Cold Weather Alert!

There is a 90% probability of severe cold weather/icy conditions/heavy snow between 1200 on Wednesday 28 Jan and 1200 on Tuesday 3 Feb in parts of England. This weather could increase the health risks to vulnerable patients and disrupt the delivery of services.

More details about the weather alert is available on the MET Office website.

Important information on data sharing opt out


Following today’s media coverage on the programme NHS England would like to clarify the following points in relation to patient care.NHS_England

  • Under the programme no patient data has been collected so far from GPs
  • The Pathfinder stage will test the programme in four different English regions
  • The opt out for the programme will apply to confidential GP data being used for purposes beyond direct care
  • The opt out is not currently live and will not impact upon direct care
  • How we communicate this to patients will be tested in the Pathfinder areas

Super self-help books added to stock

DSCF0870Starting the New Year off in style, the library is pleased to announce the re-stocking of the Wellbeing and Leadership sections.  Lots of super self-help titles now grace the shelves including:

  • Heal your headache
  • The feeling good handbook
  • Say No to Diabetes
  • IBS: free at last
  • The cancers survivor’s companion
  • Freedom from the diet trap
  • Treat your own back

In the Leadership section you will also find books on Employee Engagement which may be helpful to new managers.

  • Leadership plain and simple
  • Managing stress in the workplace
  • The extraordinary leader
  • Employee engagement 2.0
  • Carrots and sticks don’t work
  • Team building

Come in and take a look at the whole range or email us at to reserve any of those listed above.

NHS England launches new bid to beat cancer 

Extract from Informed newsletter

informed_nhs_englandNHS England has announced a new independent taskforce to develop a five-year action plan for cancer services that will improve survival rates and save thousands of lives. The taskforce has been asked to deliver the vision set out in the NHS Five Year Forward View, which calls for action on better prevention, swifter diagnosis and better treatment, care and aftercare for all those diagnosed with cancer.


NHS England announces outcome of Cancer Drug Fund review

NHS England has published the outcome of a review of drugs included in its Cancer Drug Fund, to ensure that the drugs available to patients offer the best clinical benefit. It also announced that the fund’s budget will grow to an estimated £340 million from April 2015.

You can subscribe to receive news updates from ‘Informed’ by email – see NHS England website.


NICE: This month in Eyes on Evidence

nice_nhs_evidenceIssue 69
January 2015


Pharmacy-based screening for cardiovascular risk
A systematic review suggests that pharmacy-based screening for cardiovascular risk factors may be possible. However, many people do not act on the advice to visit their GP, and the effect of screening on new diagnoses has not been robustly shown.

Self-management of hypertension in people at high risk of cardiovascular events
An open-label randomised controlled trial finds that people with hypertension who self-monitor their blood pressure and up-titrate their antihypertensive medication experience a greater reduction in systolic blood pressure than people who manage hypertension with usual care.

Mental health after stopping smoking
A meta-analysis finds that stopping smoking is associated with reductions in anxiety, depression and stress, and improvements in quality of life and mood.

Alpha-blockers for expulsion of ureteral stones
A Cochrane review reports that alpha-blockers are more effective at expelling ureteral stones less than 10 mm in diameter than standard therapy or calcium channel blockers.

Haemoglobin thresholds for blood transfusion
Two meta-analyses report that restricting transfusion of red blood cells to people with a haemoglobin level of either less than 7.0 g/dl or 6.4 g/dl to 9.7 g/dl reduces mortality and serious infection, but does not significantly affect the overall risk of infection.

Evidence Updates
NICE has recently published Evidence Updates on:

  • Spasticity in children and young people with non-progressive brain disorders
  • Ectopic pregnancy and miscarriage
  • Hyperphosphataemia in chronic kidney disease

NHS England: Revised funding approach for palliative care

NHS England has published a revised draft funding approach for NHS_Englandpalliative care featuring a ‘currency’ for ensuring services match patient needs, offer best value and that providers are reimbursed fairly. The revision is informed by feedback received through consultation, events and seminars since publication of the original document in October 2014.

Working with evidence

DSCF0651Additional Training Opportunities

This is just a reminder that East Cheshire staff may access training courses provided at other library venues besides our own here in New Alderley House. This is due to a reciprocal arrangement between ourselves, Stockport NHS Foundation Trust and University Hospital of South Manchester.

Stepping Hill currently has free courses on the following topics:

  • Introduction to Literature Searching
  • Introduction to Critical Appraisal with statistics
  • In-depth Literature Searching
  • The Cochrane Library
  • Using PubMed effectively

Courses at UHSM have yet to be published.

See our webpage for dates and times

Don’t forget for 1:1 training on updating or developing your evidence search skills using the healthcare databases (HDAS), NICE or Cochrane, please get in touch with one of our Outreach Librarians.  Contact Carole Keeling if you are based at the Trust or Steve Collman for any community based staff or students.


Italian nurses provide a continental flavour to the Library

On a cold and unappealing January day, the Library was pleased to welcome a second group of nurses from Italy, none of whom seemed to be missing their warmer homeland! Their visit formed just one part of an induction programme designed to prepare them for their new lives as members of staff at East Cheshire NHS Trust, Macclesfield.

Language was not a problem as the group of 13 filled out forms, met with library staff and cheerfully absorbed all the information that was given to them.

We look forward to seeing them again soon. Caio!


Integrating intensive care unit (ICU) surveillance into an ICU clinical care electronic system

hospital_infection_coverby J.S. ReillyJ. McCoubreyS. ColeA. KhanB. Cook

Extract taken from the Journal of Hospital Infection

The intensive care unit (ICU) is the specialty with the highest prevalence of healthcare-associated infection (HCAI) in European hospitals and therefore a priority for surveillance of HCAI. Whereas surveillance is an essential part of an effective infection prevention and control (IPC) programme, all too often it consumes too much clinician and IPC team time, limiting the time available for quality improvement. The case for electronic surveillance is made in the literature from several countries on this basis. These studies indicate that electronic surveillance can improve validity, reduce time spent on surveillance, and provide opportunities for improvement in clinical decision-making and IPC action arising from surveillance.

If you require the full-text article, please contact Ext:1362 to acquire via inter-library loan. A small charge may be incurred.