One million ‘dementia friends’ scheme launched

An ambitious project to register one million people by 2015 who can increase understanding of dementia, is one of the next steps in the Prime Minister’s Dementia Challenge. Under the scheme led by the Alzheimer’s Society, people who become dementia friends will be given free information sessions, to help them raise awareness of dementia in their communities.

Other measures include providing £9.6m for dementia research, extra support for GPs to spot and diagnose dementia, and a pilot programme in schools and youth projects to help young people become dementia aware.

More information

Helping GPs to support people to live and die well

National End of Life Care Programme (NEoLCP)

Find your 1%: helping GPs to support people to live and die well
This resource pack has been developed to be a practical tool to help GPs identify those patients who may be in their last year of life and talk to them about their preferences. It contains information on: identifying people at the end of life; having end of life care conversations; putting plans in place; managing and co-ordinating care; and space for GPs to include local information such as the telephone numbers of hospices, palliative care teams and pharmacies which stock palliative care drugs.

Visit our stand at the PEF event today

The annual (Practice Education Facilitators) PEF event is taking place today in Education and Training.  Please come along to view the stands, talk to staff and find out what’s happening in the staff library.

Angela Donnelly the library manager, will be giving a presentation at 15.50 and would be pleased to see you and discuss how the library can assist you in your studies or your professional practice.

Guides for Health and Wellbeing Boards

Practical guides for health and wellbeing boards
These publications aim to help support the establishment of well-functioning health and wellbeing boards. They cover a range of themes including integration, criminal justice, improving population health and patient and public engagement.

The King’s Fund: Frontline first

Royal College of Nursing (RCN)

Frontline first: protecting services, improving care
This report reviews the state of the NHS workforce as the coalition government’s term reaches its halfway point. It finds that nursing is suffering from cuts while other professions are increasing in numbers. It argues that these figures reveal a looming crisis in nursing, as the demand for nursing care increases. It cites the formation of Health Education England as an opportunity to take a long-term approach to workforce planning and secure the future supply of nursing staff.

NHS Network News – Cancer

This report highlights the need for improvements in integrated care for cancer patients. Five key areas where patients thought improvements could be made to deliver integrated care were: securing quicker referral from GPs to hospitals for testing and diagnosis; ensuring patients find out the results of their tests as quickly as possible; providing patients with access to a named clinical nurse specialist or other ‘key worker’ throughout the care pathway; supporting patients to feel involved in key decisions about their treatment and care; and putting systems in place to make sure records and test results are available to all clinicians and staff involved in patients’ care.
Emergency admissions for patients with cancer remain problematic despite the development of acute oncology.

111 Service – are you up to speed?

Have you seen the staff briefing on developments about the new National 111 Service.  Please read this latest briefing about how this will affect the trust’s urgent care services.

There will further updates as soon as we have more information via regular briefings in the Staff Matters e bulletin.
If you have any further questions or concerns following the briefing please ensure you speak to your line manager.

Catherine Robinson, Associate Director Community Business Group.  Please view the latest staff briefing and FAQs on Your Infonet 


AQuA News Bulletin – November 2012

Please find attached a link to the November edition of AQuA News at

In this edition you will find:

• AQuA Launches its Improving Outcomes Pack On Chronic Liver Disease

Chronic Liver Disease
Liver disease is now the 5th commonest cause of death in the UK and one of the few developed nations with an upward trend in mortality from liver disease.

• Academic Health Science Networks

• Registration Open For Final Advancing Quality Collaboratives Of 2012

• Advancing Quality: An Introduction For CCGs

• New Collaboration Website Launched For Advancing Quality Teams

• AQuA 2012 Member Survey

• AQuA Mental Health Bespoke Work

• Preventing Suicide In England

• Congratulations To HSJ Efficiency Award Winners!

• Are You Shared Decision Making Positive?

• Your Health Your Decision: A Conversation About Shared Decision Making

• AQuA Improvement Methodologies (AIM): Next Cohort Open For Bookings

• AQuA Lean Network

• A New Role For Finance In Quality Improvement: Cohort 3

• Take Advantage Of AQuA Lean Opportunity!

• AIM+ Programme

• AQuA Patient Safety Ambassadors

• IHI Open School Licences

Introduction to Lean Resources
In this area you will find resources from the Introduction to Lean programme for utilisation in your workplace.

J Yates, M Choudhry, G Keys; Case report, Journal of Clinical Pharmacy and Therapeutics; 20 Nov 2012

To read the full article you will need your Athens account details

A case report describing a suspected rivaroxaban hypersensitivity reaction in a surgical patient

Author information:   Department of Orthopaedics, Macclesfield District General Hospital, East Cheshire NHS Trust, Macclesfield


What is known and Objective: Rivaroxaban is an oral anticoagulant, currently licensed for use as a venous thromboembolism (VTE) prophylaxis, and recommended by the National Institute for Clinical Excellence (NICE) for all patients undergoing elective hip and knee replacement surgery in the UK. We present the first case of a suspected hypersensitivity to rivaroxaban.

Case summary: A 57-year-old man with no previous allergies underwent an uncomplicated, elective partial knee replacement, after which he was prescribed a routine 2-week course of rivaroxaban 10 mg. He developed an allergic response requiring readmission for assessment and treatment 7 days post-operatively.

What is new and Conclusion:  We believe this to be the first published case of hypersensitivity associated with rivaroxaban. More research is needed to determine this association. At the same time, given the growing range and increasing use of anticoagulants, particular vigilance is required regarding potential side effects so that these may be managed quickly and effectively in the early stages.

David James Moore et al; BMJ, Case Report; Nov 2012

Case Report: Sequential bilateral femoral fractures

BMJ 2012; 345 doi: (Published 14 November 2012)

David Moore is a Consultant Radiologist at East Cheshire NHS Trust

A 78 year old woman presented to the emergency department with an off-ended, shortened, anteriorly deviated, long oblique fracture of the right femoral diaphysis. She had been experiencing thigh pain for several weeks before this acute presentation and analgesia had been prescribed.

She described feeling the bone “crack” as she turned around. There was no history of trauma. The fracture was surgically treated with an intramedullary nail.

Six months earlier she had sustained a similar fracture of the midshaft of her left femur. Again, there was no trauma and she described feeling the bone “crack” as she twisted slightly to go through her front door. She was unable to reach a telephone to call for help and spent some time on the ground before a passer by called an ambulance. After initial treatment with a Thomas splint, she was treated surgically with an intramedullary nail. After two weeks of rehabilitation she returned home to live independently and was able to go out with one stick to do her shopping.

Her medical history included osteoporosis and hypovitaminosis D. The diagnosis of osteoporosis was made after she sustained a vertebral crush fracture. She had been receiving bisphosphonates to prevent further fractures for nearly five years.

To read the full article you will require an Athens account

Thousands risk stroke as mini-stroke signs ignored

Courtesy of The Stroke Association

Thousands of people are at risk of stroke because they fail to recognise the signs of a Transient Ischaemic Attack (TIA, also known as mini-stroke), according to the findings of a new poll(i) launched today on World Stroke Day (29 October 2012).

A Stroke Association survey of over 2,000 members of the public, conducted by ICM Research, revealed that:

  • Over two thirds (68%) of people did not recognise the symptoms of a TIA, with over a quarter (26%) believing they were symptoms of a heart attack.
  • Nearly nine out of ten people (87%) would be worried if they experienced the symptoms of a mini-stroke, yet almost three quarters (74%) wouldn’t take emergency action and go to hospital.
  • Over two thirds of respondents (68%) had never heard of TIA and two in five (40%) were unaware that a TIA was a warning sign of a major stroke.

Read the full article

BJN: Dying to care: dignity at end of life

British Journal of Nursing, Vol. 21, Iss. 21, 22 Nov 2012, pp 1295

November is always a sad month for me -full of past but ever-present family bereavement and sadness. It always makes me dwell on dying and death from a personal and professional perspective and from both, I see the development of the Liverpool Care Pathway (LCP) as a significant improvement in care.

The full-text of this article is available to download at  An Athens account is required.

BJN: Teaching and Learning: from staff nurse to nurse consultant. Part 11: seminars

British Journal of Nursing, Vol. 21, Iss. 21, 22 Nov 2012, pp 1287

If you are working in a clinical area and have some involvement with students, you may well see part of that role as teaching them about the sort of conditions and care that your patients require. You may also think that you have to do that by conducting mini lectures. Have you tried using seminars in your clinical area?

The full-text of this article is available to download at  An Athens account is required.

Free Learning Leadership online demonstration

Free Learning Leadership online demonstration

by carla.madrilejo
FMLM’s Learning Leadership resource can help you to find out as it provides a fantastic resource full of articles, video interviews, CPD tracking, journals, e-books and much more. It gives you access to the latest best practice information on leadership and management direct from your PC. Visit this link to find out more,  FMLM is holding a free online Learning Leadership demonstration to show members how to get the most out of this system.

Potential dates for the online demonstration are 27 November at 1.30-2.30 pm and 6 and 7 December at 6.00-7.00 pm. To put down your name down and click here to choose which date(s) you can attend, we will pick the date that most attendees are available. We will pick the date confirm the date by 12 November when the demonstration will take place.

How one CCG is using Facebook to improve communication

Hamed Khan, Guardian Professional, Thursday 22 November 2012 08.30 GMT
This article is published by Guardian Professional – click to read the full article

Facebook is a great way for doctors to communicate and share files – once potential pitfalls have been considered

GPs traditionally have a habit of working very separately from one another, each locked away in their own consultation room. But as we prepare to take on a host of new management responsibilities under the health reforms, we have suddenly found the need to do a lot more talking.


IG Training in comfort

Completing your annual IG Training can be done in the comfort of the Staff Library.  No need to book, just drop in, grab a cup of coffee but please ensure you have your login details – a username (usually your NHS email) and password to access the IG Toolkit.  Library staff will be on hand to help you get started.

If you’ve never used the toolkit before, you will need to register online at


BMJ articles: End of Life Care Pathways

Kirsty Boyd and Scott Murray
Rosemarie Anthony-Pillai

Online self management support resource centre

Online self management support resource centre

The Health Foundation’s new and improved resource centre provides information and practical tools that can be adopted and adapted locally to enable services and health professionals to develop their own self management support programmes.
The health foundation - Inspiring improvementThe Health Foundation is an independent charity working to continuously improve the quality of heatlhcare in the UK

Drug and Therapeutics Update

National Institute for Health and Clinical Excellence 
NICE has rejected omalizumab for severe, persistent allergic asthma in adults and children because of doubts about the relevance of research evidence and about its cost effectiveness, but people already taking it may continue to do so until they and their doctors agree that stopping is appropriate.
To read more on this article click here >>

NICE turns down treatment for bladder cancer
To read more on this article click here >>

Department of Health 
Rotavirus vaccination of babies will begin next September
To read more on this article click here >>

Health Protection Agency 
Quarter of young who inject drugs still share needles and syringes
To read more on this article click here >>

HPA seeks to avert disaster of antibiotic resistance by raising awareness further
To read more on this article click here >>

Website to watch: The NHS Commissioning Board (NHS CB)

The NHS Commissioning Board (NHS CB), plays a key role in the Government’s vision to modernise the health service with the key aim of securing the best possible health outcomes for patients by prioritising them in every decision it makes.

Formally established as an independent body, at arm’s length to the Government, on 1 October 2012, it will carry forward the preparatory work begun as the NHS Commissioning Board Authority while taking on initial statutory responsibilities.  The most notable of these responsibilities being the authorisation of clinical commissioning groups (CCGs) which are the drivers of the new, clinically-led commissioning system introduced by the Health and Social Care Act.

The NHS Commissioning Board will take up its full statutory duties and responsibilities on 1 April 2013.”

Read more about the NHS CB.  See their website at for news, information, puiblications, events, resources including blogs and RSS feeds for subscription.

A replacement for NHSmail: Shape the future NHS email service

A consultation has been launched to find out what the NHS wants from a future email service, which will debut in June 2014 and replace the current NHSmail system.

The NHSmail team wants to hear from users and non-users of the current system on what you would like to see in the new service; what will help you do your job more efficiently, which in turn will lead to improved patient care.

The consultation is taking place throughout November and early December, and you can input in two ways:

NHS Networks: A forum has been set up for NHSmail2 where initial requirements have been posted. Take a look, comment, or add your own requirements.

EmailSubmit your thoughts and requirements to the team

ADDENDUM from NHSMail Team 15/11/2012

As you may know, the existing NHSmail contract is due to end in June 2013. The NHS Commissioning Board has confirmed, at a meeting of its Executive Team chaired by Sir David Nicholson, that it supports the continuation of NHSmail.   In light of this support, we are working hard to ensure the continuity of the service. For further information visit
Additionally, work is underway to investigate options for a replacement service. For further details go to

If you would like to contribute to the requirements gathering phase for NHSmail 2 please see