News from NHS Networks

August edition of the Children, families and maternity bulletin
This report states that concentrating surgical expertise in fewer sites and bringing non-surgical care closer to home will benefit patients.
The child weight management programme and training providers’ framework includes nine pre-qualified training provider organisations.

Steve joins Library Services

Featured on our website home page is a photograph of our new member of staff, Steve Collman.  To give him his full title, Steve is our Community Outreach Librarian who started on 7 August and is looking forward to meeting people based as you might expect,  in the community!  More about Steve and how he’ll be able to assist you … coming shortly.

In the meantime if you need to contact him he can be reached on 0162566 1547 or email

New Books – leisure collection, July 2011

For your leisure reading pleasure – here is a sample of the new books in stock.

Allende, Isabel:   Daughter of Fortune
Barr, E:   The Sisterhood
Benoit, Michel:  The Thirteenth Apostle
Bryson, B:  The Life and Times of the Thunderbolt Kid
Cabot, Meg:  Size Doesn’t Matter
Clancy, T:  Red Rabbit
Cornwell, Patricia:  Unnatural Exposure
Diaz, Junot:  The Brief Wondrous Life of Oscar Wao
Faulks, Sebastien:  On Green Dolphine Street
Follet, Ken:  Paper Money
Gregory, P:  The Other Boleyn Girl
Haigh, Jennifer:  Mrs Kimble
Mankell, Henning:  Faceless Killers
Muir, Kate:  West Coast
Thomas, S:  The End of Mr Y

Review of NHS foundation trusts’ annual plans (2011/12)

Extract from The Kings Fund library:
This report highlights the key issues and trends identified by Monitor in plans submitted by individual foundation trusts. The plans reveal that foundation trusts are facing their most challenging period with an increase in pressure across the sector. Particular challenges come from the need to deliver significant savings year on year while improving the quality of care, and the need to integrate successfully large numbers of community services transactions.

National End of Life Care Intelligence Network

Local preferences and place of death in regions within England 2010
This report compares people’s preferences for place of death with actual place of death as recorded by Office for National Statistics mortality data.  A population based telephone survey was used to explore people’s preferences. It aims to provide better information to direct service improvements, enabling more people to die in their place of choice.

A book in the life of Margaret Perry

It is a pleasure to introduce this month’s guest writer, Margaret Perry, Clinical Effectiveness, Research and Development Manager.  Known to many as an avid reader, whatever the publication medium – online, traditional or modern (Kindle), Margaret has waited patiently for 9 years for her chosen book to be updated.  Our grateful thanks to her for finalising her choice and taking the time to contribute to this series. New Principals Book cover

“An investment in knowledge pays the best interest”.
Benjamin Franklin

 The above quotation reflects perfectly what my chosen information resources provide, not just for me, but for those who also wish to gain a fuller understanding or expertise, in a very important process we use to improve quality of care and health outcomes – clinical audit.

The Book: We have had to wait 9 years for the 2nd edition of the classic text on clinical audit “NEW Principles of Best Practice in Clinical Audit”, far too long, in my opinion considering the importance of audit in improving the effectiveness and efficiency of healthcare. This book makes extensive use of work led by the Healthcare Quality Improvement Partnership (HQIP) who have been given responsibility for reinvigorating clinical audit inEngland. It provides an excellent manual of best practice on how to undertake audit, and is not meant to be read from cover to cover, but should be “dipped” into as a source of guidance when audits are planned/undertaken, and is of value to those both new, or experienced, in undertaking this process.

Some useful links:
Online websites can complement books and add to the wealth of knowledge now available to us, at there are a number of recently published guides to help clinicians carry out high quality clinical audits, including:

How Foundation Year Doctors can get the most from their clinical audit project (March 2011)
Guide for clinical audit leads (March 2011)
Guide to ensuring data quality in clinical audits

Take a look yourself at the above, you will be impressed!!

For more information on the above, or “face to face” audit advice, please contact:  Margaret  Perry
Clinical Effectiveness, Research & Development Manager     Tel: 01625661974

McGonagle L, Ralte P, Kershaw S: Journal of Foot and Ankle Surgery 2010

Apologies for the late posting of this article which is available on request via inter-library loan.

Non-union of Weber B distal fibula fractures: a case series

Abstract: Non-union of distal fractures of the fibula type Weber B is rare. Undisplaced and minimally displaced isolated lateral malleolar fractures (Weber B) usually unite without operative intervention. We present three cases of lateral malleolus non-union in healthy individuals. Two were treated with internal fixation plus bone grafting. The third patient remained asymptomatic and therefore did not undergo surgery for the fracture.

Journal of Foot & Ankle Surgery,
September 2010, vol./is. 16/3(e63-7), 1268-7731;1460-9584

NHS Networks: weekly news

Two items from NHS Networks (5/8/2011)
Developed with the help of various experts and supported by NAPC, NHS Alliance, NICE and the DH, this pathway supports health and social care teams participating on the QIPP LTC workstream to implement a generic LTC care model and tackle the increasing demand in care needs.
NICE has published the quality standard for chronic obstructive pulmonary disease (COPD).

NEW version of TRIP database

A timely update comes in the form of the latest version of the TRIP database.  Faster and sporting a new results page design, the updates incorporated into this latest upgrade offer something for just about everyone!
  • Translate which allows users to translate the search results and subsequent links into one of six languages (Spanish, German, French, Italian, Portuguese and Welsh).
  • DOI (Digital object identifier) is displayed, this is to facilitate the identification of full-text articles.
  • Clinical trials are now highlighted via a link to
  • Clinical calculators related to the search terms are now displayed.
  • The ability to restrict the results to new research only.
  • Incorporating new content including medical education, and patient decision aids as well as enhanced content from social media and videos (now over 6,100)

New Books: Nursing

A selection from the July new books includes some interesting reading – see below

Downing, PJ:  Emergenices in Adult Nursing
Castledine, G: Oxford Handbook of Nursing
Fook, J:  Practicing Clinical Reflection
Marquis, Bessie L: 
Leadership Roles and Management Functions in Nursing, 2012
Miles, J (Dr):   MIMS for Nurses – special supplement, severe allergic asthma
NICE:  Quick Reference Guide – preventing type 2 diabetes
Sellman, D:  What makes a good nurse
RCN:  Route to success – the key contribution of nursing to end of life care.

The Overcoming series: self-help on a range of topics

In the self-help category of the Leisure section we have a range of books which all use cognitive behavioural techniques.

Overcoming Chronic Fatigue:   Burgess, Mary, 2009
Overcoming Anger and Irritability:   Davies, William,  2009
Overcoming Low Self-esteem:  Fennell, M,   2009
Overcoming Depression:   Gilbert, Paul, 2009
Overcoming Anxiety:   Kennerley, Helen,  2009
Overcoming Childhood Trauma:  Kennerly, Helen  2009

Jain Y, Amin K, Raj S, Kokan J: European Journal of Surgical Oncology

An article entitled “Day case: 23 hour breast surgical pathway – a retrospective audit in a district hospital” was published in the European Journal of Surgical Oncology, (EJSO), May 2011, Vol 37, Iss 5, pS23

Background: Currently majority of mastectomy and large number of wide local excisions are being carried out as in-patient procedure and NHS improvement plan has suggested to carry out majority of breast operations including mastectomy as a day case surgery with a maximum of overnight stay. We carried out this retrospective audit in our district hospital to find out our trend.

A winning team: From left to right: S Raj, K Amin, Y Jain and J Kokan