Have your say – focus on Community Care

New Community Care page

A new page has been added to our main website and we invite you to submit your comments and suggestions as to what information it should contain, by using the Comments option under this post.  Alternatively you can email me direct at janread@nhs.net

Tentatively called Community Care, this page reports news, links, ebooks and useful resources for the many health professionals delivering patient care in the community.  This includes: dentists, occupational therapists, podiatrists, speech and language therapists, dieticians, mental health professionals, physiotherapists and health visitors. Even if your particular group isn’t listed, please take a look anyway – there may still be something of relevance to you. 

Please remember – the development of this page is ongoing, so it’s not too late for you to have your say and influence the finished outcome.

News from NHS Networks: 14 October

This report sets out guidance to help people consider the ethical acceptibility of various ways of encouraging people to donate, both for treatment of others and for scientific research.
A year on from a ministerial review that confirmed the importance of summary care records in supporting urgent and emergency care, patient groups are advocating their use to improve care for millions of people with long term conditions.
On Tuesday, 22 November 2011, the Pain Summit 2011 is being held at Central Hall, Westminster. This is a joint initiative by the Chronic Pain Policy Coalition (CPPC), the British Pain Society, the Faculty of Pain Medicine and the Royal College of General Practitioners.
New guidance from the Department of Health sets out how NHS providers will have to accept all clinically appropriate referrals made by clinicians to named hospital consultant led teams. The guidance supports providers and commissioners to implement the choice of named consultant led team for a first consultant led outpatient appointment for elective care where clinically appropriate.
The public wants more say and greater choice over their NHS healthcare according to a new patient survey carried out by an independent research company on behalf of the Department of Health.
The NHS will become more transparent under proposals set out by health secretary Andrew Lansley.
The revalidation support team has published three pieces of draft information management guidance to support revalidation.

News from NHS Networks: 14 October

The number of people subject to restrictions under the Mental Health Act in England has risen by five per cent in a year.
The public wants more say and greater choice over their NHS healthcare according to a new patient survey carried out by an independent research company on behalf of the Department of Health.
Guide for GPs to identify patients for supportive and palliative care.
The government is joining forces with Comic Relief to help tackle mental health stigma, with funding of up to £20 million for Time to Change, the leading stigma and anti-discrimination campaign, run by Mind and Rethink Mental Illness.
The NHS will become more transparent under proposals set out by health secretary Andrew Lansley.
An audit of physiotherapy services in England.
Patients who need access to NHS physiotherapy are facing waits of up to 27 weeks, according to a new report.
Early diagnosis of cancer receives more pessimism from people who work for a lower wage than from those who are affluent, research shows.

Hazards of Hospitalization: More than just “Never Events”


Comment on “Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction”

Stephanie Rennke, MD; Margaret C. Fang, MD, MPH
Arch Intern Med. 2011;171(18):1653-1654. doi:10.1001/archinternmed.2011.335

Since this article does not have an abstract, the first 150 words of the full text and any section headings have been provided.

Hospitalization can be a hazardous time for patients. Complications that occur as a result of hospitalization, such as venous thromboembolism, nosocomial infections, and medication errors, result in considerable morbidity and mortality.1 In this issue of Archives, Salisbury et al2 suggest that hospital-acquired anemia (HAA) may be yet one more potentially preventable complication associated with hospitalization. Anemia has been associated with worse clinical outcomes in the setting of acute myocardial infarction (AMI).3 The authors evaluated the association between HAA and blood loss from diagnostic phlebotomy in patients with AMI hospitalized in 57 US hospitals. Increased blood loss from phlebotomy was an independent predictor of HAA. Of particular interest was the finding that the mean phlebotomy volume in patients varied widely across individual hospitals, suggesting that some blood tests may have been simply “routine” and implying that reduction in the variability of care . . . [Full Text of this Article]

News from The Kings Fund: 14 October

NHS National End of Life Care Programme

When a person dies: guidance for professionals on developing bereavement services
This publication covers the principles of bereavement services, along with bereavement care in the days preceding death, at the time of death and in the days following death. It also includes guidance on workforce and education and the commissioning and quality outcomes of bereavement care.

News from The Kings Fund: 14 October

National Rheumatoid Arthritis Society (NRAS)

RA and physiotherapy: a national survey
This report highlights the medical evidence around the benefits of physiotherapy in the treatment of Rheumatoid Arthritis (RA), but also uncovers problems in the way physiotherapy services are being organised and accessed throughout the UK. It calls for new measures to be introduced in England, Scotland, Wales and Northern Ireland to increase compliance with RA medical guidelines and to protect existing physiotherapy services. A survey of NRAS members with RA also uncovered low referral rates, despite clear evidence that physiotherapy improved their function and mobility.

News from The Kings Fund: 14 October

Scientific Advisory Committee on Nutrition (SACN)
Dietary recommendations for energy
Energy requirements for the UK were last considered in 1991 by the Committee on Medical Aspects of Food Policy. The Department of Health asked SACN to review these requirements because the evidence base had moved on substantially, and over the same period the levels of overweight and obesity in the UK had risen sharply. SACN have set the new requirements for a level of energy intake required to maintain a healthy body weight. They have provided new recommendations for average dietary energy requirements for infants, children, adolescents and adults.

Change4Life three year social marketing strategy
This document sets out a new three-year marketing strategy (2011?14) for the Change4Life programme. It is published as a companion to Healthy Lives, Healthy People: A call to action on obesity in England and describes how the Change4Life social marketing programme will support the achievement of the new national obesity ambitions, as well as promoting other, broader, lifestyle changes.

News from The Kings Fund: 14 October

How is the NHS performing? October 2011 quarterly monitoring report
This report concludes that many NHS hospitals will struggle to deliver productivity improvements essential to maintaining quality and avoid significant cuts to services. It looks behind national figures for waiting times and infection rates to find significant variations in performance between hospitals.

Statements on the Health and Social Care Bill: second reading

The Health and Social Care Bill had its second reading on 11 October 2011.

Please see below for a selection of comments and statements on this.

Achievement of foundation trust status by NHS hospital trusts
This report finds that the difficulty of achieving foundation trust status is magnified by the challenge trusts face in making year-on-year cost savings of at least four per cent. It concludes that many trusts will have to achieve even greater savings than this to show that they are financially viable.