Home care visits should be at least 30 minutes long, NICE says

nice_logoMost home care visits should be at least half an hour long to enable carers to provide the personalised and dignified care that elderly patients need when being supported to stay in their own home, says a guideline on social care services from the National Institute for Health and Care Excellence (NICE).

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Shorter visits would be appropriate only rarely, said the finalised guideline on home care, published on 23 September. This might be when the visit is part of a wider package of support, made by a carer who is known to the patient, or made to complete a specific time limited task, such as checking that a medicine has been taken or that a person is safe and well.

Spotlight On…. Oxford Medicine Online

Each month the Library and Knowledge Service will be highlighting a particular e-resource, providing details about how to gain access and also explaining its uses.

This month we are focusing on Oxford Medicine Online, a resource from Oxford University Press, providing access to their prestigious medical collection and bringing together authoritative texts by world-renowned authors. These e books can be accessed both on and off site, you can search for topics or browse to titles of interest.

By logging in with your NHS Athens account you can access:

  • Oxford Textbook of Medicine, covering the scientific aspects and clinical practice of internal medicine and its sub-specialties
  • The Oxford Medical Handbooks: The renowned pocket handbooks designed for broad medical readership.
  • The Oxford Specialist Handbooks: A collection of comprehensive pocket guides for challenging areas of medical and surgical practice. They provide an overview of clearly defined procedures, skills, guidelines and technologies along with practical tips and case studies,

Further details about this resource can be found on our e Resources  web pages, you can also contact us to find out more.

Combination drug shows promise for treating agitation in patients with Alzheimer’s disease

jamaA combination drug treatment can reduce agitation in patients with probable Alzheimer’s disease and is generally well tolerated, preliminary research published in JAMA has shown.

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The phase II double blind randomised clinical trial showed that patients who received the combination dextromethorphan hydrobromide and quinidine sulphate had lower occurrence and severity of agitation than patients who received placebo. This combination is approved in the United States and the European Union for treating pseudobulbar affect, a neurological disorder characterised by uncontrollable episodes of crying.

Patient safety incident reporting continues to improve


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NHS England has today (23 September 2015) published a six-monthly data report on patient safety incidents reported to the National Reporting and Learning System (NRLS) between 1 October 2014 and 31 March 2015.

BETHLEM 351-11202Acute hospitals, mental health services, community trusts, ambulance services and primary care organisations report incidents to the NRLS where any patient could have been harmed or has suffered any level of harm. The reporting of incidents to a national central system helps protect patients from avoidable harm by increasing opportunities to learn from mistakes and where things go wrong.