This literature review is based on a broad search of the literature on health visiting, and wascommissioned to support the Health Visitor Implementation Plan 2011-2015.http://www.kcl.ac.uk/nursing/research/nnru/publications/Reports/Why-Health-Visiting-NNRU-report-12-02-2013.pdf  

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HIV

HIV outpatient pathway updated guidanceDepartment of HealthThis guidance supports the implementation of the mandatory adult HIV outpatient andPayment by Results currency.http://www.dh.gov.uk/health/2013/02/hiv-pbr-update/  

Infection Control

Gonoccocal resistance to antimicrobials surveillance programme (GRASP) action planfor England and Wales: informing the Public Health ResponseHPAThe GRASP Action plan aims to raise awareness and provide advice on the internationalproblem of antimicrobial resistant gonorrhoea.http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1317137983229  

[back to topics] 

Kidney Disease

Antiplatelet agents for chronic kidney diseasePalmer, SC et al.This Cochrane review assessed the impact of antiplatelet agents on a number of outcomes,including cardiovascular and all cause mortality, stroke, and bleeding.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008834.pub2/abstract

Kidney Disease CCG Profiles

NHS Kidney CareThe profiles are intended to help CCGs and other stakeholders, such as GPs and serviceproviders, assess local kidney care need and current service levels in order to informplanning. http://www.kidneycare.nhs.uk/our_work_programmes/preventing_ill_health/kidney_disease_ccg_profiles/west_midlands/

Liver Disease

Caring for people with liver disease: a competence framework for nursingRCN

This framework describes the knowledge, skills and attitudes that are required to deliver patient centred liver care. The work has been supported by a range of key stakeholders.http://www.rcn.org.uk/__data/assets/pdf_file/0017/503540/004_376.pdf  

[back to topics] 

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Maternal Health

Psychosocial and psychological interventions for preventing postpartum depressionDennis, C et al.This Cochrane review compares a number of different interventions, including those deliveredby health professionals and lay people, group and individual interventions, and interventionsfor at-risk patient groups r all patients.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001134.pub3/abstract

[back to topics] 

Mental Health

Items in the Maternal Health section may be of interest.

Nursing

Items in the Children and Young People and Liver Disease sections may be of interest.

Obesity

Items in the Children and Young People and Public Health sections may be of interest.

Offender Health

Losing track of time: Dementia and the ageing prison population: treatment challengesand examples of good practiceMental Health Foundation

This report aims to scope existing research on treating and managing male offenders withcognitive impairment to identify and share examples of good practice employed by prisonsaround the globe.http://www.mentalhealth.org.uk/publications/losing-track-of-time/  

[back to topics] 

Pain 

Topical capsaicin (high concentration) for chronic neuropathic pain in adultsDerry, S et al.This Cochrane review assesses the benefits of topical capsaicin, and the circumstances inwhich it should not be used.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007393.pub3/abstract  

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Patient Care and Safety 

Final Report: The Mid Staffordshire NHS Foundation Trust Public InquiryFrancis, RThe final report is now available. It outlines the causes of the failings at Stafford Hospital, in

both the Mid Staffordshire NHS Foundation Trust and in regulatory bodies. It makesrecommendations for improvement.http://www.midstaffspublicinquiry.com/report  Related documents:Department of Health response: http://www.dh.gov.uk/health/2013/02/dh-responds-midstaffs/  GMC response: http://www.gmc-uk.org/news/14380.asp  RCN response:http://www.rcn.org.uk/newsevents/news/article/uk/rcn_responds_to_francis_inquiry  NHS Confederation report Making it better? Assuring high-quality care in the NHShttp://www.nhsconfed.org/Publications/discussion-paper/Pages/making-it-better.aspx  Centre for Workforce Intelligence Workforce planning implications and learning pointsfrom Francis 2013http://www.cfwi.org.uk/workforce-planning-news-and-review/publications/workforce-planning-implications-and-learning-points-from-francis-2013/  NHS Employers The Francis Report: using your staff survey datahttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/StaffEngagementLatestNews/Pages/TheFrancisReport-usingyourstaffsurveydata.aspx 

The NHS Friends and Family Test Publication GuidanceDepartment of HealthThis guidance details how the National Friends and Family Test results and data will bepublished to the public and NHS.http://www.dh.gov.uk/health/2013/02/nhs-fft-guidance/  

State of Care report 2011/12Care Quality CommissionThis report looks at the shape of care services in England and the quality of care that theyprovide to people.http://www.cqc.org.uk/public/reports-surveys-and-reviews/reports/state-care-report-2011/12  

[back to topics] 

Pharmacy and Prescribing 

The Controlled Drugs (Supervision of Management and Use) Regulations 2013Information about the RegulationsDepartment of HealthThis document provides additional information about the changes made to the Regulationswhich come into effect on 1st April 2013 and which continue to promote good governanceconcerning the safe management and use of Controlled Drugs (CDs) in England andScotland.http://www.dh.gov.uk/health/2013/02/cd-regulations/  

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Good practice in prescribing and managing medicines and devicesGMCThis guidance gives detailed information on good practice in prescribing. It also considersspecific circumstances, including remote prescribing and sports medicine.http://www.gmc-uk.org/guidance/ethical_guidance/14316.asp  

Key therapeutic topics: Medicines management options for local implementationNICEThis document summarises the evidence-base on topics identified to support the QIPPmedicines use and procurement work stream, but is not formal NICE guidance.http://www.nice.org.uk/mpc/keytherapeutictopics/KeyTherapeuticTopics.jsp  

Items in the Infection Control section may be of interest.

[back to topics] 

Physical Activity

NHS Sport and Health: a winning teamNHS ConfederationThis briefing outlines how the NHS can work in partnership with local sporting bodies to reachgreater numbers of people and promote sport as a way to improve people’s health.  http://www.nhsconfed.org/Publications/briefings/Pages/sport-and-health.aspx  

Items in the Public Health section may be of interest.

[back to topics] 

Public Health 

2011 Census, Key Statistics and Quick Statistics for health areas and post codesectors in England and WalesOffice for National StatisticsThe statistics in this release are a new presentation of the data published on 30 January2013. They provide new best fit aggregations of these statistics for health administrationareas and postcode sectors in England and Waleshttp://www.ons.gov.uk/ons/rel/census/2011-census/key-statistics-and-quick-statistics-for-health-areas-and-post-code-sectors-in-england-and-wales/index.html  

Guidance for local authority charging on public health activity

Department of HealthThis guidance contains information on what health improvement activity local authorities cancharge for and what services must be free at the point of use, just as they were whenprovided by the NHS.http://www.dh.gov.uk/health/2013/02/la-ph-charging/  

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Public Health England People Transition Policy: FAQs for Module 2Department of HealthThis document looks at terms and conditions for staff on transfer into Public Health England,and for staff joining after 1 April 2013.http://healthandcare.dh.gov.uk/phe-faqs-mod2  

Public Health England’s organisational structure and National Executive Department of Healthhttp://healthandcare.dh.gov.uk/phe-organisational-structure  

Public Health Outcomes Framework Data ToolPublic Health EnglandNew data for baselines and trends is now available for some indicators.http://www.phoutcomes.info/  

Public health services non mandatory contracts and guidanceDepartment of Health

This contract is designed for use by local authorities in commissioning services to meet their new public health functions. It is adaptable for use for a broad range of public health servicesand delivery models.http://www.dh.gov.uk/health/2013/01/phs-contract/  

Statistics on Obesity, Physical Activity and Diet: England, 2013NHS Information Centre for Health and Social Carehttp://www.ic.nhs.uk/catalogue/PUB10364  

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

[back to topics] 

Safeguarding Children and Vulnerable Adults

Information Sharing to tackle violence: Audit of progress on delivering the CoalitionCommitment 2012Centre for Public InnovationThis audit looks at whether A&E departments are sharing information with Community SafetyPartnerships to help reduce violence in their local areas.http://www.publicinnovation.org.uk/wp-content/uploads/2013/01/AE-Data-Sharing-Audit-2012.pdf 

[back to topics] 

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Screening

Personalised risk communication for informed decision making about taking screeningtestsEdwards, AGK et al.This review looked at the impact of personalised risk communication, compared to standardinformation, on decision making. The evidence relates mainly to breast and colorectal cancer.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001865.pub3/abstract

[back to topics] 

Service Management

15 Steps ChallengeNHS InstituteThese toolkits have been co-produced with patients, carers, relatives, volunteers, staff, andsenior leaders, to look at care in a variety of settings through the eyes of patients and service

users, to help capture what good quality care looks, sounds and feels like.15 Steps Challenge for clinic and outpatient settingshttp://www.institute.nhs.uk/option,com_joomcart/main_page,document_product_info/products

 _id,945/cPath,106.html 15 Steps Challenge for community settingshttp://www.institute.nhs.uk/option,com_joomcart/Itemid,194/main_page,document_product_inf o/cPath,83/products_id,941.html  

Approved Costing GuidanceMonitor This guide sets out costing principles, costing standards, and guidance for both reference

costs and Patient-Level Information and Costing Systems collections for 2012-13.http://www.monitor-nhsft.gov.uk/costingguidance  

Confirmation of Payment by Results arrangements for 2013-14Department of Healthhttp://www.dh.gov.uk/health/2013/02/2013-14-pbr/  

How is the health and social care system performing? February 2013 Quarterlymonitoring reportKing’s Fund This is the seventh quarterly monitoring report produced by the King’s Fund.

http://www.kingsfund.org.uk/publications/how-health-and-social-care-system-performing-february-2013 

The new NHS provider licenceMonitor This licence is the new main tool with which Monitor will regulate providers of NHS services.http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/monitors-new-role/the-new-nhs-provider-licence  

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Reference costs guidance for 2012-13Department of HealthThis final guidance sets out requirements for the collection of 2012-13 reference costs fromNHS trusts and NHS foundation trusts between 24 June and 26 July 2013.http://www.dh.gov.uk/health/2013/02/ref-costs-guidance/  

Sustainable Development Strategy for the Health and Care System 2014 - 2020:ConsultationNHS Sustainable Development UnitThe new strategy embraces the whole health, public health and social care system. It willdefine where we need to be on the path to sustainable health care by 2020 and the measuresand targets against which progress will be measured.Closing date for comments: 31

stMay 2013

http://www.sdu.nhs.uk/sustainable-health/engagement-resources.aspx  

Items in the Commissioning and Workforce sections may also be of interest.

[back to topics] 

Sexual Health

Sexual health commissioning FAQsLocal Government AssociationThese FAQs address a number of transitional issues relating to the transfer of responsibilityfor commissioning sexual health services to local government.http://www.local.gov.uk/web/guest/publications/-/journal_content/56/10171/3880628/PUBLICATION-TEMPLATE  

[back to topics] 

Social Care

Not just a number: Home care inspection programme national overviewCare Quality CommissionThe review looked at whether people receiving care at home are treated with dignity andrespect, and whether they have a choice about the care they receive and benefit fromeffective systems to keep them safe.http://www.cqc.org.uk/public/news/issues-affecting-delivery-good-home-care-services  

Policy statement on care and support funding reform and legislative requirementsDepartment of HealthThese measures are based on the Dilnot recommendations.http://www.dh.gov.uk/health/2013/02/funding-socialcare/  

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Topics for new NICE quality standards and guidance to improve the quality of socialcareDepartment of HealthThis consultation seeks views on topics for NICE quality standards and guidance to helpimprove the quality of social care and the interface with health services.Closing date for comments: 26 April

http://consultations.dh.gov.uk/quality-and-safety/nice-future-quality-standards-2  

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Substance Misuse

Primary care drug and alcohol treatment: commissioning and provision against abackdrop of localismRCGPThis paper considers the future impact of the changing commissioning environment onprimary care drug and alcohol treatment, and the specific challenges and opportunities for 

primary care.http://www.rcgp.org.uk/policy/rcgp-policy-areas/substance-misuse-recovery.aspx  

Using TOP to enhance keyworking and improve outcomesNational Treatment Agency for Substance MisuseThe Treatment Outcomes Profile (TOP) measures change and progress in key areas of thelives of people being treated in drug and alcohol services. TOP consists of 20 simplequestions focusing on the areas that can make a real difference to clients' lives - substanceuse, injecting risk behaviour, crime and health and quality of life.http://www.nta.nhs.uk/uploads/clinicalutilitytoollayout.v1.2.pdf  

 Additional information about the Treatment Outcomes Profile is available at

http://www.nta.nhs.uk/news-2013-TOP.aspx  

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Tobacco

Local Tobacco Control Profiles for EnglandPublic Health EnglandThe profiles have been updated with new data.http://www.tobaccoprofiles.info/  

Efficacy of cytisine in helping smokers quit: systematic review and meta-analysisHajek, P et al.This review is based on 8 trials. It looks at the effectiveness and side-effects of cytosine, andmakes recommendations on licensing it for use in the UK.Thorax doi:10.1136/thoraxjnl-2012-203035 

Vaccination and Immunisation

Items in the Asthma section may also be of interest.

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Workforce 

Big picture challenges for health and social care: Implications for workforce planning,education, training and developmentCentre for Workforce Intelligence

This report aims to encourage readers to consider how Health Education England andpartners could help to address the challenges facing health and social care.http://www.cfwi.org.uk/workforce-planning-news-and-review/publications/big-picture-challenges-for-health-and-social-care-implications-for-workforce-planning  

Government Response to the House of Commons Health Committee Report of Session2012-13: 2012 accountability hearing with the General Medical CouncilDepartment of HealthThis report explains new checks on the English language skills of doctors from outside the UKcoming to work for the NHS, and also outlines a national performers list that will be set up.http://www.dh.gov.uk/health/2013/02/hsc-response/  

How to: source temporary staff NHS EmployersThis guide looks at different options for sourcing temporary staff. It also considers how tomake the best use of the organisation’s substantive workforce.http://www.nhsemployers.org/PlanningYourWorkforce/Flexible-workforce/AgencyWorkers/ReducingAgencySpend/HowToGuides/How_to_source_temporary

 _staff/Pages/HowToProcureAnAgencyMemberOfStaff.aspx 

The Impact of the Working Time Regulations on Medical Education and TrainingGMCThis research is based on case studies and a literature review.http://www.gmc-uk.org/about/research/14413.asp  

Results of the 2012 NHS staff surveyDepartment of HealthThe results are primarily intended for use by NHS organisations to help them review andimprove staff experience so that staff can provide better patient care.http://www.dh.gov.uk/health/2013/02/staff-survey-2012/  

Items in the Health Reforms sections may be of interest.

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