All emergency departments must have GP led triage by October

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Every hospital in England must have a “comprehensive” GP led triage system in emergency departments by October 2017 in a bid to avoid a repeat of the winter crisis that gripped the service this year, NHS leaders have said.

The requirement is one of several “concrete changes” demanded by NHS England’s chief executive, Simon Stevens, and the chief executive of NHS Improvement, Jim Mackey, in a letter sent after the chancellor Philip Hammond’s budget pledge to give the NHS an extra £100m (€115m; $120m) in 2017‑18 to spend on easing pressures in accident and emergency departments.

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General practice opening hours to be scrutinised

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From October general practices in England will be financially penalised if they close during core working hours during the week, the chief executive of NHS England has said.

Simon Stevens told MPs on the House of Commons Public Accounts Committee that changes to the GP contract, which will be introduced in October, will allow NHS England to scrutinise GP opening hours more closely and take action where necessary.

Swimming, aerobics, and racquet sports are linked to lowest risk of cardiovascular death

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Swimming, racquet sports, and aerobics seem to be the best forms of exercise for reducing the risk of death from heart disease and stroke, research published in the British Journal of Sports Medicine has found.

The researchers said that the small number of events impaired the statistical power in some analyses. There were relatively few deaths from all causes among runners and football players, which may explain the wide confidence intervals. However, they concluded, “These findings demonstrate that participation in specific sports may have significant benefits for public health.”

Interruption to ICT services Wed/Thur, 16/17 November between 2200 and 1000

Please note, due to essential maintenance work on the trust’s IT systems, library computers will be unavailable at these times. See the message below for further details.

‘In order to progress the server 2003 replacement project, Midlands and Lancashire Commissioning Support Unit IT Services will be carrying out essential maintenance work overnight on Wednesday 16th November from 22:00 until 10:00 on Thursday 17th November.

This will mean that between 10pm on Wednesday 16th November and 10am on Thursday 17th November, ALL of the trust’s IT systems will not be available and you will not have access to any IT systems during this time.  This will affect ALL clinical and administrative applications including Extramed Cris, Pathology, Radiology, PAS and shared drives.’

Please contact Lynda Cotterill, Library Services Manager, on 01625 663923 if you have any questions about library computers.

Cranberry capsules do not reduce urinary tract infections in older women, study finds

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Taking cranberry capsules did not reduce urinary tract infections (UTIs) in older women living in nursing homes, a US randomised trial has shown.

UTIs are very common among nursing home residents: bacteriuria is detected in 25-50% of women living in nursing homes, and pyuria is present in 90% of these. Cranberry products have been of interest in preventing UTIs in this group of people, to reduce unnecessary use of antibiotics.

BMJ Infographics

Highlighted resource:

BMJ INFOGRAPHICS

These are great visual summaries of a variety of conditions, their management and treatments, and visual overviews of article recommendations. They are found attached to a variety of articles and editorials, and some of the key infographics are found on the infographics page. For example, the infographic of the NICE sepsis guidance or a visual guide to recognising past congenital heart surgery in adults.