Day: January 16, 2012

Mastering Management in Healthcare: Improve your feedback technique

From Radcliffe Publishing

Introduction

In this issue of Mastering Management in Healthcare, it looks at the second of two areas that tend to provoke anxiety in managers old and new – giving feedback to staff and colleagues.

It is worth noting that most of us actually want to know how we are doing, and we look for opportunities to have our work recognised. As long as the process is handled with respect and dignity we don’t even seem to mind being told where we might need to improve. However, recent research shows that of the 77% of NHS staff in England who have access to appraisal, just over a third of those feel it is well structured and leaves them feeling valued(1). Judging by this, there still seems to be a barrier to giving good feedback.

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Community pain staff move to a new location

Extract from The Staff Communications Bulletin

The Community Pain Service are moving on 20 January 2012
The Community Pain Service are moving from Weston Clinic on Friday 20 January 2012 to Waters Green Medical Centre on Monday 23 January 2012.

New address and contact details:
PCT Room 3, 3rd Floor, Waters Green Medical Centre
Sunderland Street, Macclesfield, Cheshire, SK11 6JL

01625 264181

Haider, S, BMJ Case Reports 2012: Images in paediatrics

BMJ Case Reports 2012; doi:10.1136/bcr.10.2011.4904

Images in paediatrics: subcutaneous fat necrosis causing radial nerve palsy

  1. Shahzad Haider Department of Paediatrics, Macclesfield District General Hospital, Cheadle, UK
  2. Correspondence to Dr Shahzad Haider, drhaider786@hotmail.com
Description:
A baby boy was born at term by forceps extraction following uneventful pregnancy. The baby did not require resuscitation at birth. On routine postnatal check, it was noticed that the baby had left-sided wrist drop. An area of palpable subcutaneous nodules with some erythema was identified over the lower part of left arm. It was thought to be subcutaneous fat necrosis which had most likely caused radial nerve palsy. There were no associated signs suggested for brachial plexus injury. There was good flexion at the elbow and normal movements at shoulder. There was no evidence of fracture in the upper limb on x-ray. He received physiotherapy in the form of splinting and passive movements to prevent secondary contractures. After 4 weeks, he started showing some minimal extension of the fingers. The skin over the area of fat necrosis was desquamated. At his 10 week follow-up, his left arm seemed completely recovered. He had full range of movements. There is limited literature available relating radial nerve palsy secondary to subcutaneous fat necrosis. It is thought to be due to intrauterine pressure effect and almost universally there is a good recovery.
 
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The King’s Fund: Oral healthcare for older people

British Dental Association (BDA)

Oral healthcare for older people: 2020 vision – check-up, January 2012
In May 2003, the BDA published Oral Healthcare for Older People: 2020 Vision. This policy document was produced in response to concerns from the BDA’s membership about whether those responsible for planning and delivering dental care were prepared for the evolving oral health challenges of the ageing population. This short report provides a check-up on these recommendations and updates demographic information and recommendations for how commissioners and social care services can ensure that the oral health needs of their patients are met.

Guide for commissioners on end of life care for adults

National Institute for Health and Clinical Excellence (NICE). This guide aims to support commissioners in designing high quality, evidence-based services to improve outcomes for patients and to help the NHS make better use of resources. It also includes an end of life care commissioning and benchmarking tool to help users determine the level of service that might be needed locally and to help cost and identify potential savings associated with commissioning end of life care services.