A process for rapid learning:

NHS Alliance

A process for rapid learning: sharing experience when things go wrong in out-of-hours services – reflections one year on This paper reviews the collaborative work of ten out-of-hours providers over the past year. It highlights the benefits of rapid learning and some of the key issues around how providers learn and share information within organisations and across the wider out-of-hours system.

Manual Handling of Children Standards Manual 2011

Extract from The National Back Exchange website at http://www.nationalbackexchange.org

Manual Handling of Children Standards Manual

New Manual Handling of Children publication available from NBE.

Following the success of the Standards in Manual Handling (2010) NBE has continued with its plan to publish specialist books and now presents: Manual Handling of Children 2011.

Manual Handling of Children aims to be the definitive publication on the issues surrounding the manual handling of children in a variety of community settings.

This book is written by Carole Johnson and Pat Alexander both of whom have a wealth of experience in paediatric manual handling and have presented at both national and international conferences on this subject.

Kings Fund: RCN and Sharps safety

Royal College of Nursing (RCN)
Sharps safety: RCN guidance to support implementation of the EU Directive 2010/32/EU on the prevention of sharps injuries in the health care sectorThis guidance covers the law on sharps injuries, including the European Directive 2010/32/EU and its underlying principles as well as its requirements on health care providers. It includes information on preparing an organisation, introducing risk assessments, selecting and evaluating safety-engineered devices and what employers should be doing to comply with the directive. It also includes a checklist to help safety representatives assess organisational and ward/departmental level compliance with the directive. 

Norovirus advice from NHS Confederation

Extract from The Kings Fund 29 November

NHS Confederation

Guidelines for the management of norovirus outbreaks in acute and community health and social care settings This guidance gives recommendations on the management of outbreaks of vomiting and/or diarrhoea in hospitals and community health and social care settings, including nursing and residential homes.

News from The Kings Fund: 29 November

Extract from The Kings Fund 29 November

NHS Confederation

Guidelines for the management of norovirus outbreaks in acute and community health and social care settings This guidance gives recommendations on the management of outbreaks of vomiting and/or diarrhoea in hospitals and community health and social care settings, including nursing and residential homes.

Royal College of Nursing (RCN)
Sharps safety: RCN guidance to support implementation of the EU Directive 2010/32/EU on the prevention of sharps injuries in the health care sectorThis guidance covers the law on sharps injuries, including the European Directive 2010/32/EU and its underlying principles as well as its requirements on health care providers. It includes information on preparing an organisation, introducing risk assessments, selecting and evaluating safety-engineered devices and what employers should be doing to comply with the directive. It also includes a checklist to help safety representatives assess organisational and ward/departmental level compliance with the directive.

Making the business case for ward sisters/team leaders to be supervisory to practice This guidance has been developed to help nurse leaders make the business case for ward sisters and team leaders to take up a supervisory role. It looks at the evidence nurse leaders need to complete the business case and is underpinned by the RCN definition of supervisory practice. It contains helpful and practical steps for making an effective case to ensure ward sisters and team leaders have dedicated time for improving the quality of care experienced by service users and patients.

Kings Fund News: Dr Foster

Dr Foster Intelligence

The hospital guide 2011 This report shows that patients are less likely to get treated promptly and more likely to die if they are admitted to hospital at the weekend. It finds that the chances of survival are better in hospitals that have more senior doctors on site but some hospitals with A&E departments have few senior doctors in hospital at weekends or overnight. It also identifies trusts with low levels of staffing and high mortality. It calls for re-organisation of services to ensure safe care 24/7.

King’s Fund News: 22 November, Breast Cancer Care

Breast Cancer Care

Improving outcomes and experiences for older women with breast cancer
This briefing focuses on the key issues for older women affected by breast cancer and presents recommendations for service improvements in three main areas: early diagnosis; treatment and assessment; and information and support.

NHS Networks: 25 November

A major international study published today shows that NHS is performing well for patients in many areas including some aspects of mental health care, vaccinations and preventative care, such as the number of unplanned hospital admissions for people with diabetes.
 
This briefing features examples of good practice from across the NHS to help inform the planning of strategies to further reduce sickness absence and highlights the opportunities for financial savings that can be made through the introduction and implementation of new policies.
 
NHS Employers has published a new briefing. Medical Revalidation: What Employers Need to Know and Do’.
 
The NHS Employers organisation has developed guidance to assist NHS organisations in moving towards a total reward approach.
 
Four new bedside furniture designs to reduce healthcare acquired infections are available for the NHS to purchase after testing showed positive patient and staff feedback.

Library launches new page: Understanding Evidence

If critical appriasal, referencing and ‘p’ values aren’t exactly top of your list of strengths, then take a look at the latest page to be added to the Library website – Understanding Evidence.

Having good study skills and knowing where to look for evidence based information is essential when it comes to reducing the hassle of assignments and improving your CPD experience.  This page has lots of useful links where you can find the necessary help you need.

Take a look at:

http://www.netvibes.com/ecn-stafflibrary#Understanding_Evidence

Commission on dignity in care gets underway

The NHS Confederation, Local Government Association (LGA) and Age UK has announced details of their joint commission on improving dignity in care for older patients in hospitals and care homes.

The Commission is part of an initiative from the three organisations called the Partnership on Dignity in Care.  It will examine why some organisations fail to treat older people with dignity and make practical recommendations for improvement.

http://www.nhsconfed.org/PressReleases/Archive/2011/Pages/Commissionon-dignity-in-care-gets-underway.aspx

Kings Fund: Close to home

Equality and Human Rights Commission (EHRC) Close to home: an inquiry into older people and human rights in home care. The inquiry has found that although many older people receive care at home which respects and enhances their human rights, this is by no means a universal experience. It uncovered areas of concern in the treatment of some older people and shortcomings in the way that care is commissioned by local authorities. Full report Executive summary EHRC – inquiry into home care of older people EHRC – press release

Kings Fund: 25 November

Royal College of Obstetricians and Gynaecologists (RCOG)

The care of women requesting induced abortion: evidence-based clinical guideline number 7
These guidelines are for all healthcare professionals and aim to ensure that all women considering induced abortion have access to a high quality service based on national standards. The recommendations cover commissioning and organising services, possible side effects and complications, pre-abortion management, abortion procedures and follow up care.

 
National Institute for Health and Clinical Excellence (NICE)

Caesarean section
NICE has published an update to its existing guidelines on caesarean section. It is hoped that these new recommendations mean more women may avoid unnecessary surgery and that changes in practice will reduce post-operative infections. It also recognises that mental health issues, as well as physical conditions, are possible indications for caesarean section.

 
Royal College of Midwives

State of maternity services report 2011
This report looks at a number of indicators of the pressures on maternity care and the resources available to cope in each of the four United Kingdom countries. It finds that a significant increase in the number of births in each of the four countries, and a trend towards older mothers, is increasing the pressures on maternity care throughout the UK. In England, and in the last few years Wales, this has led to a substantial deficit in the workforce needed to provide a safe level of care to women and their babies.

King’s Fund: Sustainability portal

NHS Sustainable Development Unit

NHS sustainability portal
University College London Hospitals and Building Research Establishment have set up a web portal to help Trusts and other healthcare organisations cut carbon emissions, energy use and operate more efficiently. It will give healthcare organisations access to methodologies, processes and information inspired by and developed in the style of Marks and Spencer’s Plan A.

A Critical Pathway for the Frail Elderly Cardiac Patient

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine:
December 2011 – Volume 10 – Issue 4 – pp 159-163

A Critical Pathway for the Frail Elderly Cardiac Patient
Wit, Mirjam MSc; Schaap, Annet MSc; Umans, Victor MD, PhD, FACC

Abstract

Background: The medical community needs to better respond to the predictable complexities associated with admission of frail and elderly cardiac patients who may need specific attention and care programs. The nurse practitioner can play an important role to continue and coordinate nursing and medical care. We propose a new critical pathway designed to improve cardiac and nursing care for frail elderly cardiac patients admitted with heart failure or atrial fibrillation.

Method: The critical pathway is developed by the nurse practitioner who will act as a pathway coordinator and take care of the medical care of these patients in a teaching hospital setting. This critical pathway is applied to all patients aged >75 years who are admitted for heart failure or atrial fibrillation.

Continue reading

Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff

Article published in BMJ
Accepted 15 October 2011
Published Online First 18 November 2011

Objective To explore NHS staff members’ perceptions and experiences of the contributory factors that may underpin patient safety issues in those who are placed on a hospital ward that would not normally treat their illness (such patients are often called ‘outliers’ ‘sleep outs’ or ‘boarders’).

Design Qualitative study using semi-structured interviews.

Setting A single large teaching hospital in the north of England.

Participants 29 members of NHS staff (doctors, nurses and non-clinical or management staff).

Cancer genetics project launched

A new initiative to develop personalised cancer treatment has been launched. The experimental project has been designed to develop a screening program to test tumours for key genetic changes. It is hoped that in the future the results of such tests would influence treatment programmes, helping doctors choose the best drug for each person.

eLearning tools for long term conditions

http://www.dh.gov.uk/health/2011/07/ltc-e-learning/

There are a number of online resources available to help the NHS and social care workforce in their work with people suffering from long term conditions.

Please note you will need to register with the site provider to access these toolkits.

Care planning e-learning toolkit: A 90 minutes introduction in 3 modules to personalised care planning – what it is, how it can benefit patients and staff and the skills, approaches and behaviours needed for effective delivery. The tool also uses case studies to illustrate and has a separate workbook. It concludes with a learning assessment.

Self care e-learning toolkit: These three short modules are designed as an introduction to supporting people with long term conditions to self care. By the end of the learning, healthcare professionals will be able to understand their role in supporting people to self care, and the types of support that help people manage their condition and make informed choices about their health and care.

Information prescriptions e-learning toolkit: A 90 minute introduction to Information Prescriptions, and how they support people with LTCs to manage their condition. The 4 modules focus in the skills and competencies needed to asses and respond to individual patients’ needs for information through an information prescription.

End of life care e-learning toolkit: Aims to enhance the training and education of all those involved in delivering end of life care to people, so that well-informed high quality care can be delivered by confident and competent staff and volunteers, across health and social care.

Extract from Dept of Health

Map of Medicine – local care maps

 

Following user’s feedback there have been a number of improvements made to Map of Medicine.
 
If you login you can now see your local care maps, bookmark those that are of most interest and change your default view of the Map.
 
In addition you can search for specific terms within each page; simplifying the look of search results; and making it possible for you to print the text of a single care point, together with the care map flow so you can see its context.

Go to http://eng.mapofmedicine.com/evidence/map/index.html

News from the Kings Fund: Fraud costs/Leadership/Industrial action

2020health

The financial cost of healthcare fraud: what data from around the world shows
This report investigates the true financial cost of fraud to the NHS. It estimates that the NHS loses £3 billion per year in fraud and in light of financial pressures, minimising fraud has the potential to aid with efficiency savings.

also …

CKHS

What makes a top hospital? Leadership
This is the third in a series of publications centred around quality in hospital services. This report looks at the features of leadership that are found in top performing acute organisations.

also ..

NHS Employers

Guidance on emergency cover during industrial action 
Unison and Unite have both produced guidance on emergency cover and exemptions from industrial action. It encourages their branches to engage with employers when they seek to discuss levels of cover.