Toolkit for improving care for frail older people

This is the third in a series of acute care toolkits which aims to improve the care of the frail older patient.

The toolkit, produced in collaboration with the British Geriatrics Society, recommends procedures for both initial assessment on admission and later comprehensive geriatric assessment.

via NHS Networks at

Knight, S: Collaboration on autonomic symptoms are common and are associated with overall symptom burden and disease activity in primary Sjögren’s syndrome

Susan Knight, Deborah Symmons, Beverley Jones (Macclesfield District General Hospital & Arthritis Research UK Epidemiology Unit, Manchester) collaborated on this recently published study.

Ann Rheum Dis doi:10.1136/annrheumdis-2011-201009

  • Clinical and epidemiological research

Autonomic symptoms are common and are associated with overall symptom burden and disease activity in primary Sjögren’s syndrome

Julia L Newton James Frith Danielle Powell et al published online first 5 May 2012

Objectives To determine the prevalence of autonomic dysfunction (dysautonomia) among patients with primary Sjögren’s syndrome (PSS) and the relationships between dysautonomia and other clinical features of PSS.

Mahto, M; Response to “Comparative performance of culture ..”

Sex Transm Infect 2012;88:27-31 doi:10.1136/sextrans-2011-050075

  • Original article

Comparative performance of culture using swabs transported in Amies medium and the Aptima Combo 2 nucleic acid amplification test in detection of Neisseria gonorrhoeae from genital and extra-genital sites: a retrospective study

  1. Lindsey Harryman1,  Sara Scofield1,  John Macleod2,  David Carrington3,  O Martin Williams3Arnold Fernandes4,  Paddy Horner1,2
  • Accepted 6 October 2011
  • Published Online First 27 October 2011
Response by Mrinalini Mahto [Full text]

Sex Transm Infect published online December 1, 2011

Eyes on Evidence update: Cancer

Vitamin E supplementation and prostate cancer risk
SELECT trial finds no reduction and suggests an increase in risk of prostate cancer with either selenium or vitamin E supplements.

Health professionals express a need for more training to deal with third party interpreting for cancer patients.
There is insufficient evidence to support the use of combination therapy to treat chronic kidney disease.

The evidence base continues to build, suggesting that daily aspirin can be used to prevent cancer.

Details of a new resource available via NHS Evidence search.
Links to four recently published Evidence Updates.

Research portal required to make publicly funded research freely available

BMJ 2012; 344 doi: 10.1136/bmj.e3184 (Published 3 May 2012)

Cite this as: BMJ 2012;344:e3184

Nigel Hawkes

The government has enlisted Jimmy Wales, co-founder of Wikipedia, to help realise plans to make all publicly funded research accessible free of charge.

David Willetts, the minister for universities and science, announced the appointment in an article in the Guardian today ( and was due to elaborate on it later in a speech to the Publishers Association.

Last December in its innovation and research strategy for growth the government promised that open access was its aim, and it set up a working group chaired by Janet Finch, former vice chancellor of Keele University, to consider implementation. She is expected to report next month.

“Giving people the right to roam freely over publicly funded research will usher in a new era of academic discovery and collaboration,” wrote Willetts in his Guardian article. “The challenge is how we get there without ruining the value added by academic publishers.”

via UK government to provide a research portal to make publicly funded research freely available to all | BMJ.

UK figures show increase in prostate cancer diagnoses and falling death rate | BMJ

Athens account required

BMJ 2012; 344 doi: 10.1136/bmj.e3252 (Published 8 May 2012)

Cite this as: BMJ 2012;344:e3252

Susan Mayor

The latest figures show that the number of men in the United Kingdom receiving a diagnosis of prostate cancer has risen to more than 40 000 a year, mainly because of greater use of prostate specific antigen (PSA) testing.

Cancer Research UK reported that 40 841 cases of prostate cancer were recorded in 2009, the most recent year for which incidence figures are available. The data were collected by regional cancer registries in England and the three national cancer registries in Wales, Scotland, and Northern Ireland.

via Latest UK figures show increase in prostate cancer diagnoses and falling death rate | BMJ. Health Newsletter

Social care bill ”delayed by Lords reforms”

The bill looking at reforming long term care for the elderly and disabled is said to have been put back

”Asset-rich elderly are not main priority”
Centre for Social Justice says government is wrong to focus on helping ”asset rich” pensioners

Labour could pull out of elderly care talks
Coalition accused following the news that plans will now not be included in the Queen’s Speech

Public sector workers stage 24-hour strike
But the Tories insist the action will benefit no-one and will just inconvenience the public

45 pc of English men ”to be obese by 2040”
By 2030, 40 per cent of men in England will be obese and by 2040 the figure will be even higher

Read more via Health Newsletter.

Innovation & Issues in Perioperative and Operating Theatre Management Conference

MCC, Manchester – 13 September 2012

Theatre and preoperative management is constantly in the spotlight and particularly in the prevailing economic climate. Managers and clinicians are under constant pressure to find and devise effective and efficient solutions to ensure safe but cost-effective care. This day offers the opportunity to network and learn of some of those initiatives.

CQC Review: Learning Disabilities

Care Quality Commission (CQC)

Review of services for people with learning disabilities
The CQC has published a further 10 reports from a targeted programme of 150 unannounced inspections of hospitals and care homes that care for people with learning disabilities. The programme is looking at whether people experience safe and appropriate care, treatment and support and whether they are protected from abuse. A national report into the findings of the programme will be published later this year.

Journals and books – free to collect

Journal Stock Review

The Staff Library is relocating to New Alderley in August and due to space restrictions we are offering the following journals and hardback ‘Clinics series’ books FREE to anyone who can use them.

  • Anaesthesia / New Scientist
  • Arch Diseases of Childhood
  • Education and Practice
  • Fetal and Neonatal
  • EMJ
  • NEJM
  • Journal of International Med Research
  • QJM
  • Nursing Times:          2006 and earlier
  • Nursing Standard:     2010 and earlier
  • MDDIRS:                    2010 and earlier

All but the last 12 months of the group below are available:

  • BJS
  • JRSM
  • HSJ
  • Lancet
  • Medicine
  • Surgery

Clinics series (Hardbacks)

** all stock available except ‘Clinics in Developmental Medicine’

  • Emergency Medicine
  • Endocrinology
  • Gastroenterology
  • Geriatrics
  • Medicine
  • Clinical Orthopaedics & Orthopaedics
  • Paediatrics
  • Rheumatology
  • Surgery

Many archived journals are available, with the exception of Analytical Toxicology.

Please contact us on 01625 66 1362
by email to register your interest.

Please note collection will be on a ‘first come – first served’ basis.