King’s Fund: Name change for NHS Commissioning Board

Use of the name ‘NHS England’ by the NHS Commissioning Board (NHS CB)

From the 1st April the NHS Commissioning Board will change its name to NHS England. The main aim of NHS England is to improve the health outcomes for people in England. It will set the overall direction and priorities for the NHS as a whole. Chairman Malcolm Grant said: “The name ‘NHS England’ gives people a greater sense of what the organisation is because it is more closely aligned to the responsibilities of the new organisation, which are to achieve real improvements for patients for every pound invested by the nation in the NHS”.

 

From East Cheshire Trust to National Trust

AD award

On 27 March, friends and colleagues took the time to say ‘goodbye and good luck’ to Angela Donnelly, manager of the Staff Library for almost 3 years.

Angela will be greatly missed by many library users for her generous support, innovative ideas, energy and enthusiasm.  Her notable achievements have included showcasing the artwork of our talented workforce, through exhibition at The Barnaby Art Festival in 2011 and 2012; achieving various NW and HR awards and steering the Library to attain its highest ever Library Quality Assurance Framework score.

It’s true to say that Angela won’t be sorry to say goodbye to her daily 90 mile round trip from her home near Wrexham.  Instead she will be working for the National Trust at Erddig, which is a mere 15 mins away.  We wish Angela all the best for the future and don’t forget to look out for her if ever you’re visiting Erddig this summer!

Latest BMJ news: 28 March 2013

Vitamin D sufficiency in pregnancy  readiconRobyn Lucas, Fan Xiang, and Anne-Louise Ponsonby
Taking the sting out of lumbar puncturePaul Rizzoli
What should clinical commissioning groups do on 1 April 2013?Clare Gerada
Future proofing the Quality and Outcomes FrameworkVeena S Raleigh and Niek Klazinga
Inaccuracy of forehead thermometersGervase Vernon
Evidence base needs to be developed for the whole process of end of life careSuzanne M Kite, Fiona Hicks, Elizabeth Rees, Claire Shepherd, and Christopher Stothard
Protests about having to structure time off to enable the NHS to work at weekends as it does in the week may be hypocriticalKevin J H Newman
The NHS working at weekends as it does during the week is a non-starterS Blair
Training of young surgeons would be problematic if the NHS worked at weekends as it does during the weekStephen Brearley
BMA calls for national launch of 111 urgent care hotline to be haltedGareth Iacobucci
Healthcare neglects effects of smoking among mentally ill people, says reportJacqui Wise
Study of genetic variants in common cancers paves way for targeted screeningGeoff Watts
Two thirds of Welsh district hospitals have higher than predicted mortality, figures showSusan Mayor
In brief
NICE recommends training programmes for parents to tackle children’s antisocial behaviourNigel Hawkes
Telehealth can be beneficial when used properly, say expertsBob Roehr
Would doctors routinely asking older patients about their memory improve dementia outcomes? NoMargaret McCartney
How do we know whether medical apps work?

Staff Library opening/closing times for Easter

Please note the Staff Library will be closed on Friday 29 March and Monday 1 April.  If you wish to renew your books please do so by contacting us on 01625 661362 or email us at ecn-tr.stafflibrary@nhs.net

Our ‘out of hours service’ for those people who have already applied for 24hr access, will enable admittance to the self-service and IT facilities by using swipe cards.

We look forward to seeing you again on Tuesday 2 April from 08.30 – 5.00pm

Happy Easter!

New titles in the Health Technology Assessment Journal

17.11 Evaluation of mammographic surveillance services in women aged 40-49 years with a moderate family history of breast cancer: a single-arm cohort study  (Duffy)

17.10 The CRASH-2 trial: a randomised controlled trial and economic evaluation of the effects of tranexamic acid on death, vascular occlusive events and transfusion requirement in bleeding trauma patients  (Roberts)

17.09 A systematic review and economic evaluation of new-generation computed tomography scanners for imaging in coronary artery disease and congenital heart disease: Somatom Definition Flash, Aquilion ONE, Brilliance iCT and Discovery CT750 HD  (Westwood)

17.08 Adjunctive colposcopy technologies for examination of the uterine cervix – DySIS, LuViva Advanced Cervical Scan and Niris Imaging System: a systematic review and economic evaluation  (Wade)

17.07 Study of the use of antidepressants for depression in dementia: the HTA -SADD trial – a multicentre, randomised, double-blind, placebo-controlled trial of the clinical effectiveness and cost-effectiveness of sertraline and mirtazapine  (Banerjee)

 

BMJ analysis: NICE’s end of life decision making scheme: impact on population health

Reference: BMJ 2013;346:f1363, published 21st March 2013

Date published: 22/03/2013 16:56

Summary

by: Devika Sennik

The authors of this article estimate the effect of the end of life criteria on the NHS in England and Wales since they were introduced in 2009.  They quantify the impact of raising the cost effectiveness threshold for end of life drugs and find that the effect on other NHS services could be substantial.

Cavendish Review terms of reference

The Cavendish Review was announced in February 2013. This document outlines the areas the review will be investigating, including: considering what can be done to ensure that all people using services are treated with care and compassion by healthcare and care assistants in NHS and social care settings; and making recommendations about the recruitment, training, management, development and support of those staff, who do a challenging but vital job in health and care settings.

RCGP publishes social media ‘Highway Code’

New guidance has been published to help doctors and health professionals navigate the world of social media. The Royal College of GPs had produced the Social Media Highway Code, with advice to help and encourage health professionals to communicate effectively using social media.

The support is built around ten guidelines, which include recognising that the personal and the professional can’t always be separated, the need to engage with the public and show your human side, but maintain professional boundaries and respect the privacy of patients.

The guide was published in draft form last October, in collaboration with Doctors.net.uk and Lime Green Media. It has since been updated to include suggestions and information from a range of health expertise around the world.

Dr Ben Riley, lead-author of the Code and Curriculum Director for the RCGP said: “The interest and feedback we have received from healthcare professionals across the globe has been fantastic. There are many opportunities for GPs and other healthcare professionals to take the lead in developing how social media can be used to improve healthcare.

“At the same time healthcare professionals need to protect their patients and support each other with using these new ways of communicating. The Code has a practical focus and addresses a number of the challenging areas that GPs and other healthcare professionals have been asking about for some time.”

BMJ Learning: Help with revalidation and assessment

You will need to register with BMJ Learning which only takes a couple of minutes

Background on revalidation

If you’re looking to get up to speed, or are just after some useful links, we’ve put together several pages of information that will help.

Help with your appraisal

BMJ Learning has produced a series of modules in association with the London Deanery to help you with your appraisal.

NHS pension scheme: government response to consultation

22 March, 2013 published http://www.dh.gov.uk/health/2013/03/pension-regs/

The government response to the consultation on  draft NHS pension scheme regulations is published. The draft regulations were confirmed with some proposals modified or withdrawn based on the comments received.  

This document provides a summary of the consultation findings and a response to the comments received.

IT Skills Training for Pharmacy staff

General News

Basic IT Skills Training: eLearning Available to Pharmacy Staff

The IT Skills Pathway was developed to provide an officially recognised route of IT skills learning and certification for the NHS workforce. It has been confirmed that e-learning via the IT Skills Pathway Tracking System will continue to be available free of charge to the NHS, including pharmacy contractors, however, Microsoft exams, practice tests and printable learning material will no longer be centrally funded after 1st July 2013. In some areas, exams may continue to be offered through local NHS funding arrangements.

A communication has gone directly to registered learners to alert them to this change; learners may want to consider arranging any outstanding Microsoft exams before the 1st July 2013 when the central funding for exams is withdrawn.

More information about the NHS IT Skills Pathway can be found in the Pharmacy IT section of this website.

New resource to make hospitals dementia-friendly

dementia_action_allianceD:Kit A self assessment resource to support hospitals in becoming dementia-friendly

From the Dementia

 Action Alliance DAA,
http://www.dementiaaction.org.uk/dkit (republished in the Quality & Service Improvement newsfeed)
“This resource should provide everything you need to get you started on your journey to becoming dementia friendly and to deliver on our shared purpose.

‘To enable people with dementia to experience high quality care in acute hospitals and support them, their families, carers and staff to have the confidence to champion best practice and create a culture of excellence’

You can download the D:KIT, including this introduction, or carry on reading the introduction below. You may also want to bookmark theD:KIT resource page which may be helpful when you work with the kit.”

The D:KIT is presented in 5 Domains (each one of these is related to and informed by the RCN SPACE principles).

SPACE Image

Each domain is broken down into 4 sections:

  • Section 1 – self assessment questions
  • Section 2 – NICE standards
  • Section 3 – examples of evidence you could use
  • Section 4 – resources that will be of further help to you

DoH website on the move in March

The Department of Health website will move to the new single website for government in March 2013.

GOV.UK is the new single website for UK Government. In October 2012 it brought together government  information and guidance from Directgov and Business Link into one place.  GOV.UK will also replace all UK central government department websites. Some departments can already be found in the ‘Inside Government’ section of GOV.UK. Information from the Department of Health will be found there from Tuesday 26 March.

The Inside Government section of GOV.UK has been designed to make government information easier to find and more transparent for the user. You can see what the new website looks like by visiting www.gov.uk/government.

Health content for citizens will remain on NHS Choices.

Dementia Care Update published

Senior Man with CaneThe second Care Update is published this month on Dementia. 

Abstract
This latest update reports that care for people with dementia is not meeting their needs as services are struggling to cope. The second Care Update report also highlights concerns around the quality of services for people with mental health issues and learning disabilities. The findings show people living in a care home and suffering from dementia are more likely to go to hospital with avoidable conditions such as urinary infections. Once there, they are more likely to stay longer, be readmitted or die than those without dementia

PSNC News for pharmacy staff

Free access to eGuidelines.co.uk for community pharmacists  (http://www.psnc.org.uk/pages/psnc_endorsed_training.html)

pills

Community pharmacists increasingly need quick access to current clinical guidelines when they are dealing with prescription queries, conducting MURs or providing new clinical services.

Access to eGuidelines.co.uk provides:

  • all guideline summaries from the Guidelines handbook
  • the complete archive of articles from the Guidelines in Practice monthly journal
  • the latest QOF indicator tables and links to guidance from NICE, SIGN and DH
  • a video section aimed at healthcare professionals and for sharing with patients
  • the option to receive emails from eGuidelines.co.uk regarding new content, events, webcasts, and product updates
  • events listings (free workshops and pay-to-attend events)
  • additional educational resources, including CPD action points and horizon scanning.

You can register for eGuidelines.co.uk today by clicking here.

New Evidence Updates from NICE

Evidence Updates on Hip Fracture and Diabetic foot problems have been published.nice_news

NICE Evidence Updates help to reduce the need for individuals, managers and commissioners to search for new evidence, and keep health and social care professionals up-to-date with new research. While Evidence Updates do not replace current accredited guidance and do not provide formal recommendations, they do highlight new evidence that health and social care professionals may wish to consider alongside current guidance.

The new Evidence Updates focus on a summary of selected new evidence relevant to NICE clinical guideline 124 ‘The management of hip fracture in adults’ (2011) and a summary of selected new evidence relevant to NICE clinical guideline

119 ‘Inpatient management of diabetic foot problems’ (2011)

An Evidence Update Advisory Group, comprised of topic experts, reviewed the prioritised evidence and provided a commentary.

Trip has new controlled trials filter facility

tripdatabase_logoA new filter has been released on Trip for controlled trials.  In total around 500,000 controlled trials have been imported from PubMed and Mendeley.  Over the next few months we hope more improvements will be made and that includes grabbing more trials from other sources.
To use this feature just use Trip (www.tripdatabase.com) as normal and the ‘Controlled Trials’ option can be found in the filter section, on the right-hand side of the results.

Caesarean Section Evidence Update published

We are pleased to inform you that ‘Caesarean section: Evidence Update March 2013’ has been published.

NICE Evidence Updates help to reduce the need for individuals, managers and commissioners to search for new evidence, and keep health and social care professionals up-to-date with new research. While Evidence Updates do not replace current accredited guidance and do not provide formal recommendations, they do highlight new evidence that health and social care professionals may wish to consider alongside current guidance.

The new Evidence Update focuses on a summary of selected new evidence relevant to NICE clinical guideline 132 ‘Caesarean section’ (2011).

An Evidence Update Advisory Group, comprised of topic experts, reviewed the prioritised evidence and provided a commentary.

Heart surgeons’ performance to be posted online in transparency drive

Extract from The Guardian 18 March

cardiovThe Society for Cardiothoracic Surgery will post survival rates and other key data on website available to public

Patients undergoing heart surgery will have access to an unprecedented wealth of data about survival rates and the performance of their surgeon and hospital unit from Monday.

The Society for Cardiothoracic Surgery (SCTS) said it is launching a new website aimed at giving precise information on specific operation outcomes.

 

Google to close ‘Google Reader’ in July

Extract from the BBC News:

Google is to shut down its Reader service in July, as usage has declined.  A petition to save the service, which aggregates news content from web feeds, had 25,000 signatures in a few hours.

Experts say shutting Reader is part of Google’s plan to migrate more people to its social media service, Google+.

Google said in its official blog: “There are two simple reasons for this – usage of Google Reader has declined, and as a company we are pouring all of our energy into fewer products.”  It added users and developers who wanted to use alternatives could export their data, including their subscriptions over the next four months, using its Google Takeout service.

Google Reader launched in 2005, when Really Simple Syndication (RSS) feeds were a new way to keep tabs on favourite websites and blogs.

Eyes on Evidence for March

This month’s topics in NHS Eyes on Evidence:

Analysis of data from a large randomised controlled trial suggests that intensive glucose control in critically ill patients is associated with moderate to severe hypoglycaemia, and a higher risk of death.

A large scale trial examines the benefits and effectiveness of telehealth and telecare services in helping patients avoid the need for emergency hospital care.
 
A cross-sectional study investigating a possible link between harsh physical punishment and mental health disorders reports that reducing physical punishment may help to reduce the prevalence of mental health disorders in the general population. It suggests giving parents information about alternative discipline strategies, such as positive reinforcement.
The QIPP Collection highlights examples of local best practice, demonstrating how NHS organisations have implemented new practices that have both cut costs and improved quality. We highlight a new example:
Chair of the British HIV Association Guidelines Subcommittee, Martin Fisher, talks about the organisation’s experience of the NICE accreditation process.
Accreditation news  
At its January meeting the NICE Accreditation Advisory Committee accredited 2 guidance programmes.

Evidence Updates 
NICE recently published Evidence Updates on:

  • Strategies to prevent unintentional injuries among children and young people aged under 15
  • Hyperglycaemia in acute coronary syndromes
  • Common mental health disorders
  • Hypertension.

Three north west trusts to collaborate on ‘sustainability’

Published in HSJ Local 13 March 2013

Three trusts to the south of Manchester are to work more closely together.

East Cheshire Trust, the University Hospital of South Manchester and Stockport Foundation Trust are to collaborate to ensure ‘clinical and financial sustainability’ while remaining separate organisations.

A report to the board of the East Cheshire Trust suggests this may give them more influence over commissioners in the area, who are seeking to establish clinical standards, and will better enable them to meet challenges.

News from NHS Networks: 15 March 2013

Patient Information Conference in its eighth year

The government’s information strategy asserts that “access to good quality information… is an important health and care service in its own right”. It is a powerful statement, but what does it mean and how do we deliver?

Read more »

Regulations on procurement, patient choice and competition

The regulations laid last month have been amended in light of concerns expressed by GPs and others.

Read more »

Interim arrangements for NHS CB number two

The NHS Commissioning Board has announced interim arrangements for the post of chief operating officer and deputy chief executive.

Read more »

Mental health panel issues new guides

Advice and support for commissioners.

Read more »

The patient online: the road map

This guidance from RCGP supports GP practices to provide online access for patients.

Read more »

New network launched for rehabilitation professionals

A new network has been launched to bring together all qualified rehabilitation workers in the UK.

Read more »

New operating model for the commissioning of offender health care

The NHS Commissioning Board (NHS CB) has published the single operating model for the commissioning of offender health services.

Read more »

Bulletin for proposed CCGs: 7 March 2013

Latest CCG bulletin from the NHS Commissioning Board.

Read more »

Resources to improve research information for patients

Resource pack to help NHS trusts raise awareness of clinical research among patients and carers, and deliver on the NHS constitution commitment to provide research information supporting patient choice.

Read more »

Best practice for managing medicines shortages in secondary care

These standards provide advice to NHS hospitals in England in managing medicines shortages at local level to minimise any risks to patients through delays to treatment.

Read more »

Chief medical officer warns over antibiotics

The second volume of the CMO’s annual report covers the threat of antimicrobial resistance and infectious diseases.

Read more »

GP-led groups ready to take charge of NHS budgets in every community in England

NHS Commissioning Board establishes fourth and final wave of clinical commissioning groups.

Read more »

March issue of Commissioning Excellence

Commissioning support needs to be focused on transformation not on transactions, according to Bob Ricketts, the man in charge of commissioning support at the NHS CB.

Read more »

What’s worrying your CCG?

CCGs have no shortage of challenges as they prepare to take the reins on 1 April. Initial responses to the survey point to predictable concerns about the financial pressures on CCGs but some more surprisingly relaxed attitudes in other areas – about the ability to engage with other organisations, for example.

Read more »

Healthy phone apps

The NHS Commissioning Board has launched a library of apps to help people manage their health.

Read more »

England to host international initiative for mental health leadership in 2014

Norman Lamb, minister of state for care services has accepted an invitation for England to host the 2014 exchange.

Read more »

CQC second care update

Care for people with dementia is not meeting their needs as services are struggling to cope, according to the latest care update from Care Quality Commission.

Read more »

Patient and public engagement: still an aspiration?

Engaging with patients and public is vital if NHS and social care organisations are to achieve outcomes, improve quality of services and strengthen bonds with local communities.

Read more »

Local Healthwatch regulations explained

Document to help local Healthwatch audiences understand the legal requirements that have been set out in regulations.

Read more »

Commissioning an integrated footcare pathway

Key recommendations for CCGs to help reduce diabetic amputations by 50%.

Read more »

 

New network launched for rehabilitation professionals

The Rehabilitation Workers Professional Network (RWPN) is hosted by VISION 2020 UK. The aim of the network is to represent the interests of rehabilitation workers and promote the work of the profession as it continues to move towards becoming a professional body. The network will enable members to promote best practice and share information.

Membership for the network is free and is open to any qualified rehabilitation worker. To join, please email Matt Broom atm.broom@vision2020uk.org.uk

Fit enough for patients? An audit of workplace health and wellbeing services for NHS staff

Chartered Society of Physiotherapists (CSP)

This report into the wellbeing of NHS staff finds that physiotherapy services play a vital role in improving staff health and wellbeing. The evidence shows that early access to physiotherapy can reduce staff sickness rates, stop people going off sick at all, or help them return to work more quickly. It recommends investing in good occupational health services and prioritising staff health and wellbeing to make potential savings which can then be invested in patient care.