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


Latest news and guidance from The King’s Fund

Royal College of Nursing (RCN)

Supporting apprentices in the workplace
This leaflet provides advice and information for RCN representatives supporting apprentices in the workplace, and identifies areas for concern, such as pay below the legal minimum, poor quality training and ‘pre-employment apprenticeships’ with no pay. It also defines an apprenticeship framework and looks at the employment of apprenticeships in health care among young workers and established older workers.

Delegating record keeping and countersigning records: guidance for nursing staff 
This guidance draws on the Nursing and Midwifery Council (NMC) code to clarify issues of delegating record keeping and countersigning records for nursing staff and employers.

TARGET antibiotics toolkit

Royal College of General Practitioners (RCGP)

This toolkit aims to help clinicians and commissioners use antibiotics responsibly and meet CQC requirements. It has been developed by the RCGP and The Antimicrobial Stewardship in Primary Care (ASPIC) collaboration of professional societies including GPs, pharmacists, microbiologists, clinicians, guidance developers and other stakeholders. It includes: the HPA antibiotic guidance template which can be modified locally; patient information leaflets; self assessment check list for GPs and commissioners; audit tools with indicators of responsible antimicrobial use; and links to online clinical modules and other useful resources.

The impact of the Marie Curie Nursing Service on place of death and hospital use at the end of life

The Nuffield Trust

This report sets out the results of a study, commissioned by Marie Curie Cancer Care, examining the impact of the Marie Curie home-based nursing service on patient outcomes and hospital usage. It examines whether the home-based nursing service helps more people to die at home, reducing both hospital use and costs at the end of life.

£25m maternity ward boost announced

ImageExtra funding for maternity wards will provide ensuites and beds for partners, the Government has announced. The £25m initiative endeavors to keep couples and families close together during childbirth.

The money will also be used to provide separate rooms for mothers who have lost their babies during childbirth, which ensures that they will not have to share wards with new mothers.   Read the full story