Resource feature: Behind the headlines

A good resource, well worth a look – the excellent ‘Behind the Headlines’ facility which is part of the larger, more well known NHS Choices website.  

BTHcategoriesBehind the headlines (BTH) looks at stories in the media to expand and explain how the headline came about.  If you read the article below, you will see how BTH traces the evidence back to the original research and provides an unbiased conclusion.

Hip replacement deaths drop by a half since 2003 

“Death rates following hip replacement surgery fell by half in England and Wales,” reports the BBC News website.

Its headline is based on a new study in The Lancet which looked at data from the National Joint Registry (NJR) over the course of eight years. The registry is an NHS database recording outcomes in artificial joint operations such as hip and knee replacements.

Read the full article, which includes research, a video and an easy to follow conclusion.

Event: Improving Patient Flow within Urgent and Emergency Care Workshop

Improving Patient Flow within Urgent and Emergency Care Workshop event taking place at the Manchester Conference Centre on the 15 November 2013.

The workshop will look at the linkages between emergency care, frail older people, and the concerns about safety, patient experience, and mortality that have emerged from the Francis and Keogh Reports.

To register please go to and sign in.

Reading for reward in October!

As Autumn approaches it’s often a good time to visit the library and make sure you have a good selection of books to help you through the darker evenings.

With this in mind, staff in the Library are inviting everyone who borrows a book during the month of October, to take part in a free prize draw – the prize will be a £10 book token.

This also ties in nicely with our growing collection of popular fiction by well known authors such as: Bill Bryson, David Baldacci, Lynda La Plante, Frank McCourt, Alan Titchmarsh, RW Hughes, Stephanie Meyer, Dean Koontz and Michael Connelly.   As well as novels, there are cookery and travel titles too.  Come along and see what you can find.

Don’t forget if you would like to donate some of your unwanted paperbacks, we’d be very pleased to give them a new home (provided they are in good clean condition). COMING SOON: Libraries are good for you. 18 November 2013

Lutfi Sulaiman*, Robert J. MacFarlane and Mohammad Waseem; The Open Orthopaedics Journal, 2013

Current Concepts in Anaesthesia for Shoulder Surgery
Lutfi Sulaiman*, Robert J. MacFarlane and Mohammad Waseem

The Open Orthopaedics Journal, 2013, 7, (Suppl 3: M5) 323-328)
East Cheshire NHS Trust, Victoria Rd, Macclesfield, SK10 3BL, UK

Abstract: There has been an exponential growth in the volume of shoulder surgery in the last 2 decades and a very wide variety of anaesthetic techniques have emerged to provide anaesthesia and post-operative analgesia. In this article we examine current opinion, risks, benefits and practicalities of anaesthetic practice and the provision of post-operative analgesia for shoulder surgery.


BMJ Best Practice: MRSA

Extract from BMJ Best Practice

“This month’s topic is MRSA, one of BMJ BP’s most recently updated topics and an important cause of infection in both healthy people in the community and in people in healthcare facilities.

The prevalence of MRSA infection is increasing globally. MRSA is an important cause of infection in both healthy people in the community and in healthcare institutions, but the two presentations and therapies differ.

Children and younger adults are more commonly afflicted with community-acquired MRSA, while hospital-acquired MRSA is more common in older age groups. It is also important to distinguish MRSA colonisation from infection.

Read the brief summary of MRSA below and click the links to refresh your knowledge of its prevention, diagnosis, and treatment.

You can also review the available evidence on MRSA and find further reading here.


Ahsan Akhtar*, Robert J. MacFarlane and Mohammad Waseem; The Open Orthopaedics Journal, 2013

Pre-Operative Assessment and Post-Operative Care in Elective Shoulder
The Open Orthopaedics Journal, 2013, 7, (Suppl 3: M4) 316-322
East Cheshire NHS Trust, Victoria Rd, Macclesfield, SK10 3BL, UK

Abstract: Pre-operative assessment is required prior to the majority of elective surgical procedures, primarily to ensure that the patient is fit to undergo surgery, whilst identifying issues that may need to be dealt with by the surgical or anaesthetic teams. The post-operative management of elective surgical patients begins during the peri-operative period and involves several health professionals. Appropriate monitoring and repeated clinical assessments are required in order for the signs of surgical complications to be recognised swiftly and adequately.

This article examines the literature regarding pre-operative assessment in elective orthopaedic surgery and shoulder surgery, whilst also reviewing the essentials of peri- and post-operative care. The need to recognise common postoperative complications early and promptly is also evaluated, along with discussing thromboprophylaxis and postoperative analgesia following shoulder surgery.