Respiratory viruses during winter can strain the NHS with an influx of patients, as well as more staff illness. In most cases, rest, increased fluid intake, and paracetamol are sufficient. However, winter can be much more serious for people with pre-existing conditions, such as COPD. Total excess winter mortality is between 20,000 and 50,000 annually in England and Wales, principally from respiratory, cardiovascular or cerebrovascular diseases. Older age, female gender and a history of respiratory disease confer greater vulnerability.
Optimising management of chronic conditions is a process, not an event, and clinicians can be supported in this by using the Map of Medicine. The following care maps are accredited by the Royal College of Physicians (RCP) and offer evidence-based, practice-informed guidance for the on-going management of chronic conditions:
- ‘Chronic obstructive pulmonary disease (COPD)’ – covers management in both primary and secondary care, and includes treatment of acute exacerbations of breathlessness, which can occur in response to viral infection
- ‘Cardiovascular disease (CVD) risk management’ – gives information on primary and secondary prevention of cardiac disease
- ‘Stroke and transient ischaemic attack (TIA)’ – includes information on the secondary prevention of cerebrovascular events
The Map and the RCP bring together evidence and practice to support clinical decisions at the point of care. The Map can be customised to reflect local needs by clinicians looking to support clinical decision-making. Over 150 organisations have ‘localised’ more than 1,300 care pathways. Local additions to the care maps for these chronic conditions range from signposting services, for example local telehealth initiatives and social care packages, to providing information on topics such as factors to consider when deciding where exacerbations of COPD should be managed, and which teams are responsible for delivering care.
Click here to see how the Map could help your organisation.
Young people have hospital only mentality
Twenty five per cent admit they would call an ambulance when a trip to the doctor would suffice
NHS trusts to spend on new IT systems
50 per cent of trusts are looking to invest in either an electronic patient record or portal solution
Darlington care home fined for medication
A care provider that failed to comply with national standards has been fined £4,000 by the Care Quality Commission
Emergency ambulances ”use first-aiders”
Medical staff with basic first-aid training are being used instead of fully-trained paramedics
New SEN legislation ”needs improving”
Government must consult more with parents and young people on its new programme for children with special educational needs
A force for revolution
Does the NHS Commissioning Board have what it takes to break down resistance to NHS reforms? Matthew D’Arcy reports from Public Service Events’ Digital by Default conference
Pilot projects focus on severe mental illness
The government wants to prioritise mental health ”like never before”, says Norman Lamb
”Give people surgeon performance data”
The public should get greater access to data on the performance of individual surgeons working in the NHS
NHS must be a seven days a week service
”We have got outpatient departments that are empty, operating theatres that lie fallow,” says Sir Bruce Keogh
£500m Tamiflu spend to be investigated
MPs asked Public Accounts Committee chair Margaret Hodge to look into if the NHS got it wrong
Burnham slams coalition’s record on NHS
We’re losing the NHS and that’s why we will keep stepping up the fight for it, says shadow health secretary
Cash for research – patients will be the real winners
Patients are set to benefit from more efficient delivery of highly effective new therapies tailored to their needs, writes Hilda Kalap, Technology Strategy Board communications manager
This case report on Large left atrial myxoma with an unusual origin was published in Sept 2012 by BMJ Case Reports. Congratulations to the authors :
- Rebecca Dobson – Endocrinology Dept, University of Liverpool
- Emma Tweddle – Cardiology Dept, MDGH
- Martha Scott – Cardiology Dept, MDGH
- Arzu Cubukcu – Cardiology Dept, MDGH
BMJ Case Reports Published 24 September 2012; doi:10.1136/bcr-2012-006782
Extract from the website of Primary Care Commissioning (PCC) … “provides trusted, practical support to commissioners and providers of health and care services including training, development and expert advice.
Our events, elearning and information services enable better value for the NHS, better business processes, better informed healthcare strategies and better outcomes.
We are a community interest company, a form of not-for-profit social enterprise.”
Wishing all staff and students across East Cheshire a happy and healthy New Year.
If you struggled last year with references, research or simply something good to read, make sure you come and visit us in 2013 – we can help with all of the above and probably more besides!
Although we are closed on New Year’s Day, from 2 January we will be open as usual with complimentary tea and coffee, books, journals, computers and assistance with literature searches. Whether you’re based in the community or onsite, we have someone who can help you. Why not call in and see what we can do for you?
Monday to Thursday: 08.30 – 5:00pm and Friday from 08:30 – 4.30pm
Learning from the improving cancer treatment assessment and support for older people project
This report summarises a series of pilots that tested whether appropriate assessment of older cancer patients would result in improved access to appropriate cancer treatment, based on need and not age. It also tested whether action, as a result of an age appropriate assessment, improved the scope for older people to benefit from treatment.
Cancer Statistics from The King’s Fund