QIPP: Change and improvement to the stroke pathway

Stroke pathway: delivering through improvement 2009

Although this information was published a couple of years ago, I include it here as an example of what is available on QIPP – which stands for Quality, Innovation, Productivity and Prevention

The NHS Institute supported Chief Executives and senior leadership to champion change and improvement across NHS organisations in all areas of the stroke pathway. Quality was improved by reducing mortality, time in A&E, and delay in CT.  Read more at https://www.evidence.nhs.uk/qipp

Public Health eNewsletter and resources at NHS Evidence

The latest e-newsletter from the National Library for Public Health is now available at http://ymlp.com/zXnTZr   If you prefer you can subscribe to receive the newsletter every month by clicking here.

All the public health resources can be found at https://www.evidence.nhs.uk/nhs-evidence-content/public-health such as Public Health NICE Pathways – ‘bringing together all related NICE guidance and associated products in a set of interactive topic-based diagrams’. There are four Public Health pathways:

The contraceptive pill and ovarian cancer risk

Overview: Cancer of the ovary affects more than 6,500 women in the UK each year. It is the fifth most common cancer among women after breast cancer, bowel cancer, lung cancer and cancer of the uterus (womb). Ovarian cancer is most common in women who have had the menopause (usually over the age of 45), but it can affect women of any age. It is well established that the use of oral contraceptives reduces the risk of ovarian cancer, but the associations with other reproductive variables are less clear. See the NHS Evidence topic page on ovarian cancer for a general overview of the condition.

Current advice: Oral contraceptives have been found to increase the risk of some cancers, and lower the risk of others. NICE recommends that women should not be prescribed the oral contraceptive pill purely for prevention of cancer. Women aged over 35 years with a family history of breast cancer should be informed of an increased risk of breast cancer associated with taking the oral contraceptive pill, given that their absolute risk increases with age. There is accredited guidance on combined hormonal contraception from the Faculty of Sexual and Reproductive Healthcare.

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Perioperative management of patients with cardiac implantable electronic devices

British Journal of Anaesthesia:  Volume 107, Issue suppl 1 p116-126

Many anaesthesia practitioners caring for patients with a cardiac implantable electronic device (CIED) lack the knowledge, experience, and requisite programming devices to independently manage these patients perioperatively. A recently updated ASA task force Practice Advisory presents expert opinion regarding the perioperative management of patients with CIEDs, and the Heart Rhythm Society (HRS) recently published a consensus statement on this subject in collaboration with the ASA, American Heart Association (AHA), and Society of Thoracic Surgeons (STS).

The abstract is free and the full text article may be requested as an inter library loan.

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King’s Fund: The University of York

Estimating the costs of specialised care: updated analysis using data for 2009/10
This research shows that hospitals should receive additional funding in recognition of the higher costs associated with providing some types of specialised care. The researchers analyse the impact that specialised care has on costs for 12.9 million NHS patients treated in hospital during 2009/10. They found that many types of specialised care do not impose significant additional costs. But for some services, patients who received specialised care had higher costs than otherwise similar patients who do not.

King’s Fund: Cancer framework

Department of Health

An intelligence framework for cancer
This document sets out plans to tackle deficiencies of collection and analysis in cancer intelligence.

Improving outcomes: a strategy for cancer – first annual report 2011
This report aims to help the reformed NHS deliver cancer outcomes that are amongst the best in the world and provides information on progress in 2011.

CASPb: Crib Sheets for Critical Appraisal

The Critical Appraisal Skills Programme (CASP) was developed in Oxford in 1993 and has over the past ten years helped to develop an evidence based approach in health and social care, working with local, national and international partner organisations.

CASP’s workshops and resources aim to help participants put knowledge into practice by learning how to systematically formulate questions, find research evidence, appraise research evidence and act on research evidence.

One of the resources worth noting on their website – Crib Sheets

Cribsheets are core questions that aid you to critically appraise a research paper.


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