A resource pack for leaders of community groups and activities

Preparation for birth and beyond: a resource pack for leaders of community groups and activities
This resource pack has been developed to help the NHS, local authorities and the voluntary sector in planning or leading preparation for parenthood groups and activities. It aims to improve outcomes for babies and parents through a refreshed approach to antenatal education.

Loughran, CF and Keeling, CA : British Journal of Radiology (2011)

This review article was published in British Journal of Radiology (2011) 84, 869-874 Seeding of tumour cells following breast biopsy: a literature review

Needle biopsy of the breast is widely practised. Image guidance ensures a high degree of accuracy. However, sporadic cases of disease recurrence suggest that in some cases the procedure itself may contribute to this complication. This article reviews evidence relating to needle biopsy of the breast and the potential for tumour cell migration into adjacent tissues following the procedure. A literature search was undertaken using Medline, Embase and the Cochrane Library.

Full text available at: http://bjr.birjournals.org/cgi/reprint/84/1006/869

NEW: Harvard Business Review available

The latest news and information from the Harvard Business Review is now available on our Health Management page. It is regularly updated and published the instant it becomes available.

Please follow this link to view or click on the Health Management page on our Netvibes website.

All information contained on our website can be viewed from home or work at any time.  To read full text articles, an Athens username and password may be required.

New leisure books for October

Out with the old and in with the new!  That seems to be the theme this month with our leisure collection.  Just to give you a flavour of what is on offer, some of the new leisure titles are listed below. 

Ayres, Pam With these hands
Briffa, Dr. John Natural health for kids
Binchy, Maeve Minding Frankie
Brooks, Libby The story of childhood: growing up in modernBritain
Bryson, Bill Notes from a small island
Carrell, JL The Shakespeare secret
Chadwick,Elizabeth The winter mantle
du Maurier, Daphne Julius
Elmes, Simon And now on radio 4
Gorman, Dave American unchained
Hall,William 70 not out

There are many more so why not call in, have a coffee and browse the shelves whilst you make your selection.

New Clinical Books: October 2011

The following table shows the latest clinical books to be added to the library stock.

Association of Breast Surgery Association of Breast Surgery: yearbook 2011
Browse, Norman L Browse’s introduction to the investigation and management of surgical disease
Browse, Norman L Browse’s introduction to the symptoms and signs of surgical disease
Campbell, Dianne Get through MRCGP: AKT
Dubb, Sukhpreet Singh 500 single best answers in medicine
Fritsch, Sandra L Interface between paediatrics and children’s mental health
Gopee, Neil Leadership and management in healthcare
Khan, Khalid Systematic reviews to support evidence-based medicine
Koch, Tom Disease maps: epidemics on the ground
National Institute for Clinical Excellence (NICE) Quick reference guide: Autism: recognition, referral and diagnosis of children and young people on the autistic spectrum
National Institute for Clinical Excellence (NICE) Quick reference guide: Multiple Pregnancy: the management of twin and triplet pregnancies in the antenatal period
NephroCare NHS Dialysis unit patient guide: information book and DVD for patients, their families and carers
Sharples, Kath Preceptorship for newly registered nurses
Syed, Irfan EMQs in clinical medicine

Trust giving voice to campaign

East Cheshire NHS Trust’s Adult Speech and Language Therapy Department is preparing for the launch of the national ‘Giving Voice’ campaign instigated by the Royal College of Speech and Language Therapists’ (RCSLT) to raise awareness of the vital role Speech and Language Therapy (SLT) plays in the lives of people with communication and swallowing needs.

The Giving Voice campaign is designed to ‘give voice’ to people with speech, language and communication needs – to ensure their needs, and those of their carers and families, are met. The aim of the campaign is to demonstrate how speech and language therapy makes a difference to individuals and the broader society across the UK.

East Cheshire NHS Trust’s Adult Speech and Language Therapy Team are launching the national Giving Voice campaign on 18 October 2011 with a display in the hospital main reception to raise awareness of speech and language therapy and their role in the local community

Read more on the trust news page http://www.eastcheshire.nhs.uk/News-Events/Local-News/Local-News.html

Nurses – update your leadership skills for free

NHS Connecting for Health courses at various venues

  1. Are nurses slow to innovate and adopt new approaches to delivering care?
  2. Do you know what patients now expect with regard to information?
  3. Do you know how to make sure you are counting apples and not pears?
  4. Are we developing the necessary skills in our workforce for the future?
  5. Could information governance get any more boring yet be so important?
  6. When did patient safety become an IT issue not a clinical one?
  7. Are we prepared for being visible?
  8. Do you understand the potential for changing practice as a result of technology and the consequences?

The Leadership for Informed Practice Programme is for senior nurses and midwives across the whole healthcare system and runs over three days, on various dates, each day approximately a week apart. Various venues are available.

The course is free to attend. Please visit our events website for more information and to book a place.

If you have any questions please do not hesitate to contact clinicaldivision@nhs.net.

Lightening your load

This tip is prompted by the recent experience of one Library user.

Late one afternoon last week, a member of staff came into the library, bowed down under the weight of several library books. A couple of them were substantial; real heavyweights, the sort which make your arms ache just to look at them.

The books were unloaded on to the counter, in date.  “No fine?” they breathed, beaming with relief and triumph.  “Correct, no fine”, I replied.  “Are you returning them”?  “No, I haven’t finished yet, could I renew them please?”.  Relief turned to chagrin when it was gently pointed out that all you have to do to renew books is to telephone us on 01625 661362 or email us at ecn-tr.stafflibrary@nhs.net

Please don’t make the same mistake. Ring don’t wrestle!

Overview of NHS Evidence

This 2 minute video demonstrates some of the features of  “NHS Evidence – relevant reliable, trusted information – all in one place.” 

Watch it and you just might discover something that you weren’t aware of!  Click on the image above to take the 2 minute tour.

If you are a medical student and want to know what NHS Evidence can do for you try this video link by clicking on this image:

BMJ – online learning materials

As a subscriber to BMJ, our users are able to take advantage of a number of training materials.  This includes a range of videos for Best Practice and BMJ Case Reports to aid users in product use. In addition there are some materials suitable for specific groups of medical professionals using BMJ Learning.

Please note these links work best if you have your NHSnet/NHS Mail account open.

Videos for Best Practice
Training Video for Clinicians
Training Video for Medical Students
Training Video for Junior Doctors
Best Practice for Nurses working in Emergency and Acute Critical Care

Videos for Case Reports
BMJ Case Reports website overview
How to write a full text case report
How to submit a full text case report

Recommended Modules for BMJ Learning
Medical students
Junior doctors
Community nurses
Paediatric nurses
Mental health nurses
Psychiatry nurses
Adult nurses


BMJ Case Reports Userguide
Best Practice Userguide
Getting Started with Best Practice
How to register for mobile access

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.

DoH: Duty of Candour consultation launched

Duty of Candour consultation launched

10 October 2011, 01:00:27 | webteam-ln

A consultation has been launched on implementing a ‘Duty of Candour’, a contractual requirement on NHS providers to be open with patients when things go wrong with their healthcare.

The contractual Duty of Candour, which forms part of the Government’s plans to modernise the NHS by making it more accountable and transparent, will be an enforceable duty on providers.

The aim is to ensure providers are open and honest with patients, or their families, and give them information about any investigations that have taken place or any lessons learned.

The consultation asks:

  • how best to design a contractual requirement for organisations to be open, including the scope and the kinds of sanctions that should be available
  • how best to support patients and clinicians to ensure people are told when things go wrong.

Health Secretary Andrew Lansley said: ‘We must develop a culture of openness in the NHS. This is a key part of how a modern NHS should be – open and accountable to the public and patients to drive improvements in care.

‘That’s why we are introducing a requirement on providers to be transparent in admitting mistakes. We need to find the most effective way to promote openness and hold those organisations who are not open to account.

‘A more transparent NHS is a safer NHS where patients can be confident of receiving high quality care.’

The consultation runs until 2 January 2012.

Cochrane mini tutorials online

Online self-paced tutorials

Learn at your own pace and place!
These online tutorials are designed to provide a quick and informative overview and demonstration of The Cochrane Library. Part 1 provides an introduction to The Cochrane Library and Part 2 includes tips on advanced and MeSH searching, plus showing you how to save searches and set up email alerts.

Part 1. The Cochrane Library – an introduction         

Part 2. The Cochrane Library – Searching and MESH

The modules use sound and are free – brief details required when registering at the opening screen.

Here is a brochure about The Cochrane Library – click here