News from NHS England: care.data

NHS England

NHS England is introducing an information service on behalf of the NHS called care.data. The service aims to use information from a patients’ medical record to improve the way that healthcare is delivered for all. A thorough process must be followed before any information can be shared and strict rules about how information is stored and used are followed.

Latest modules from BMJ Learning: communication skills

Extract from BMJ Learning

Many symptoms of cancer are non-specific, which makes diagnosis difficult. Cancers in childhood are rare and there are also potential barriers to communication during consultations. These are just some of the problems in this field – this module will help you overcome them. It highlights the potential difficulties with diagnosing children and young people with osteosarcomas and brain tumours, outlines red flag symptoms, and suggests approaches to addressing potential barriers to communication. See the link below.

bmj learningDiagnosing osteosarcomas and brain tumours in children: communication skills – in association with the Department of Health

Also in this week’s edition are some modules on ENT disorders. They give an important update on a range of common dilemmas.

Ear discharge: diagnosis and treatment

Hoarseness: diagnostic picture tests

Nasal symptoms: diagnostic picture tests

The tympanic membrane: diagnostic picture tests

Neck lumps: diagnostic picture tests

Steve drops in at Eagle Bridge

DSCF0551Steve Collman, our Outreach Librarian for the community will be visiting Eagle Bridge on 21 August.  Whether you are staff or a student, working in clinical or non clinical areas, Steve is happy to meet with you to discuss how the library service might be of assistance.

This is an informal arrangement, enabling people to call in whenever its convenient and have a chat – no appointment needed!  Although Steve is equally happy to arrange 1:1 or small group sessions on request.

It’s the perfect opportunity to discuss any queries you may have regarding literature searching, accessing online resources or sign up for Athens.

 

 

FREE medical exam resources

Thanks to Ian Wilkes (Warner Library) and Susan Smith of Mid Cheshire Hospitals NHS Trust for this list of free exam resources.

Postgraduate Examination Resources: Warner Library subscribed / free

Medical Masterclass www.medical-masterclass.com

  • Exams covered: MRCP Part 1 and 2
  • Online practice examinations and question bank – ask Warner Library staff for login details.

 

MRCPass            www.mrcpass.com     mrcp

  • Exam covered: MRCP Part 1
  • 100+ free MCQs
  • Free MRCPASS notes

ReviseMRCP      www.revisemrcp.com

  • Exams covered: MRCP
  • 5000+ free questions

Medexam.net   www.medexam.net

  • Exams covered: MRCP, MRCGP, DipGerMed, PLAB
  • Free registration for 2 days access to 1800+ 5-part questions

MedicineCPD    www.medicinecpd.co.uk

  • Exam covered: MRCP
  • Free registration for best of 5 multiple choice format

Exam Doctor     www.examdoctor.co.uk       

  • Exams covered: MRCP, MRCPCH, FRCR, MRCS Part 2/Part A:2, MRCOG, DRCOG, MRCGP, MRCPsych, FRCA, MCEM Part A, PLAB Part 1, FRCPath Haem Part 1: Paper 2
  • Free 7 day trial available

 

Exam Consult      http://www.examconsult.co.uk

  • Exams covered: Medical Finals, MRCP Part 2
  • 50 free questions for Basic Science, medical finals, MRCP Part 2

 

Further information from Warner Library ext 4708   warner.library@meht.nhs.uk

Just the thing for junior doctors

The Staff Library would like to welcome all the new F1 grades to the Trust and highlight some of our resources which might be of particular interest.

Here are some sample titles:

  • Effective interaction with patients
  • The hands on guide for hospital doctors
  • Curriculum for the foundation years in post graduate education and training
  • Making sense of your medical career
  • Individuals guide to career development in healthcare
  • Doctors communication handbook
  • The reflective healthcare team
  • Making it in British medicine
  • The foundation programme
  • Getting into GP training
  • Difficult conversations in medicine

In addition to the above we stock the following journals:

  • DSCF0274Archives of Disease in Childhood
  • Archives of Disease in Childhood Education and Practice edition
  • Archives of Disease in Childhood: Fetal and Neonatal edition
  • British Journal of Surgery
  • Clinics in Developmental Medicine
  • Health Service Journal
  • Journal of Analytical Toxicology
  • Journal of the Royal Society of Medicine
  • The Lancet
  • Medicine
  • MIDIRS Midwifery Digest
  • Nursing Standard
  • Nursing Times
  • Surgery

Athens opens door to a wealth of information

If you haven’t yet registered for an Athens account, then you don’t know what you’re missing!  It’s quick, free and easy to register, just CLICK HERE  where you will be given a username and invited to set up a password.  Once you have these, simply by visiting NICE Evidence at https://www.evidence.nhs.uk/ you will have access to all these online resources.  Brilliant!

123Doc: ebooks and online courses_ 123Doc provides ebooks in all fields of medicine as well as online courses for the postgraduate exams such as MRCP, MRCPCH, MRCS, GPST…. ebooks are from major medical publishers such as OUP, Blackwell, Radcliffe, Manson Publishing…

Best Practice Best Practice provides the latest research evidence, guidelines and expert opinion – presented in a step-by-step approach, covering diagnosis, prognosis, treatment and prevention. It provides a second opinion in an instant, without the need for checking
BMJ Journals Collection
  BMJ Journals Collection comprises of 22 leading medical titles on specialist clinical areas, public health and evidence-based medicine. Available in print and online.
BMJ Learning
  BMJ Learning is an interactive website designed for all healthcare professionals to support their personal development, learning and CME (Continuing Medical Education) needs.
BNF and BNF for children – from Medicines Complete
 Guidance on the actions and uses of drugs prescribed in the UK
British National Formulary 
The official website of the British National Formulary, providing UK Healthcare professionals with authoritative and practical information on the selection and clinical use of medicines in a clear, concise and accessible manner.
EBSCOhost databases 
EBSCO offers the largest scholarly full text collections in the world covering virtually every area of academic study, as well as linking technology integrating library resources, essentially creating a one-stop research environment for researchers.
Informa Healthcare 
Publisher of over 170 pharmaceutical, life science and medical journals, Informa Healthcare provides a wealth of high impact research and review journals
internurse.com 
  Online archive of 9000+ peer-reviewed nursing and midwifery articles from MA Healthcare Ltd publications
JAMA Network Journals 
  JAMA Network Journals publish original high quality, high impact clinical and research articles on a diverse range of medical topics.
Map of Medicine 
 The Map of Medicine is an online knowledge resource that visually organises the latest medical research evidence and best patient practice guidelines.
Micromedex (Health Care Series, Martindale) Funded by the NW Health Care Libraries Unit Unbiased, authoritative drug, acute care, toxicology, patient, education and alternative medicine databases providing trusted clinical decision support.
MyiLibrary
 MyiLibrary provides a faster and easier way to access collections of books, reports, journals, bulletins and other documents published by inter-governmental organisations such as the World Bank, United Nations and International Labour Organisation.
NHS Evidence Journals and Databases 
The NHS Evidence Journals and Databases service brings together all NHS library and information services, and working with other service providers, this aims to deliver the best health library service to all NHS staff, students, patients and carers.
NICE BNF and BNFC Mobile Applications
 Mobile Application access to the British National Formulary (BNF) and British National Formulary for children (BNFC)
Ovid Online
  Access to databases and full text for the HealthCare and Academic communities. Such as AMED, British Nursing Index, Cinahl, Embase, IBSS, Inspec, Medline, PsycInfo & Journals@Ovid.
Oxfordonline.com: Funded by the NW Health Care Libraries Unit and some NW NHS Trusts Products hosted on the oxfordonline.com domain including Oxford Medical Handbooks Online
Oxford Textbook of Medicine: Funded by the NW Health Care Libraries Unit The foremost international textbook of medicine. Unrivalled in its coverage of the scientific aspects and clinical practice of internal medicine and its subspecialties, it is a fixture in the offices and wards of physicians around the world.
ProQuest New Platform 
ProQuest Online Databases.
Royal Marsden Manual Online: Funded by the NW Health Care Libraries Unit The Royal Marsden Hospital Manual of Clinical Nursing Procedures Online Edition. Complete clinical procedure management online!
SAGE Journals Journal content
 JUST ADDED (PDFs, html abstracts) delivery platform.
ScienceDirect 
 Access over 1500 scientific, technical & medical peer-reviewed journals from Elsevier Science and other publishers. Search over 40 million abstracts from scientific articles. Link out to articles from over 80 other publishers.
UCL Hospitals Injectable Medicine Guide 
The UCL Hospitals Injectable Medicines Administration Guide Online provides online access to key information and advice needed for the safe and effective administration of many injectable medicines.
Wiley Online Library
  Access an extensive range of quality journals, reference works and Current Protocols online, covering a range of scientific, medical, technical and professional disciplines. 
Your RSM Press Journals
  Journal of the Royal Society of Medicine

Any questions for Carole?

nice_nhs_evidenceDid you know that Carole Keeling, our Clinical Outreach Librarian, is happy to help any staff or students working in the Trust, with any of the following?

  1. Are you too busy to search for evidence?
  2. Would you benefit from some training on how to conduct an effective search?
  3. Do you need help in preparing articles for publication?

If the answer to any of the above is Yes, and if you are based at East Cheshire Trust please contact Carole in confidence by completing this form.

Look in the Library

If you haven’t visited us recently, call in and see the changes to the library layout.  There’s lots to see – books, journals, drop-in computer and study space and remember it’s a great place to complete your Stat and Mand elearning.

Don’t forget that Steve and Carole, our Outreach Librarians – happy to help staff in the community and the Trust with their research techniques.  Contact us for more details on extension 3162 or at ecn-tr.stafflibrary@nhs.net

Any questions for Steve?

Did you know that Steve Collman, our Outreach Librarian for the Community is happy to take your questions on any aspect of literature searching. For instance:

  1. Do you know how to register for an Athens account?
  2. Would you like some help locating journal articles?
  3. Do you know where to find systematic reviews?
  4. Would you like some one to one support to find quality healthcare information?

So if you are based in the community please contact Steve in confidence by completing this form.

Divided in dying

This report highlights the need for better advance care planning at the end of life and the urgent need to put in place workable guidance to replace the Liverpool Care Pathway as soon as possible. The report found that almost half of those who have lost someone close to them through a short or long illness, feel their loved one died badly (45%). In cases where the dying person had recorded their end of life wishes, relatives and friends are more likely to report that they had a good death (58%).
Compassion in Dying 

Bleeding associated with acquired factor V inhibitor in a patient on warfarin treated successfully with prednisolone

An 85-year-old man on warfarin for atrial fibrillation presented with skin bleeding. International normalised ratio (INR) and activated partial thromboplastin time (APTT) were elevated and did not correct even after warfarin reversal with vitamin K, prothrombin complex concentrate (PCC) and fresh frozen plasma. Mixing coagulation studies with normal plasma suggested the presence of an inhibitor rather than the multiple coagulation factor deficiencies expected with warfarin. Assays of the common-pathway coagulation factors revealed factor V concentration <2% with inhibitor level elevated to 11 Bethesda units. The bleeding resolved following a course of corticosteroids. Coagulation studies and factor V level returned to normal along with resolution of the inhibitor. We report the case of the diagnostic dilemma posed and successful therapy implemented despite the limited evidence-based data being available for the treatment of this rare condition.

Is your PC ready for elearning?

pc_check

If you’re about to start your Statutory and Mandatory elearning make sure you check your computer has all the necessary software installed before you attempt the course.  

By going to PC Checker at http://www.esrsupport.co.uk/nlms/pccheck.html you will be able to verify your computer’s fitness to support the ESR elearning packages. If there are programmes missing or software that needs updating you will be able to contact the IT Service desk and have them installed. 

Don’t forget you can always complete your elearning in the comfort of the Staff Library where there are staff on hand to help you get started.

Berwick review into patient safety

A promise to learn – a commitment to act: improving the safety of patients in England

Recommendations to improve patient safety in the NHS in England.  PDF, 359KB, 46 pages

We are recommending four guiding principles, among others, to help the English NHS get better faster, and I urge you to think about these and ask how you can help incorporate them into your own daily work.

  • Place the quality and safety of patient care above all other aims for the NHS. (This, by the way, is your safest and best route to lower cost.)
  • Engage, empower, and hear patients and carers throughout the entire system, and at all times
  • Foster wholeheartedly the growth and development of all staff, especially with regard to their ability and opportunity to improve the processes within which they work.
  • Insist upon, and model in your own work, thorough and unequivocal transparency, in the service of accountability, trust, and the growth of knowledge.

Don Berwick’s letter to the people of England    PDF, 40.2KB, 2 pages

Care of the dying patient in the community

BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f4085 (Published 3 July 2013)
Cite this as: BMJ 2013;347:f4085
 CME
General practice / family medicine
End of life decisions (ethics)
End of life decisions (geriatric medicine)
Extract from BMJ:The consensus from international studies of patient preferences is that, given adequate support, most people would prefer to die at home. However, more than half of all deaths in the United Kingdom occur in hospital, with only 18% of people dying in their own home. Suggested reasons for this include a lack of anticipatory care planning, poor coordination between healthcare agencies, and insufficient community resources. National and local policies now focus on facilitating home deaths, and recently there has been a small increase in the proportion and absolute number of people dying at home.

The demographics of deaths across Europe are changing with the ageing population, with deaths from dementia, cancer, and chronic diseases becoming more common.  Caring for such patients in hospital will probably become unsustainable in terms of capacity, cost, and patient satisfaction. The focus of end of life care is therefore shifting to the community—to homes and care homes—where the role of the general practitioner, with support from the community palliative care team, is key. The onus is on all health and social care professionals to work collaboratively across settings to enable patients to receive high quality end of life care in the place of their choice.

Anderson S.G., Roberts H., Malipatil N., Dunn G., Heald A.H: Diabetic Medicine

A higher index of multiple socioeconomic deprivation predisposes to development of painful peripheral neuropathy in Type 1 diabetes.

Anderson S.G., Roberts H., Malipatil N., Dunn G., Heald A.H.

Diabetic Medicine. Conference: Diabetes UK Professional Conference 2013 Manchester United Kingdom. Conference Start: 20130313 Conference End: 20130315. Conference Publication: (var.pagings). 30  (pp 70), 2013. Date of Publication: March 2013.

DOI http://dx.doi.org/10.1111/dme.12091

Maintaining High Professional Standards Consultation

Extract from NHS Employers quest

This short survey aims to gather views on the disciplinary framework for doctors and dentists employed by the NHS. The changes to the structure of the NHS and the introduction of medical revalidation have influenced the way in which the framework operates. Comments are being welcomed until 6th September 2013.

GPs list of reporting requirements from NHS England

Extract from PULSE

GP practices are being asked to report huge reams of data to NHS England so that their performance can be monitored and any ‘unwarranted variation’ can be investigated, it has emerged.

Practices are being asked to log onto an NHS England website to complete details on their surgery’s practice staff, suitability, premises and equipment, access to and availability of practice services, information about the practice and its procedures and its governance.

The ‘assurance management’ website, www.primarycare.nhs.uk, replaces the annual reports that were historically collected by PCTs, will allow for NHS England to spot any outliers and hold GPs to account in a ‘robust and fair’ way.

Public consultation on Mid Staffs

A public consultation on the future of Stafford Hospital opens later.

Administrators have said Mid Staffordshire NHS Trust should be dissolved, with many services at Stafford Hospital taken on by nearby hospitals.  Under the plans, maternity services and seriously ill children would no longer be treated at Stafford.

The proposals, announced last Wednesday, were initially met with criticism by people in the area.

Extract from BBC Health news

Also in the news:  Doctors in Stoke-on-Trent are insisting the city’s hospital will be able to cope if services are moved there from Stafford Hospital.

NICE guidance – updates

Keeping you up-to-datenice 1

Guidance by topic: the following guidance topics matching your health area preferences have been published or updated

 

Library feedback

If you have visited the library since its move to New Alderley House, we would love to know what you think about the layout, the new drop-in space, journals, facilities, furniture, light, stock, accessibility, staff – in short, anything and everything you have an opinion on.

How to make your comments

  1. You may make your comments directly to this post
  2. or on forms held in the library
  3. or complete the form below to receive a personal response

We value all feedback from our users and will always do what we can to address issues which you bring to our attention.

Thank you