clinical effectiveness bulletin no. 75 april 13

7/30/2019 Clinical Effectiveness Bulletin no. 75 April 13

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NHS Library and Inform at ion Service North Staf fords hire

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Clinical Effectiveness Bulletinfor NHS Primary Care in North

StaffordshireIssue No: 75 April 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 LibrariansTel: 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]
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.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]:[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.27437


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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) Databasehttp://www.hta.ac.ukDaily Health Bulletinhttp://www.sheffield.nhs.uk/healthbulletin/ Department of Healthhttp://www.dh.gov.uk/en/index.htmKings Fundhttp://www.kingsfund.org.uk/NeLM (National Electronic Library for Medicines) news bulletinhttp://www.nelm.nhs.uk/en/NICEhttp://www.nice.org.uk/

SIGNhttp://www.sign.ac.uk/new.html
http://www.thecochranelibrary.com/http://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.hta.ac.uk/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.sheffield.nhs.uk/healthbulletin/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nelm.nhs.uk/en/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.nice.org.uk/http://www.nelm.nhs.uk/en/http://www.kingsfund.org.uk/http://www.dh.gov.uk/en/index.htmhttp://www.sheffield.nhs.uk/healthbulletin/http://www.hta.ac.uk/http://www.thecochranelibrary.com/


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Contents in this issue:

Asthma ...................................................................................................................................... 4Cancer ...................................................................................................................................... 4Cardiovascular Diseases .......................................................................................................... 4Children and Young People ...................................................................................................... 5Commissioning ......................................................................................................................... 5COPD ....................................................................................................................................... 6Crohns Disease ....................................................................................................................... 6Dementia .................................................................................................................................. 7General Practice ....................................................................................................................... 7Guidance .................................................................................................................................. 7Health Reforms ......................................................................................................................... 9HIV ............................................................................................................................................ 9Infection Control ...................................................................................................................... 10Kidney Disease ....................................................................................................................... 10Mental Health .......................................................................................................................... 10

Nutrition .................................................................................................................................. 10Nursing ................................................................................................................................... 11Older People ........................................................................................................................... 11Patient and Public Involvement ............................................................................................... 11Patient Care and Safety .......................................................................................................... 11Pharmacy and Prescribing ...................................................................................................... 12Public Health ........................................................................................................................... 13Research ................................................................................................................................ 14Safeguarding Children and Vulnerable Adults ........................................................................ 14Service Management .............................................................................................................. 14Social Care ............................................................................................................................. 15

Tobacco .................................................................................................................................. 16Travel Health .......................................................................................................................... 16Vaccination and Immunisation ................................................................................................ 16


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Asthma

Combination formoterol and budesonide as maintenance and reliever therapy versuscurrent best practice (including inhaled steroid maintenance), for chronic asthma inadults and children

Cates, C et al.This Cochrane review is based on 13 trials involving 13,152 adults.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007313.pub3/abstract

Swimming training for asthma in children and adolescents aged 18 years and underBeggs, S et al.This Cochrane review looked at the impact of swimming training on the amount of exercisechildren were able to do. However, the authors concluded the evidence on asthma controland quality of life was not statistically significant.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009607.pub2/abstract

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Cancer

The Cancer Drugs FundNHS EnglandThis web page outlines the current role and structure of the Fund.http://www.england.nhs.uk/ourwork/cdf/

Geographic Patterns of Cancer Survival in England, Patients followed up to 2011Office for National StatisticsThese statistics include one-year and five-year net survival estimates for adult patientsdiagnosed with one of eight cancers in England. Results are presented by Region, StrategicHealth Authority and Cancer Network.http://www.ons.gov.uk/ons/rel/cancer-unit/cancer-survival-by-gor--sha-and-cancer-network/patients-followed-up-to-2011/index.html

Use of medications to reduce risk for primary breast cancer: a systematic review forthe U.S. Preventive Services Task ForceNelson, HD et al.This review is based on 7 trials of tamoxifen and raloxifene.

Ann Intern Med. 2013 vol158(8) p.604-614. doi:10.7326/0003-4819-158-8-201304160-00005

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Cardiovascular Diseases

Items in the Nutrition section may be of interest.
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007313.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009607.pub2/abstracthttp://www.england.nhs.uk/ourwork/cdf/http://www.ons.gov.uk/ons/rel/cancer-unit/cancer-survival-by-gor--sha-and-cancer-network/patients-followed-up-to-2011/index.htmlhttp://www.ons.gov.uk/ons/rel/cancer-unit/cancer-survival-by-gor--sha-and-cancer-network/patients-followed-up-to-2011/index.htmlhttp://annals.org/article.aspx?articleid=1676456http://annals.org/article.aspx?articleid=1676456http://www.ons.gov.uk/ons/rel/cancer-unit/cancer-survival-by-gor--sha-and-cancer-network/patients-followed-up-to-2011/index.htmlhttp://www.ons.gov.uk/ons/rel/cancer-unit/cancer-survival-by-gor--sha-and-cancer-network/patients-followed-up-to-2011/index.htmlhttp://www.england.nhs.uk/ourwork/cdf/http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009607.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007313.pub3/abstract


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Children and Young People

Child well-being in rich countriesUNICEFThis report compares child well-being in 21 different countries.

http://www.unicef.org.uk/Latest/Publications/Report-Card-11-Child-well-being-in-rich-countries/

Early intervention: decision-making in local authority childrens servicesSocial Care Institiute for ExcellenceThe study seeks to gain a better understanding of the factors that facilitate and hinder deliveryof improved outcomes for children and families over the longer-term. It is based on interviews,a literature review, and expert opinion.http://www.scie.org.uk/publications/reports/report65.asp

Measuring National Well-being - Children's well-being, 2013Office for National Statisticshttp://www.ons.gov.uk/ons/rel/wellbeing/measuring-national-well-being/children-s-well-being/art-children-s-well-being.html

Routine immunisations for children: information on vaccines and timingDepartment of HealthThis poster provides guidance on when children are usually given specific vaccinations, whichdiseases routine vaccines protect against and where on the body injections are given.https://www.gov.uk/government/publications/routine-childhood-immunisation-from-november-2010

School Health Service: briefing for local council membersDepartment of HealthThis briefing summarises the School Health Service and how school nurses can support itsdelivery.https://www.gov.uk/government/publications/school-health-service-briefing-for-local-council-members

Items in the Asthma section may also be of interest.

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Commissioning

Ambition, challenge, transition: reflections on a decade of NHS commissioningNHS ConfederationThis report has been produced to mark the end of a significant period of transition for NHScommissioning. It explores the achievements and challenges experienced over more than adecade of commissioning through the voices of those who lived it on the ground.http://www.nhsconfed.org/Publications/reports/Pages/ambition-challenge-transition.aspx
http://www.unicef.org.uk/Latest/Publications/Report-Card-11-Child-well-being-in-rich-countries/http://www.unicef.org.uk/Latest/Publications/Report-Card-11-Child-well-being-in-rich-countries/http://www.unicef.org.uk/Latest/Publications/Report-Card-11-Child-well-being-in-rich-countries/http://www.scie.org.uk/publications/reports/report65.asphttp://www.scie.org.uk/publications/reports/report65.asphttp://www.ons.gov.uk/ons/rel/wellbeing/measuring-national-well-being/children-s-well-being/art-children-s-well-being.htmlhttp://www.ons.gov.uk/ons/rel/wellbeing/measuring-national-well-being/children-s-well-being/art-children-s-well-being.htmlhttp://www.ons.gov.uk/ons/rel/wellbeing/measuring-national-well-being/children-s-well-being/art-children-s-well-being.htmlhttps://www.gov.uk/government/publications/routine-childhood-immunisation-from-november-2010https://www.gov.uk/government/publications/routine-childhood-immunisation-from-november-2010https://www.gov.uk/government/publications/routine-childhood-immunisation-from-november-2010https://www.gov.uk/government/publications/school-health-service-briefing-for-local-council-membershttps://www.gov.uk/government/publications/school-health-service-briefing-for-local-council-membershttps://www.gov.uk/government/publications/school-health-service-briefing-for-local-council-membershttp://www.nhsconfed.org/Publications/reports/Pages/ambition-challenge-transition.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/ambition-challenge-transition.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/ambition-challenge-transition.aspxhttps://www.gov.uk/government/publications/school-health-service-briefing-for-local-council-membershttps://www.gov.uk/government/publications/school-health-service-briefing-for-local-council-membershttps://www.gov.uk/government/publications/routine-childhood-immunisation-from-november-2010https://www.gov.uk/government/publications/routine-childhood-immunisation-from-november-2010http://www.ons.gov.uk/ons/rel/wellbeing/measuring-national-well-being/children-s-well-being/art-children-s-well-being.htmlhttp://www.ons.gov.uk/ons/rel/wellbeing/measuring-national-well-being/children-s-well-being/art-children-s-well-being.htmlhttp://www.scie.org.uk/publications/reports/report65.asphttp://www.unicef.org.uk/Latest/Publications/Report-Card-11-Child-well-being-in-rich-countries/http://www.unicef.org.uk/Latest/Publications/Report-Card-11-Child-well-being-in-rich-countries/


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Clinical Policies and Statements for Specialised Services CommissioningNHS EnglandThese policies aim to ensure specialised services are commissioned consistently acrossEngland.http://www.england.nhs.uk/ourwork/d-com/spec-serv/policies/

Guidance for commissioners on ensuring the continuity of health care servicesMonitorThis document outlines the process for deciding on the range of services that localcommissioners believe should continue to be provided locally if any individual provider is atrisk of failing financially.http://www.monitor-nhsft.gov.uk/home/news-events-publications/our-publications/monitors-new-role/guidance-commissioners-ensuring-the

Interim generic policies for direct commissioningNHS EnglandThe 14 policies, which cover all aspects of directly commissioned services, including

specialised, primary care, screening, military and offender health.http://www.england.nhs.uk/ourwork/d-com/policies/

Transforming our health care system: Ten priorities for commissionersKings FundThis paper was originally published in March 2011. It has been updated to reflect the changesin the NHS from 1 April 2013.http://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissioners

Items in the COPD, General Practice and Health Reforms sections may be of interest.

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COPD

A Guide to Performing Quality Assured Diagnostic SpirometryPrimary Care CommissioningThis guide details how spirometry should be performed, the interpretation and reporting ofresults, and methods for quality assurance. The guide also illustrates common technicalerrors and offers top tips for reporting spirometry results.http://www.pcc-cic.org.uk/article/guide-quality-assured-diagnostic-spirometry

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Crohns Disease

Azathioprine or 6-mercaptopurine for induction of remission in Crohn's diseaseChande, N et al.This Cochrane review is based on 13 RCTs which included 1211 patients.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000545.pub4/abstract
http://www.england.nhs.uk/ourwork/d-com/spec-serv/policies/http://www.england.nhs.uk/ourwork/d-com/spec-serv/policies/http://www.monitor-nhsft.gov.uk/home/news-events-publications/our-publications/monitors-new-role/guidance-commissioners-ensuring-thehttp://www.monitor-nhsft.gov.uk/home/news-events-publications/our-publications/monitors-new-role/guidance-commissioners-ensuring-thehttp://www.monitor-nhsft.gov.uk/home/news-events-publications/our-publications/monitors-new-role/guidance-commissioners-ensuring-thehttp://www.england.nhs.uk/ourwork/d-com/policies/http://www.england.nhs.uk/ourwork/d-com/policies/http://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissionershttp://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissionershttp://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissionershttp://www.pcc-cic.org.uk/article/guide-quality-assured-diagnostic-spirometryhttp://www.pcc-cic.org.uk/article/guide-quality-assured-diagnostic-spirometryhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000545.pub4/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000545.pub4/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000545.pub4/abstracthttp://www.pcc-cic.org.uk/article/guide-quality-assured-diagnostic-spirometryhttp://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissionershttp://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissionershttp://www.england.nhs.uk/ourwork/d-com/policies/http://www.monitor-nhsft.gov.uk/home/news-events-publications/our-publications/monitors-new-role/guidance-commissioners-ensuring-thehttp://www.monitor-nhsft.gov.uk/home/news-events-publications/our-publications/monitors-new-role/guidance-commissioners-ensuring-thehttp://www.england.nhs.uk/ourwork/d-com/spec-serv/policies/


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Dementia

Dementia 2013: The hidden voice of lonelinessAlzheimers SocietyThis report is based on surveys, interviews, and published research. It looks at the lives ofpeople with dementia, and the support they receive.http://alzheimers.org.uk/site/scripts/download_info.php?fileID=1677

General Practice

Enhanced services 2013/14NHS Employers summaryhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices201314.aspx Primary Care Commissioning summaryhttp://www.pcc-cic.org.uk/article/new-enhanced-services-201314

NHS Primary Medical Services Directions 2013Department of Healthhttps://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013

Items in the Patient Care and Safety section may also be of interest.

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Guidance

NICE Technolo gy As sessments

Asthma (severe, persistent, patients aged 6+, adults) omalizumab(TA278)http://guidance.nice.org.uk/TA278

Idiopathic pulmonary fibrosis - pirfenidone(TA282)http://guidance.nice.org.uk/TA282

Rheumatoid arthritis - abatacept (2nd line) (rapid review of TA234)(TA280)http://guidance.nice.org.uk/TA280

NICE Quali ty Standards

Health and wellbeing of looked-after children and young people(QS31)http://guidance.nice.org.uk/QS31

Supporting people to live well with dementia(QS30)http://guidance.nice.org.uk/QS30
http://alzheimers.org.uk/site/scripts/download_info.php?fileID=1677http://alzheimers.org.uk/site/scripts/download_info.php?fileID=1677http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices201314.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices201314.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices201314.aspxhttp://www.pcc-cic.org.uk/article/new-enhanced-services-201314http://www.pcc-cic.org.uk/article/new-enhanced-services-201314https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013http://guidance.nice.org.uk/TA278http://guidance.nice.org.uk/TA278http://guidance.nice.org.uk/TA282http://guidance.nice.org.uk/TA282http://guidance.nice.org.uk/TA280http://guidance.nice.org.uk/TA280http://guidance.nice.org.uk/QS31http://guidance.nice.org.uk/QS31http://guidance.nice.org.uk/QS30http://guidance.nice.org.uk/QS30http://guidance.nice.org.uk/QS30http://guidance.nice.org.uk/QS31http://guidance.nice.org.uk/TA280http://guidance.nice.org.uk/TA282http://guidance.nice.org.uk/TA278https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013http://www.pcc-cic.org.uk/article/new-enhanced-services-201314http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices201314.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices201314.aspxhttp://alzheimers.org.uk/site/scripts/download_info.php?fileID=1677


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NICE Consul tat ion Documents

Smoking cessation acute, maternity and mental health services: consultation on thedraft guidanceTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.Closing date for comments: 5

June 2013

http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63458

Diabetic footcare (update): scope consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.Closing date for comments: 16 May 2013http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63623

Overweight and obese children and young people - lifestyle weight managementservices: guideline consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation that

most closely represents your interests.Closing date for comments: 18 June 2013http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63652

Anaemia management in chronic kidney disease (update): scope consultationTo comment, register as a stakeholder, or contact the registered stakeholder organisation thatmost closely represents your interests.http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63718

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Other Heal th Techn ology Assessm entsSystematic review of the psychological consequences of false-positive screeningmammogramsBond M, et al.This study found that the experience of having a false-positive screening mammogram cancause breast cancer-specific psychological distress, that may endure for up to 3 years andreduce the likelihood of returning for screening the next time.Health Technol Assess 2013;17(13).

A systematic review and cost-effectiveness analysis of specialist services andadrenaline auto-injectors in anaphylaxis.

Armstrong N, et al.This study found a lack of good data to inform the effectiveness of anaphylaxis interventionbut concluded that both referral to a specialist service (SS) and prescription of adrenalineinjectors are likely to be cost-effective, and so consideration of randomised controlled trials ofthe components of care in SSs was recommended.Health Technol Assess 2013;17(17).

[back to topics]
http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63458http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63458http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63623http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63623http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63652http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63652http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63718http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63718http://www.hta.ac.uk/project/2510.asphttp://www.hta.ac.uk/project/2510.asphttp://www.hta.ac.uk/project/2486.asphttp://www.hta.ac.uk/project/2486.asphttp://www.hta.ac.uk/project/2486.asphttp://www.hta.ac.uk/project/2510.asphttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=63718http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63652http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63623http://www.nice.org.uk/guidance/index.jsp?action=folder&o=63458


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Other Guidance

Sexually Transmitted Infections in Primary CareRCGPhttp://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspx

Vitamin D and Bone Health: A Practical Clinical Guideline for Patient ManagementNational Osteoporosis Societyhttp://www.nos.org.uk/document.doc?id=1352

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Health Reforms

Compliance Framework 2013/14MonitorThis framework outlines Monitors approach to monitoring risks to foundation trusts'compliance with their financial and governance licence conditions and for triggering furtherinvestigation.http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandat-7

Consultations on safeguarding choice and preventing anti-competitive behaviourMonitorhttp://www.monitor-nhsft.gov.uk/about-monitor/feed-back-your-views-our-latest-consultations

Enforcement GuidanceMonitor

This guidance explains the action Monitor can take to enforce compliance with the providerlicence and other regulatory obligations on providers and others required to provide Monitorwith information needed to perform its functions.http://www.monitor-nhsft.gov.uk/node/2622

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HIV

Commissioning HIV Testing Services in England: A practical guide for CommissionersNational AIDS Trust

This guide outlines useful sources of information, and some of the types of servicescommissioners might want to commission.http://www.nat.org.uk/media/Files/Publications/March_2013-Commissioners_Guide.pdf

[back to topics]
http://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspxhttp://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspxhttp://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspxhttp://www.nos.org.uk/document.doc?id=1352http://www.nos.org.uk/document.doc?id=1352http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandat-7http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandat-7http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandat-7http://www.monitor-nhsft.gov.uk/about-monitor/feed-back-your-views-our-latest-consultationshttp://www.monitor-nhsft.gov.uk/about-monitor/feed-back-your-views-our-latest-consultationshttp://www.monitor-nhsft.gov.uk/node/2622http://www.monitor-nhsft.gov.uk/node/2622http://www.nat.org.uk/media/Files/Publications/March_2013-Commissioners_Guide.pdfhttp://www.nat.org.uk/media/Files/Publications/March_2013-Commissioners_Guide.pdfhttp://www.nat.org.uk/media/Files/Publications/March_2013-Commissioners_Guide.pdfhttp://www.monitor-nhsft.gov.uk/node/2622http://www.monitor-nhsft.gov.uk/about-monitor/feed-back-your-views-our-latest-consultationshttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandat-7http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandat-7http://www.nos.org.uk/document.doc?id=1352http://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspxhttp://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspx


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Infection Control

HCAI Reporting within Independent Sector healthcare organisationsHPAThe latest publication includes 6 months counts of MRSA, MSSA and E. coli bacteraemia andCDI within those IS organisations who reported between April 2012 and September 2012.http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1272032580726

Investigation & management of possible human cases of avian inuenza A/H7N9, inreturning travellersHPAThis guidance covers the assessment and investigation of patients with severe flu-like illnesswho have recently (within seven days) returned from China.http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/AvianInfluenza/Guidelines/influaAvianInfluenzaGuidanceandAlgorithms/

vCJD and transfusion of blood components: updated risk assessment

Department of Healthhttps://www.gov.uk/government/publications/vcjd-and-transfusion-of-blood-components-updated-risk-assessment

[back to topics]

Kidney Disease

Items in the Nutrition section may be of interest.

Mental Health

Items in the Tobacco section may be of interest.

[back to topics]

Nutrition

Effect of increased potassium intake on cardiovascular risk factors and disease:systematic review and meta-analyses

Aburto, NJ et al.This systematic review assessed the effect of increased potassium intake on cardiovascular

disease and renal function.BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1378 (Published 4 April 2013)

Effect of longer-term modest salt reduction on blood pressureFeng, JH et al.This Cochrane review makes recommendations for a suggested daily maximum salt intake.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004937.pub2/abstract
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1272032580726http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1272032580726http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/AvianInfluenza/Guidelines/influaAvianInfluenzaGuidanceandAlgorithms/http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/AvianInfluenza/Guidelines/influaAvianInfluenzaGuidanceandAlgorithms/http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/AvianInfluenza/Guidelines/influaAvianInfluenzaGuidanceandAlgorithms/https://www.gov.uk/government/publications/vcjd-and-transfusion-of-blood-components-updated-risk-assessmenthttps://www.gov.uk/government/publications/vcjd-and-transfusion-of-blood-components-updated-risk-assessmenthttps://www.gov.uk/government/publications/vcjd-and-transfusion-of-blood-components-updated-risk-assessmenthttp://www.bmj.com/content/346/bmj.f1378http://www.bmj.com/content/346/bmj.f1378http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004937.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004937.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004937.pub2/abstracthttp://www.bmj.com/content/346/bmj.f1378https://www.gov.uk/government/publications/vcjd-and-transfusion-of-blood-components-updated-risk-assessmenthttps://www.gov.uk/government/publications/vcjd-and-transfusion-of-blood-components-updated-risk-assessmenthttp://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/AvianInfluenza/Guidelines/influaAvianInfluenzaGuidanceandAlgorithms/http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/AvianInfluenza/Guidelines/influaAvianInfluenzaGuidanceandAlgorithms/http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1272032580726


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Effect of lower sodium intake on health: systematic review and meta-analysesAburto, NJ et al.This systematic review assessed the effect of reduced sodium intake on cardiovasculardisease and renal function.BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1326 (Published 4 April 2013)

Food statistics pocketbook 2012Department for Environment, Food and Rural Affairshttps://www.gov.uk/government/publications/food-statistics-pocketbook-2012

[back to topics]

Nursing

Compassion in Practice implementation plansNHS EnglandThese plans outline how Compassion in Practice will be implemented, using 6 action areas to

focus activity.http://www.england.nhs.uk/nursingvision/actions/

Items in the Children and Young People section may be of interest.

Older People

Improving personal budgets for older people: A research overviewSocial Care Institute for ExcellenceThis short report aims to give an overview of the main themes of research findings which helpto identify the challenges and solutions to improving choice and control for older people(including those living with dementia) through the use of personal budgets and direct

payments.http://www.scie.org.uk/publications/reports/report63.asp

[back to topics]

Patient and Public Involvement

Bring it on: 40 ways to support Patient LeadershipNHS Midlands and East Centre for Patient LeadershipThis guide explains what patient leadership means and the role and purpose of patientleaders. It aims to help NHS organisations foster patient leadership and Patient Leaders.

http://centreforpatientleadership.com/resources/links/

Patient Care and Safety

Implementing shared decision makingHealth FoundationThis report looks at 7 examples of teams in primary care and other settings implementingshared decision making. It looks at the benefits and challenges of this approach.http://www.health.org.uk/publications/implementing-shared-decision-making/
http://www.bmj.com/content/346/bmj.f1326https://www.gov.uk/government/publications/food-statistics-pocketbook-2012https://www.gov.uk/government/publications/food-statistics-pocketbook-2012http://www.england.nhs.uk/nursingvision/actions/http://www.england.nhs.uk/nursingvision/actions/http://www.scie.org.uk/publications/reports/report63.asphttp://www.scie.org.uk/publications/reports/report63.asphttp://centreforpatientleadership.com/resources/links/http://centreforpatientleadership.com/resources/links/http://www.health.org.uk/publications/implementing-shared-decision-making/http://www.health.org.uk/publications/implementing-shared-decision-making/http://www.health.org.uk/publications/implementing-shared-decision-making/http://centreforpatientleadership.com/resources/links/http://www.scie.org.uk/publications/reports/report63.asphttp://www.england.nhs.uk/nursingvision/actions/https://www.gov.uk/government/publications/food-statistics-pocketbook-2012http://www.bmj.com/content/346/bmj.f1326


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The measurement and monitoring of safetyThe Health FoundationThis report suggests 5 dimensions which should be taken into account when measuringsafety in an organisation.http://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety/

Information: To share or not to share? The Information Governance ReviewDepartment of HealthThis independent review of information sharing was carried out to ensure that there is anappropriate balance between the protection of patient information and the use and sharing ofinformation to improve patient care.https://www.gov.uk/government/publications/the-information-governance-review

Patient experience statistics: EnglandDepartment of HealthThe statistics use responses from the national patient survey programme to measure patientviews on the care they receive in the NHS. Supporting documents, including tools to help with

understanding the statistics, are also available from this web page.https://www.gov.uk/government/organisations/department-of-health/series/patient-experience-statistics

Quality Governance: How does a board know that its organisation is workingeffectively to improve patient care?MonitorThis guidance allows trusts to satisfy themselves, patients and Monitor that effectivearrangements are in place to continuously monitor and improve the quality of health careprovided.http://www.monitor.gov.uk/home/news-events-publications/our-publications/browse-

category/guidance-foundation-trusts/mandatory-

What to expect from your doctor: a guide for patientsGMCThis guide explains how patients can help to create a partnership with their doctor. It is basedon the GMC guidance Good medical practice.http://www.gmc-uk.org/guidance/patients.asp

Items in the Nursing and Service Management sections may also be of interest.

[back to topics]

Pharmacy and Prescribing

Evaluation of the Healthy Living Pharmacy pathfinder work programme 2011-2012National Pharmacy Association

After a Healthy Living Pharmacy programme in Portsmouth in 2010 showed improvedoutcomes, this practice-based evaluation assessed whether the HLP programme would havethe same impact in other places.http://www.npa.co.uk/Resources/Press-Releases/About-the-Association/HLP/
http://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety/http://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety/https://www.gov.uk/government/publications/the-information-governance-reviewhttps://www.gov.uk/government/publications/the-information-governance-reviewhttps://www.gov.uk/government/organisations/department-of-health/series/patient-experience-statisticshttps://www.gov.uk/government/organisations/department-of-health/series/patient-experience-statisticshttps://www.gov.uk/government/organisations/department-of-health/series/patient-experience-statisticshttp://www.monitor.gov.uk/home/news-events-publications/our-publications/browse-category/guidance-foundation-trusts/mandatory-http://www.monitor.gov.uk/home/news-events-publications/our-publications/browse-category/guidance-foundation-trusts/mandatory-http://www.monitor.gov.uk/home/news-events-publications/our-publications/browse-category/guidance-foundation-trusts/mandatory-http://www.gmc-uk.org/guidance/patients.asphttp://www.gmc-uk.org/guidance/patients.asphttp://www.npa.co.uk/Resources/Press-Releases/About-the-Association/HLP/http://www.npa.co.uk/Resources/Press-Releases/About-the-Association/HLP/http://www.npa.co.uk/Resources/Press-Releases/About-the-Association/HLP/http://www.gmc-uk.org/guidance/patients.asphttp://www.monitor.gov.uk/home/news-events-publications/our-publications/browse-category/guidance-foundation-trusts/mandatory-http://www.monitor.gov.uk/home/news-events-publications/our-publications/browse-category/guidance-foundation-trusts/mandatory-https://www.gov.uk/government/organisations/department-of-health/series/patient-experience-statisticshttps://www.gov.uk/government/organisations/department-of-health/series/patient-experience-statisticshttps://www.gov.uk/government/publications/the-information-governance-reviewhttp://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety/


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Interventions to improve antibiotic prescribing practices for hospital inpatientsDavey, P et al.This Cochrane review compared interventions which restricted prescribing with interventionsthat aimed to persuade prescribers to change their behaviour.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003543.pub3/abstract

Nebuliser systems for drug delivery in cystic fibrosisDaniels, T et al.This Cochrane review is based on 20 studies, which looked at a range of different drugs andnebulisers.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007639.pub2/abstract

Prescription Cost Analysis - England, 2012Health and Social Care Information CentreThese statistics provide details of the number of items and the net ingredient cost of allprescriptions dispensed in the community in England. The drugs dispensed are listed byBritish National Formulary (BNF) therapeutic class.

http://www.hscic.gov.uk/catalogue/PUB10610

[back to topics]

Public Health

The central governments concept of operationsCabinet OfficeThe central governments concept of operations sets out the UK arrangements for respondingto and recovering from emergencies.https://www.gov.uk/government/publications/the-central-government-s-concept-of-operations

Our priorities for 2013/14Public Health EnglandThis document suggests that local action will drive sustainable change in the publics health,but PHE are committed to taking action on a national scale where it makes sense, and whenit is neededhttps://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014

Primary Care Organisation Population Estimates, Mid-2011 Final (Census Based)Office for National Statistics

This product includes estimates of the usually resident population as at 30 June of thereference year for Primary Care Organisations in England by age and sex. These estimatesare consistent with the Census based local authority, regional and national populationestimates. Estimates reflect the administrative boundaries in place on 30 June 2011.http://www.ons.gov.uk/ons/rel/sape/pco-pop-est-exp/mid-2011-final--census-based-/index.html
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003543.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003543.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007639.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007639.pub2/abstracthttp://www.hscic.gov.uk/catalogue/PUB10610http://www.hscic.gov.uk/catalogue/PUB10610https://www.gov.uk/government/publications/the-central-government-s-concept-of-operationshttps://www.gov.uk/government/publications/the-central-government-s-concept-of-operationshttps://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014https://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014https://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014http://www.ons.gov.uk/ons/rel/sape/pco-pop-est-exp/mid-2011-final--census-based-/index.htmlhttp://www.ons.gov.uk/ons/rel/sape/pco-pop-est-exp/mid-2011-final--census-based-/index.htmlhttp://www.ons.gov.uk/ons/rel/sape/pco-pop-est-exp/mid-2011-final--census-based-/index.htmlhttp://www.ons.gov.uk/ons/rel/sape/pco-pop-est-exp/mid-2011-final--census-based-/index.htmlhttp://www.ons.gov.uk/ons/rel/sape/pco-pop-est-exp/mid-2011-final--census-based-/index.htmlhttps://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014https://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014https://www.gov.uk/government/publications/the-central-government-s-concept-of-operationshttp://www.hscic.gov.uk/catalogue/PUB10610http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007639.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003543.pub3/abstract


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Public Health England Marketing Plan 2013-14Public Health EnglandThis report looks at the marketing interventions Public Health England will use to promotehealthy lifestyles.https://www.gov.uk/government/publications/public-health-england-marketing-plan-2013-14

Items in the Cancer and Children and Young People sections may also be of interest.

[back to topics]

Research

Attributing the costs of health and social care researchDepartment of HealthThis document establishes a new mechanism for the department to meet some of the costs ofcharity-funded research in the NHS.https://www.gov.uk/government/publications/guidance-on-attributing-the-costs-of-health-and-

social-care-research[back to topics]

Safeguarding Children and Vulnerable Adults

Identifying and Supporting Victims of Human Trafficking: Guidance for Health StaffDepartment of HealthThis guidance provides information that will help staff identify potential victims of traffickingand advises on how to respond in a way that will not put the potential victim in further danger.https://www.gov.uk/government/publications/identifying-and-supporting-victims-of-human-trafficking-guidance-for-health-staff

Items in the Patient Care and Safety and Service Management sections may also be of interest.

Service Management

Managing Healthcare Fire SafetyDepartment of HealthThis guidance (HTM 05-01) sets out the Department of Healths policy on fire safety in theNHS in England. It includes best practice guidance on management arrangements for firesafety.https://www.gov.uk/government/publications/managing-healthcare-fire-safety

National Framework for NHS Continuing Healthcare and NHS Funded Nursing CareDepartment of HealthThis guidance replaces the previous version of the National Framework, published in July2009, and comes into force on 1 April 2013. It also incorporates the Practice Guidance,Frequently Asked Questions (FAQs) and Refunds Guidance.https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care
https://www.gov.uk/government/publications/public-health-england-marketing-plan-2013-14https://www.gov.uk/government/publications/public-health-england-marketing-plan-2013-14https://www.gov.uk/government/publications/guidance-on-attributing-the-costs-of-health-and-social-care-researchhttps://www.gov.uk/government/publications/guidance-on-attributing-the-costs-of-health-and-social-care-researchhttps://www.gov.uk/government/publications/identifying-and-supporting-victims-of-human-trafficking-guidance-for-health-staffhttps://www.gov.uk/government/publications/identifying-and-supporting-victims-of-human-trafficking-guidance-for-health-staffhttps://www.gov.uk/government/publications/identifying-and-supporting-victims-of-human-trafficking-guidance-for-health-staffhttps://www.gov.uk/government/publications/managing-healthcare-fire-safetyhttps://www.gov.uk/government/publications/managing-healthcare-fire-safetyhttps://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-carehttps://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-carehttps://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-carehttps://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-carehttps://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-carehttps://www.gov.uk/government/publications/managing-healthcare-fire-safetyhttps://www.gov.uk/government/publications/identifying-and-supporting-victims-of-human-trafficking-guidance-for-health-staffhttps://www.gov.uk/government/publications/identifying-and-supporting-victims-of-human-trafficking-guidance-for-health-staffhttps://www.gov.uk/government/publications/guidance-on-attributing-the-costs-of-health-and-social-care-researchhttps://www.gov.uk/government/publications/guidance-on-attributing-the-costs-of-health-and-social-care-researchhttps://www.gov.uk/government/publications/public-health-england-marketing-plan-2013-14


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Ordinary Residence: Guidance on the Identification of the Ordinary Residence ofPeople in Need of Community Care Services, EnglandDepartment of HealthThis guidance was updated on 28 March 2013 to take account of the NHS reforms, whichtake effect from 1 April 2013.https://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-in-

need-of-community-care-services

NHS Outcomes Framework Indicators: March 2013 releaseHealth and Social Care Information Centrehttp://www.hscic.gov.uk/catalogue/PUB10585

Rights, risks and responsibilities in service redesign for vulnerable groupsRCNThis guidance contains some general principles for service redesign. It then looks at serviceredesign for specific groups, including older people, and children and young people.http://www.rcn.org.uk/__data/assets/pdf_file/0005/518099/004378.pdf

Items in the Patient Care and Safety sections may also be of interest.

[back to topics]

Social Care

Adult Social Care Outcomes Framework 2013 to 2014Department of HealthThis document sets out the indicators for measuring adult social care outcomes in 2013-2014.https://www.gov.uk/government/publications/the-adult-social-care-outcomes-framework-2013-

to-2014

NICE social care quality standards and the quality landscapeNICEThis briefing describes what NICE social care quality standards are, outlines the benefits ofusing them and explains how they will fit into the existing regulatory frameworks and otherquality systems. It also shows how NICEs social care guidance and quality standards relateto the work of other organisations in the sector and how they can be used to improve thequality of care for service users and inform the planning and delivery of social care services.http://www.nice.org.uk/socialcare/SocialCareQualityStandardsQualityLandscape.jsp

Using NICE guidance and quality standards to improve practiceNICEThis guide aims to support health and social care professionals and managers in providingcare of the highest quality and the best value for money. The guide suggests what anorganisation can put in place, and what staff can do to use NICE evidence-based guidanceand quality standards to improve practice.http://publications.nice.org.uk/using-nice-guidance-and-quality-standards-to-improve-practice-pg1

Items in the Children and Young People section may be of interest.
https://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-in-need-of-community-care-serviceshttps://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-in-need-of-community-care-serviceshttps://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-in-need-of-community-care-serviceshttp://www.hscic.gov.uk/catalogue/PUB10585http://www.hscic.gov.uk/catalogue/PUB10585http://www.rcn.org.uk/__data/assets/pdf_file/0005/518099/004378.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0005/518099/004378.pdfhttps://www.gov.uk/government/publications/the-adult-social-care-outcomes-framework-2013-to-2014https://www.gov.uk/government/publications/the-adult-social-care-outcomes-framework-2013-to-2014https://www.gov.uk/government/publications/the-adult-social-care-outcomes-framework-2013-to-2014http://www.nice.org.uk/socialcare/SocialCareQualityStandardsQualityLandscape.jsphttp://www.nice.org.uk/socialcare/SocialCareQualityStandardsQualityLandscape.jsphttp://publications.nice.org.uk/using-nice-guidance-and-quality-standards-to-improve-practice-pg1http://publications.nice.org.uk/using-nice-guidance-and-quality-standards-to-improve-practice-pg1http://publications.nice.org.uk/using-nice-guidance-and-quality-standards-to-improve-practice-pg1http://publications.nice.org.uk/using-nice-guidance-and-quality-standards-to-improve-practice-pg1http://publications.nice.org.uk/using-nice-guidance-and-quality-standards-to-improve-practice-pg1http://www.nice.org.uk/socialcare/SocialCareQualityStandardsQualityLandscape.jsphttps://www.gov.uk/government/publications/the-adult-social-care-outcomes-framework-2013-to-2014https://www.gov.uk/government/publications/the-adult-social-care-outcomes-framework-2013-to-2014http://www.rcn.org.uk/__data/assets/pdf_file/0005/518099/004378.pdfhttp://www.hscic.gov.uk/catalogue/PUB10585https://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-in-need-of-community-care-serviceshttps://www.gov.uk/government/publications/identifying-the-ordinary-residence-of-people-in-need-of-community-care-services


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Tobacco

Smoking and mental healthRoyal College of PhysiciansThis document outlines how smoking affects people with mental health conditions, and makesrecommendations for supporting smoking cessation in this group.

http://www.rcplondon.ac.uk/publications/smoking-and-mental-health

[back to topics]

Travel Health

Items in the Infection Control section may be of interest.

Vaccination and Immunisation

Contraindications and special considerations: the green book, chapter 6

Department of Healthhttps://www.gov.uk/government/publications/contraindications-and-special-considerations-the-green-book-chapter-6

Calculating MMR coverage: ready reckoner tool 2013Department of Healthhttps://www.gov.uk/government/publications/calculating-mmr-coverage-ready-reckoner-tool-2013

National immunisation programme: planned changes for 2013 to 2014Department of Health

This document includes details of the specific programme for rotavirus for babies at 2 and 3months.https://www.gov.uk/government/publications/national-immunisation-programme-planned-changes-for-2013-to-2014

[back to topics]
http://www.rcplondon.ac.uk/publications/smoking-and-mental-healthhttp://www.rcplondon.ac.uk/publications/smoking-and-mental-healthhttps://www.gov.uk/government/publications/contraindications-and-special-considerations-the-green-book-chapter-6https://www.gov.uk/government/publications/contraindications-and-special-considerations-the-green-book-chapter-6https://www.gov.uk/government/publications/contraindications-and-special-considerations-the-green-book-chapter-6https://www.gov.uk/government/publications/calculating-mmr-coverage-ready-reckoner-tool-2013https://www.gov.uk/government/publications/calculating-mmr-coverage-ready-reckoner-tool-2013https://www.gov.uk/government/publications/calculating-mmr-coverage-ready-reckoner-tool-2013https://www.gov.uk/government/publications/national-immunisation-programme-planned-changes-for-2013-to-2014https://www.gov.uk/government/publications/national-immunisation-programme-planned-changes-for-2013-to-2014https://www.gov.uk/government/publications/national-immunisation-programme-planned-changes-for-2013-to-2014https://www.gov.uk/government/publications/national-immunisation-programme-planned-changes-for-2013-to-2014https://www.gov.uk/government/publications/national-immunisation-programme-planned-changes-for-2013-to-2014https://www.gov.uk/government/publications/calculating-mmr-coverage-ready-reckoner-tool-2013https://www.gov.uk/government/publications/calculating-mmr-coverage-ready-reckoner-tool-2013https://www.gov.uk/government/publications/contraindications-and-special-considerations-the-green-book-chapter-6https://www.gov.uk/government/publications/contraindications-and-special-considerations-the-green-book-chapter-6http://www.rcplondon.ac.uk/publications/smoking-and-mental-health