Safer changeover of doctors recommended

Extract from NHS Networks

Recommendations for the safe changeover of doctors in training have been published jointly by NHS Employers and the Academy of Medical Royal Colleges (AoMRC).

Doctors in training in the UK have historically started new six-monthly rotations in February and August, with the majority of junior doctors rotating to new training programmes during the first week of August.

There is increasing evidence to show that simultaneous changeover is associated with reduced efficiency and increased mortality.

NHS Employers and the AoMRC have outlined four key recommendations to help organisations mitigate these potential problems.

NHS Academy Award Programme

Edward Jenner

Edward Jenner

Do you want to make more of a difference in healthcare? Thinking of moving towards a leadership role? The Edward Jenner Programme – Leadership Foundations is an open access online learning package designed to support anyone looking to gain essential leadership skills. Designed for newly qualified clinicians, but open to all, this programme leads to an NHS Leadership Academy award in Leadership Foundations.

Grand Round on 26 June 2013

The next Grand Round will take place on Wednesday, 26h June, with a presentation by Dr Losa, entitled ‘Vaccination Update’.

The lecture takes place at 1:00pm in the lecture theatre, 1st Floor, Macclesfield District General Hospital. It will be preceded by a buffet from 12:15pm.

The following Grand Round will take place on Wednesday, 3rd July, with a presentation by Dr Zafar and Dr Marc Nicol entitled ‘Simulation’.

Supporting nursing students in practice

A support service at the University of Southampton has found students have an important role in improving the quality of care

The publication of the Francis report has been described by health secretary Jeremy Hunt as a seminal report that will mark a turning point for the NHS. It resisted blaming individuals, focusing instead on what could be learned from the catalogue of appalling and tragic events, with an emphasis on developing the right culture of care within the NHS, through better leadership, training and transparency.

Among the 290 recommendations were calls for a stronger requirement for organisations and staff to speak openly and honestly when things go wrong. The duty of candour has now been placed on a stronger footing. No longer merely a contractual obligation, the non-fulfillment or obstruction of this duty would become a criminal offence.

Extract from The Guardian – read the full story

Health Matters – 2 July 2013

The latest ‘Health Matters’ talk will be looking at the Rapid Recovery Joint Replacement Programme the trust adopted earlier this year. The talk, ‘Knee and Hip Replacements, working together for a quicker, better and happier recovery’, will be led by Mr Graham Keys, Consultant Orthopaedic Surgeon & Project Lead.

Other speakers at the lecture include Dr Mick Rothwell, Consultant Anaesthetist and the author of the Anaesthesia and Analgesic Protocol; Christine Jackson, Occupational Therapist; Shirley Jones, Perioperative Specialist Practitioner; Selena King, Ward Six Manager; Sarah Clubley, Physiotherapist and Dot Pearson, Acute Pain Nurse and Project Co-ordinator. Several patients who have already been through the programme will also be on hand at the event.

For further information on ‘Health Matters’ and to book your place at the 2 July lecture, from 7-8pm, in the Lecture Theatre, Macclesfield District General Hospital, please contact The Communications and Engagement Department on 01625 661560 or email ecntstaff.comms@nhs.net

BMJ Best Practice looks at Dementia

Dementia is a syndrome characterised by an appreciable deterioration in cognition resulting in behavioural problems and impairment in the activities of daily living. Decline in cognition is extensive, often affecting multiple domains of intellectual functioning. The most common causes of dementia are degenerative or vascular; other causes include infection, inflammatory diseases, neoplasm, toxic insults, metabolic disorders, or trauma. It is important to consider potentially reversible conditions during diagnosis.  A number of conditions can present in a similar way to dementia syndrome and need to be considered during the evaluation. These include mild cognitive impairment (MCI), delirium, depression, amnesic syndromes, aphasia, or normal ageing.

Log into BMJ Best Practice with your Athens account to view a wide range of topics, their conditions, diagnosis, treatment and evidence:

dementia_bmJBP

 

 

Patient and Family Echo scheme

Children’s services teams in Cheshire East Council and East Cheshire NHS Trust have generated innovative ideas for improving performance using a specially developed social media website.

Entitled ‘Patient and Family Echo’, the scheme’s priorities included making sure families received consistent advice, cutting needless visits that duplicated services and improving communications.

Read more in Local Gov here

NICE guidance update

The following guidance has been published or updated:

Falls
Idiopathic pulmonary fibrosis
Stroke rehabilitation

The following topics have been published or updated:

Acute coronary syndrome – prasugrel with PCI (review TA182) [ID 648]
Antenatal and postnatal mental health (update)
Arrythmias – ICDs & Heart failure – cardiac resynchronisation [ID481]
Complex fractures
Fractures
Idiopathic pulmonary fibrosis
Idiopathic pulmonary fibrosis
Idiopathic pulmonary fibrosis – pirfenidone
Insertion of a subcutaneous implantable cardioverter defibrillator for prevention of sudden cardiac death
Lung cancer (non small cell, non squamous) – pemetrexed (maintenance following pemetrexed & cisplatin) [ID489]
MI – secondary prevention (update)
Osteoarthritis (update)
Prostate cancer update
Psoriatic arthritis – etanercept, infliximab, & adalimumab (review)
Renal cell carcinoma (advanced) – axitinib [ID518]
Self-monitoring coagulometers (CoaguChek XS system, INRatio2 PT/INR monitor and ProTime Microcoagulation system), for self-testing or self-managing coagulation status in people for whom long-term vitamin K antagonist therapy is intended.
Stroke rehabilitation
Stroke rehabilitation
Tuberculosis (update)
Vertebral fractures – vertebroplasty and kyphoplasty [ID308]

 

Huge holograms offer medics more memorable classes

See BBC News for the full article 18/6/13

“A system which uses giant holograms to help medical students master their subject has been pioneered by two London-based junior doctors.

They have demonstrated a 3D graphic of a kidney measuring 4m (13 ft) to demonstrate renal function at a “test lecture” last week.

It was one of a series of animations they are developing.”

Continue reading the main story

Fighting Fraud – your views requested

NHS fraud awareness and risk survey

Nationally, there is a lot of concern regarding fraud within the NHS. As a result, all NHS organisations have been asked to raise awareness in this area.

Beric Dawson our Anti-Fraud Specialist has devised a short survey, the results of which, will assist the Local Anti-Fraud Specialists in determining the level of fraud awareness and risk at East Cheshire NHS Trust.

It only takes a few minutes to complete and can be  accessed via the following link:  www.surveymonkey.com/s/EastCheshire2013

NICE Evidence in focus: Clostridium Difficile

These articles are available to view through NICE Evidence at www.evidence.nhs.uk and will require your Athens details.   Full-text articles may be ordered through our inter-library loan service.  Please contact us on 01625 661362 or email ecn-tr.stafflibrary@nhs.net with your request.  

Understanding factors that impact on public and patient’s risk perceptions and responses toward Clostridium difficile and other health care-associated infections: A structured literature review.

Author(s) Burnett, Emma, Johnston, Bridget, Kearney, Nora, Corlett, Joanne, MacGillivray, Stephen
Citation: American Journal of Infection Control, 01 June 2013, vol./is. 41/6(542-548), 01966553
Publication Date: 01 June 2013
Source: CINAHL
Mortality in Clostridium difficile infection: a prospective analysis of risk predictors.

Author(s) Bloomfield, Maxim G, Carmichael, Andrew J, Gkrania-Klotsas, Effrossyni
Citation: European Journal of Gastroenterology & Hepatology, 01 June 2013, vol./is. 25/6(700-705), 0954691X
Publication Date: 01 June 2013
Source: CINAHL
The combined use of proton pump inhibitors and antibiotics as risk factors for Clostridium difficile infection.

Author(s) Kassavin, Daniel S., Pham, David, Pascarella, Linda, Yen-Hong, Kuo, Goldfarb, Michael A.
Citation: Healthcare Infection, 01 June 2013, vol./is. 18/2(76-79), 18355617
Publication Date: 01 June 2013
Source: CINAHL
Has Improved Hand Hygiene Compliance Reduced the Risk of Hospital-Acquired Infections among Hospitalized Patients in Ontario? Analysis of Publicly Reported Patient Safety Data from 2008 to 2011.

Author(s) DiDiodato, Giulio
Citation: Infection Control & Hospital Epidemiology, 01 June 2013, vol./is. 34/6(605-610), 0899823X
Publication Date: 01 June 2013
Source: CINAHL
Clostridium difficile Infection in Children.

Author(s) Sammons, Julia Shaklee, Toltzis, Philip, Zaoutis, Theoklis E
Citation: JAMA Pediatrics, 01 June 2013, vol./is. 167/6(567-573), 21686203
Publication Date: 01 June 2013
Source: CINAHL

BMJ Learning modules – June

As the pollen season is reaching its peak there tends to be an increase in patients wanting information on allergic rhinitis.

Questions may include: which antihistamines are the least sedating? Will antihistamines help nasal congestion? What are the side effects of intranasal corticosteroids? 


To get the answers and to learn more about this topic, then click on the link to complete this module today.  Allergic rhinitis: an update on treatment

Additional modules on mood disorders – see below.

Athens: resetting your password

With the all the usernames and passwords each of us needs to remember today, it’s very common to suddenly discover we’ve mislaid or forgotten the odd one, especially if you haven’t used them for a while.  If this should happen to you with your Athens password, its easy to remedy.  Simply go to: http://www.openathens.net/nhs_users.php

To reset your password, enter your OpenAthens username and the email address you used to register the account in the boxes provided.  If you have forgotten this information then contact the Athens administrator for the Trust, janread@nhs.net 

athens

 

AQuA News – June edition

In this month’s edition you will find:

• Workshop to launch AQuA’s SMS/SDM Commissioning Framework

• AQuA members shortlisted for care awards

• Lessons learnt from AQuA’s In-hospital Mortality work

• AQuA Reducing Avoidable Hospital Mortality

• Deep Dive Into: Latest programme dates

• AQuA’s Lean Network

• Robert Francis master class

• Introduction to Lean, Cohort 4 – hold the dates!

• Patient Safety Ambassadors

• Advanced Team Training Programme

• A New Role for Finance in Quality Improvement

• Community SAFE – programme update

• Patient Safety Champions

• Living Well with Dementia

• Integrating health and social care teams

• Whole person care: From rhetoric to reality

• Spreading the word about Shared Decision Making (SDM)

• ‘Train the Trainer’ event to support SDM spread in the NW

• Don’t just Screen – Intervene project

• Mental Health and Long Term Conditions (LTC) newsletters now available

• Quality profiles for NHS Mental Health Trust

Never too late to learn

Dozens of members of staff from East Cheshire NHS Trust have attended a special adult learners event aimed at promoting lifelong learning and highlighting opportunities.

The well-attended drop in session saw a number of education providers taking part including the Staff Library, the MacMillan Cancer Resource Centre, Macclesfield College, Cheshire ICT, Cheshire HR and Unison.

The event took place in the lecture theatre at Macclesfield District General Hospital and was organised by the trust’s Learning and Development team.

A prize draw took place and the winner was Karen Larson, Midwife at East Cheshire NHS Trust, who collected a beautiful collection of potted plants, generously donated by Macclesfield Community Garden Centre.

If you would like to know more about the learning and development opportunities in the library please contact us on 01625 661362. 

Thanking all volunteers: Volunteers Week 1-7 June

mavisIn recognition of the wonderful work done by volunteers across the Trust, we would like to say a particular ‘thank you’ to our volunteer, Mavis Solomon.  Mavis’ weekly contribution when she isn’t out walking the hills or gardening,  is much appreciated whether she is shelving books, creating labels or keeping our plants in good condition.  

Volunteers’ Week is an annual celebration of the fantastic contribution millions of volunteers make across the UK – and it’s taking place from the 1-7 June 2013.

This year’s Volunteers’ Week focuses on saying ‘Thank You’ to the millions of volunteers who regularly contribute to society, and to recognise the way that organisations celebrate the work of volunteers across the UK.

Interested in volunteering? You can find volunteering opportunities online at the following sites:

http://www.do-it.org.uk/

http://www.volunteering.org.uk/where-do-i-start

 

Wellbeing news

For more information on the following visit your Wellbeing Direct Pages

http://nww.hrdirect-east.cheshirehr.nhs.uk/wellbeing-direct/wellbeing-direct.htm

Staff discounts, schemes and theatre offers

  •         Staff activities and events
  •         Wellbeing Newsletters
  •         Change support resources.

 Current Wellbeing Activities

  •         DIY Health Check Point at MDGH
  •         Join the Trusts ‘Big Band’
  •         Pilates
  •         Tai Chi
  •         Zumba
  •         Yoga
  •         Complimentary therapies
  •         Trust choir.

Click here for more information on all programmes currently being offered.

 

Grand Round: 5 June 2013

The next Grand Round will take place on Wednesday, 5 June, and will be a facilitated by Dr. Rob Stead, Medical Director, entitled “Staff Conversation – Francis Report“.

The lecture takes place at 1:00pm in the new lecture theatre, 1st Floor Macclesfield District General Hospital. It will be preceded by a buffet from 12:15pm.

The following Grand Round will take place on Wednesday, 12 June, with a presentation by Dr. Arzu Cubukcu, entitled “Integrated Heart Failure Approach”.