New titles in the Health Technology Assessment Journal

17.11 Evaluation of mammographic surveillance services in women aged 40-49 years with a moderate family history of breast cancer: a single-arm cohort study  (Duffy)

17.10 The CRASH-2 trial: a randomised controlled trial and economic evaluation of the effects of tranexamic acid on death, vascular occlusive events and transfusion requirement in bleeding trauma patients  (Roberts)

17.09 A systematic review and economic evaluation of new-generation computed tomography scanners for imaging in coronary artery disease and congenital heart disease: Somatom Definition Flash, Aquilion ONE, Brilliance iCT and Discovery CT750 HD  (Westwood)

17.08 Adjunctive colposcopy technologies for examination of the uterine cervix – DySIS, LuViva Advanced Cervical Scan and Niris Imaging System: a systematic review and economic evaluation  (Wade)

17.07 Study of the use of antidepressants for depression in dementia: the HTA -SADD trial – a multicentre, randomised, double-blind, placebo-controlled trial of the clinical effectiveness and cost-effectiveness of sertraline and mirtazapine  (Banerjee)

 

New resource to make hospitals dementia-friendly

dementia_action_allianceD:Kit A self assessment resource to support hospitals in becoming dementia-friendly

From the Dementia

 Action Alliance DAA,
http://www.dementiaaction.org.uk/dkit (republished in the Quality & Service Improvement newsfeed)
“This resource should provide everything you need to get you started on your journey to becoming dementia friendly and to deliver on our shared purpose.

‘To enable people with dementia to experience high quality care in acute hospitals and support them, their families, carers and staff to have the confidence to champion best practice and create a culture of excellence’

You can download the D:KIT, including this introduction, or carry on reading the introduction below. You may also want to bookmark theD:KIT resource page which may be helpful when you work with the kit.”

The D:KIT is presented in 5 Domains (each one of these is related to and informed by the RCN SPACE principles).

SPACE Image

Each domain is broken down into 4 sections:

  • Section 1 – self assessment questions
  • Section 2 – NICE standards
  • Section 3 – examples of evidence you could use
  • Section 4 – resources that will be of further help to you

Dementia Care Update published

Senior Man with CaneThe second Care Update is published this month on Dementia. 

Abstract
This latest update reports that care for people with dementia is not meeting their needs as services are struggling to cope. The second Care Update report also highlights concerns around the quality of services for people with mental health issues and learning disabilities. The findings show people living in a care home and suffering from dementia are more likely to go to hospital with avoidable conditions such as urinary infections. Once there, they are more likely to stay longer, be readmitted or die than those without dementia

Free training opportunity from Skills for Health: Supporting people with dementia

http://www.skillsforhealth.org.uk/skillsfor health logoCommon Core Principles for Supporting People with Dementia: Bridging the skills gap.

This event is an interactive day to raise awareness of dementia, in support of the government’s Dementia Strategy. The day will help you ensure that your workforce have the right skills to provide a high quality service for people with dementia in accordance with the Common Core Principles for Supporting People with Dementia.

In 2011, the Department of Health asked Skills for Health to work in partnership with Skills for Care to develop the Common Core Principles for Supporting People with Dementia. The Common Core Principles were developed to support workforce development within health and social care settings and service. The Common Core Principles enhances the skills, confidence and communication of the workforce and provide the foundations for learning and development.

What is the aim of this event?

This workshop has been developed as a Train the Trainer event. It aims to guide trainers from across all health and social care settings through a range of selected learning resources, which they could use with staff in their organisation, to help embed the 8 Common Core Principles.

Who should attend this event?

The event is designed for anyone working in a Health Care setting or service, with a responsibility for staff development or working in a training role within their organisation.

What will be covered?

You will be taken through selected training resources that embed each of the Common Core Principles.

On completion of this workshop you will have:

  • Explored the Common Core Principles for Supporting People with Dementia
  • Gained training resources to use with your organisation for workforce development
  • Identified dementia skills gaps within your organisation
  • Created an action plan to fill your dementia skills gap

What will you take away from this event?

Through attending this event you will gain access to a diverse range of training resources that you can use and adapt for your organisation to help embed the Common Core Principles for Supporting People with Dementia. You will have begun to create an action plan of how to close the dementia skills gap identified within your organisation and will have a new network group to support you in developing the dementia care in your organisation.

These events are free to attend.  To register* for your place click here.

For more information contact Jade Duffy – 0191 229 3409.

* We expect demand to be high so places have been limited to no more than 2 per organisation.

News from NICE

NICE recommends blood pressure device that can help prevent strokes

A new device that allows GPs and practice nurses to detect pulse irregularities and pick up cases of atrial fibrillation whilst measuring blood pressure has been recommended by NICE.   Atrial fibrillation (AF) causes the heart to beat with an irregular rhythm. It can be difficult to detect and subsequently diagnose as it is often asymptomatic and can be intermittent.

People with AF are at increased risk of developing blood clots and subsequent stroke, with 423,000 people aged 65 and over expected to have AF, of whom some will be will living with the condition yet are undiagnosed.

In its medical technology guidance on WatchBP Home A, NICE says the device reliably detects AF and may increase the rate of detection when used in primary care. This will consequently allow for preventative treatment to be given and to reduce the incidence of AF-related stroke.

Statement of collaboration between NICE and Public Heath England
NICE and Public Health England agreed to collaborate on future work.
February 8, 2013
Dementia, stroke and cancer among potential indicators for latest CCG Outcomes Indicator Set
Dementia, stroke, cancer, and end-of-life care are among 32 new indicators put forward for inclusion in the Clinical Commissioning Group Outcomes Indicator Set (CCG OIS).
February 4, 2013
Have your say on NICE’s social care work 
The Department of Health has launched a 12 week consultation to gather views on the topics for NICE’s new quality standards and guidance for social care.
February 1, 2013

Dramatic variation in dementia diagnosis across UK

Extract from Age UKdementiamap

Figures released on 15 January by the Alzheimer’s Society reveal wide variations in how many people are receiving a diagnosis of dementia in the UK, with rates ranging from 31.6 per cent in East Riding of Yorkshire to 75.5 per cent in Belfast.

There has been a 3 per cent increase in the number of people in the UK that have been diagnosed with dementia raising the number of people who now have a formal diagnosis to 46 per cent. However, there are thought to be another 428,000 in the UK (54 per cent people) who are living with the condition but who are not diagnosed.

Results can be accessed via an opens link in new window interactive map which allows you to see the results for your area.

News from National Health Executive Online

NHS to share digital medical records by 2018 Patients should be able to access their medical records online by 2015, health secretary Jeremy Hunt is to announce. The roll-out of the project will incorporate the whole NHS and be complete by 2018 ….     more >
NEWS ROUND-UP

News from The King’s Fund

The King’s Fund

Developing supportive design for people with dementia
This publication marks the completion of 26 Enhancing the Healing Environment (EHE) schemes in 23 NHS acute, community and mental health hospitals in England to improve the environment of care for people with dementia. It seeks to provide practical, value-for-money examples to encourage and inspire staff and their organisations to provide an environment of care that better supports people with dementia.

AQuA News: 4 December

Asthma
In 2008/09 there were 49,054 emergency adult admissions for asthma at a cost of £61 million to the NHS, however it is currently estimated that three quarters of these are preventable

Boards on Board November 2012
Presentations and resources from the two day residential event delivered by AQuA, NWLA and IHI.

This week’s news:

Your opinion counts – take part now in the AQuA 2012 Member survey!
29 November 2012

Congratulations to the Winners of the HSJ Awards 
29 November 2012

Sir Stephen Moss and Gill Harris confirmed faculty for AQuA Patient Safety Ambassadors programme Jan ’13 
03 December 2012

05 Dec 2012
Leadership for Integration 3 AQuA led Pre-Programme preparation day (part of Integration)
Introducing a Framework for Integration, Preparing your Integration projects for Success

06 Dec 2012

AQ Programme Leads (part of Reducing avoidable mortality)
The next Advancing Quality (AQ) Programme Leads meeting will be taking place on 06 December 2012. To ensure you are fully up-to-date with the latest AQ developments, we highly recommend programme leads from every trust attend as these meetings are yo…

06 Dec 2012

The shape of the acute care sector post – NHS reform: implications for commissioners and providers (part of Partnerships)
Long-term and immediate pressures on acute sector, why the reforms will lead to a ‘new world’ for the hospital’s role in healthcare, opportunities for new models of provision and the whole-system responses needed to make these happen.

13 Dec 2012

Action Learning Set 1 (part of Integration)
First Action learning Set for the Integrated Care Community 2

14 Dec 2012

Dementia improvement Community – Holding the gains, maintaining Improvement (part of Quality of life for people with long term conditions)
The focus of this Dementia Improvement Community event will be to demonstrate improvement in a range of aspects of dementia care, with participating organisations sharing and learning from national best practice.

20 Dec 2012

AQuA Integrated Care – Project Manager Learning set (part of Integration)

09 Jan 2013 — 25 Mar 2013

Cohort 3 of the Patient Safety Ambassadors programme
Third cohort of the Patient Safety Ambassadors (PSA) programme. See modules for more information.

14 Jan 2013 — 14 Jan 2013

Fundamentals for Improvement of the AQuA Improvement Methodology Plus programme
Test

14 Jan 2013

Action Learning Set 2 (part of Integration)
Second Action learning set for the Integrated Care Community 2

25 Jan 2013 — 12 Mar 2013

Cohort 3 of the Quality Improvement for Finance programme

08 Feb 2013

Children & Young Peoples
(part of Quality of life for people with long term conditions)
Further details to follow

One million ‘dementia friends’ scheme launched

An ambitious project to register one million people by 2015 who can increase understanding of dementia, is one of the next steps in the Prime Minister’s Dementia Challenge. Under the scheme led by the Alzheimer’s Society, people who become dementia friends will be given free information sessions, to help them raise awareness of dementia in their communities.

Other measures include providing £9.6m for dementia research, extra support for GPs to spot and diagnose dementia, and a pilot programme in schools and youth projects to help young people become dementia aware.

More information

http://dementiachallenge.dh.gov.uk/

Resource Watch: DoH Dementia website

“Dementia is one of the most important issues we face as the population ages. There are estimated to be over 750,000 people in the UK with dementia and numbers are expected to double in the next thirty years.”

At the Department of Health’s website http://dementia.dh.gov.uk/, a dedicated section is being developed to include resources and best practice guidance …  to make it the first port of call for anyone with an interest in improving services for people with dementia.  It is already a most comprehensive collection, useful for carers and professionals alike,  with links to all the key topics eg: residential workshops, medication, elearning, research and the benefits of cognitive stimulation as reviewed by Cochrane.

There is also a Dementia Commissioning Pack which contains a selection of additional resources. These are organised into  four key themes. Within each page the resources are grouped under key topic areas.

News from AQuA: August 2012

Seminar Invitation: Clinical leadership for integration
You are invited to an AQuA evening seminar and we are delighted to welcome John Howarth and Hugh Reeve to discuss Clinical leadership for integration – A view from the Provider and Commissioning perspective in Cumbria.
For more information please contact Liz Ashall-Payne at Elizabeth.Ashall-Payne@srft.nhs.uk.

To book on this session please follow this link: www.nhsevents.org

Registration is now open for the final Advancing Quality stroke collaborative of 2012. 

18th September 2012, 10:00am – 01:00pm
Following on from our last event in May, this collaborative will focus on what steps have been taken to improve and sustain the care and management of stroke patients across the North West through the AQ measures.
Full details are available via the registration site: www.nhsevents.org

AQuA Report – Managing Elective Demand – Opportunity to comment on draft AQuA report

As part of the work to finalise the forthcoming AQuA report “Managing Elective Demand”, AQuA is inviting representatives from PCTs/CCGs to a small informal event in July to help shape the final content of the report. Attendees at this session will have access to the draft AQuA report and can discuss the content with members of the AQuA team that were involved in its production. The aim of the session is to gain feedback from commissioner colleagues to help shape the final version of a report (planned for launch in September) which will help to meet commissioners needs around developing responses to managing demand for elective care and provide the basis for further opportunities for AQuA to support local improvement activities.

The meeting will be held in Meeting Room 3 at the Mayo Building, Salford Royal Trust on 19th July at 2 pm till 5 pm. Please contact Chris Linward, AQuA Associate to book a place on this session. Chris.linward@srft.nhs.uk.

Shared Decision Making in Cancer Care WebEx

8th August 2012, 14.00-15.00pm. Presented by Dr Pauline Leonard.
Register for the WebEx here.

Patient Value Maximisation & Shared Decision Making WebEx

11th September 2012, 13.30-14.30pm. Presented by Daghni Rajasingam.

Register for the WebEx here.

Shared Decision Making -The GP Perspective
Shared Decision Making -The GP Perspective! – 11th October 2012, 10.30-11.30am

Integration Discovery Community Focussed Seminar Session
13th September 2012, 01:30pm – 04:30pm.

Seminar: Clinical Leadership for Integration
13th September 2012, 04:30pm – 06:30pm
Full details are available via the registration site: www.nhsevents.org 

Lead Innovation and Create Value – September 25th 2012 at Fab Lab Manchester

Please find attached details of an Innovation event being run by our colleagues at The Manufacturing Institute on September, 25, 2012.
Link to full details…

Advancing Quality orthopaedics collaborative
26th September 2012, 01:00pm – 04:00pm
Registration is now open for the next Advancing Quality collaborative focusing on orthopaedics.

Advancing Quality teams from across the region are invited to attend this collaborative on 26th September 2012, 1pm-4pm, to learn the latest developments in hip and knee replacement surgery.
Full details are available via the registration site: www.nhsevents.org

Patient Safety Ambassadors
We are pleased to announce the launch of our second AQuA Patient Safety Ambassador Programme, designed to support Trust Chairs to identify cultural changes needed and assist in the development and understanding of the skills, systems and processes required to assure comprehensive safety and quality governance. This will be undertaken during three workshop based modules delivered during September – December 2012 and supported with an individual learning and reflective log.  For more information, please contact Alison.cole@srft.nhs.uk     Book your place online.

Recruiting for the next free “Nurse First” cohort in Manchester in September 2012
Nurse First is the most intensive innovation and leadership programme in the UK for clinical staff. It is a free 21 – day residential programme that runs over a year and includes masterclasses, learning sets and coaching support, developed in partnership with the Queens Nursing Institute, Bucks New University, the Shaftesbury Partnership and Johnson & Johnson. It will support you to: create innovative ideas to clinical challenges, raise the funding needed to make these ideas happen and help you implement them in your organisation.
For more information visit: www.nursefirst.org.uk

Get to grips with PDSA testing
Are you ready to start PDSA testing around the ‘Safe & Timely Discharge’ interventions? As we start work on PDSA testing of our 4 ‘safe & timely discharge interventions’ I invite you to join me for a practical ‘PDSA – Hands on, Getting to grips with PDSA’ afternoon on 23rd May at the Frank Rifkin Lecture Theatre, at the Mayo Centre, Salford Royal Hospital Trust, 2-4pm.

Avoiding unnecessary Hospital Admissions and inappropriate A&E attendances of Children & Young People with Long Term Conditions

AQuA Improvement Methodologies (AIM)  in End of Life Care
Cohort 10 (Sept – Oct 2012)
The AQuA Improvement Methodology programme in End of Life Care is geared at front line staff/operational leaders in End of Life Care wanting to gain an introduction to the fundamentals and concepts of quality improvement. Delegates will work on their own End of Life Care improvement project and develop a project plan, aim and measures throughout the programme. Suitable for staff with a basic knowledge of quality improvement tools or for experienced staff wanting to refresh their knowledge and skills.
Book online at: www.nhsevents.org Booking closes 10th August 2012 (each individual in the team is required to book a place)

The Institute for Healthcare Improvement (IHI) Open School
The Institute for Healthcare Improvement (IHI) Open School is a professional educational community that provides online education and training to enable individuals to become change agents in healthcare improvement. AQuA has purchased a number of licenses which will enable current AQuA members to benefit free of charge. This is a real opportunity to develop skills and capacity in individuals whilst supporting the quality and safety agenda in organisations.

In February 2012 we offered each AQuA member the opportunity to assign 5 licenses to named individuals within their organisation. However a number of organisations have yet to take up their full quota of licences. If your organisation has not taken up its licences and you wish to benefit from this excellent opportunity, please contact Lucy Davies on lucy.davies@srft.nhs.uk.
To listen to a WebEx entitled An Introduction to the IHI Open School, please click here.

Dementia Improvement Weekly Planner

Dementia ‘not being diagnosed’

Fewer than half of people with dementia ever receive a formal diagnosis, according to a new parliamentary report.

Around 800,000 people in the country currently have dementia, with numbers expected to rise to more than a million by 2021.

However, a report published this week by the parliamentary group on dementia has found a “shocking” variation in the number of people with dementia who are diagnosed.

In England, just 41% of people receive a diagnosis, and in parts of Wales diagnostic rates are as low as 32%.

via http://www.networks.nhs.uk/news/dementia-2018not-being-diagnosed2019

 

Benefits of cognitive stimulation for people with dementia

Overview: Cognitive stimulation is an intervention for people with dementia which offers a range of enjoyable activities providing general stimulation for thinking, concentration and memory usually in a social setting, such as a small group, aimed at general enhancement of cognitive and social functioning. Family caregivers can be trained to provide cognitive stimulation on a one-to-one basis.

In 2011, the World Alzheimer’s Report recommended that cognitive stimulation should be routinely offered to people with early stage dementia. However, in recent years, increased interest in its use in dementia has provoked concern about its effectiveness and potential negative effects on wellbeing.
See the NHS Evidence topic page on dementia for a general overview of the condition.
Current advice: NICE recommends that people with mild-to-moderate dementia of all types should be given the opportunity to participate in a structured group cognitive stimulation programme. This should be commissioned and provided by a range of health and social care staff with appropriate training and supervision, and offered irrespective of any drug prescribed for the treatment of cognitive symptoms of dementia.
The guidance also raised a need for more research into both the clinical and cost effectiveness of cognitive stimulation, both compared to and in combination with acetylcholinesterase inhibitors (donepezil, galantamine or rivastigmine).
NICE has a pathway on dementia, which brings together all related NICE guidance and associated products on the condition in a set of interactive topic-based diagrams.
New evidence: A Cochrane review evaluated the effectiveness and impact of cognitive stimulation interventions aimed at improving cognition for people with dementia, including any negative effects (Woods et al. 2012).
The review included 15 randomised controlled trials involving 718 people with mild-to-moderate dementia, mainly in the form of Alzheimer’s disease or vascular dementia. Participants were treated in small groups and involved in different activities, including discussion of past and present events and topics of interest, word games, puzzles, music and practical activities like baking or indoor gardening. All activities were designed to stimulate thinking and memory. Improvements following cognitive stimulation were compared with those seen without treatment and with ‘standard treatments’, which could include medicine, day care or visits from community mental health workers, or in some cases alternative activities such as watching TV and physical therapy.
Results showed that those who received cognitive stimulation interventions scored significantly higher in cognitive function tests. These benefits were still observed 1 to 3 months after treatment. In addition, positive effects on social interaction, communication and quality of life or wellbeing were observed in a smaller number of the trials, based on self-reported or carer-reported measures.
Where family members were trained to deliver cognitive stimulation on a one-to-one basis, no additional strain or burden on care givers was reported.
Commentary: “The caveat to the findings of this Cochrane review is that many of the studies were low quality and with small sample size. Study populations varied and the protocols and content of therapy quite diverse. Cognitive stimulation therapy is not an easily defined intervention. Disappointingly, there is no evidence for an effect on function, mood or difficult behaviour.
Old man doing a crossword“Important questions remain: Is there a need for maintenance sessions to sustain benefit beyond 3 months? What ‘dose’ of stimulation is needed? What is the active ingredient(s)? How much therapist training is needed and are the benefits clinically meaningful? Is it cost effective?
“Despite the limitations there is evidence here to support the principle of ‘use it or lose it’. That one study achieved this by using family carers as therapists, without detriment to them could help carers with the question ‘What can I do?’ and to deal with their frustration of feeling powerless.
“For professional carers there is a message to develop a culture of stimulation for people with dementia in their care and keep people’s brains active if we want to do the best for them. There is more to supporting people with dementia than just administering care.” – David Anderson, Consultant in Old Age Psychiatry with Merseycare NHS Trust and Honorary Senior Lecturer at the University of Liverpool.

This month in Eyes on Evidence

Data from the National Joint Registry for England and Wales indicates high failure rates for metal-on-metal hip replacements.
A Cochrane review shows cognitive stimulation therapies have beneficial effects on memory and thinking in people with dementia, as well as positive effects for wellbeing.
Developing more integrated support for people with mental and physical health problems could improve outcomes, by recognising the role of emotional and mental health problems in reducing people’s ability and motivation to manage their physical health.

Do renin-angiotensin system drugs reduce mortality in hypertension?

This systematic review provides good quality clinical evidence that  angiotensin-converting enzyme inhibitors reduce the risk of death in patients with hypertension. The benefits of angiotensin receptor blockers in reducing mortality are uncertain.
Angiotensin receptor blockers (ARBs) are no better than placebo or angiotensin-converting enzyme  inhibitors in reducing the risk of death, disability, or hospital admission for any reason. However, more patients stopped treatment early with ARBs than with placebo due to side effects.
An example from the Quality, Innovation, Productivity and Prevention collection on how the University Hospitals of Leicester NHS Trust has reduced delays, complications and costs around central venous access for patients.
Potential disinvestment opportunities highlighted this month are:
  • Biofeedback training for the management of faecal incontinence in children.
  • Non-pharmacological interventions for breathlessness.

Evidence Updates

This month NICE has published online via NHS Evidence an Evidence Update on constipation in children and young people.
How to get access, via NHS Athens on Apple and Android devices, to authoritative and practical information on the selection and clinical use of medicines from the British National Formulary.

Palliative Care roundup

A tormented death: End of life care for people with dementia

Posted: 28 Jun 2012 04:34 AM PDT

Source: British Journal of Nursing 2012, 21(12), p723 – 727

Follow this link for the abstract

Date of publication: June 2012

In a nutshell: District nurses are often faced with difficulties when patients with dementia lack the capacity to express how they feel and the family has to make end-of-life decisions for the sufferer. Although 25% of palliative care is concerned with controlling physical symptoms, health professionals are sometimes faced with challenges when one co-morbidity masks another. The GP-patient relationship is central to improving overall care for these vulnerable patients and there is a continual need for a workforce to be trained and empowered to provide care with precision. This article discusses the importance of correct diagnosis during end-of-life care and makes recommendations on how this can be achieved.

Length of publication:5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library

Acknowledgement: Internurse.com 

 

Eyes on Evidence: Issue 38, June 2012

 People who are admitted to hospital with a psychotic disorder may have their illness misclassified. Diagnosis should be reassessed periodically to ensure that the most appropriate interventions are being used.

There may be differences in mortality risk between individual antipsychotic agents used to treat people with dementia. Patients should be monitored for adverse events in the acute treatment period, and periodic attempts to discontinue medication should be made.

Caution is urged over the long-term use of antiplatelets in people with chronic kidney disease. Treating 1000 patients with oral antiplatelet therapy for a year may prevent nine heart attacks, but this needs to be balanced against an increased risk of bleeding.
Pregnant women may experience some benefit from using relaxation techniques during labour, in relation to reduced pain, increased satisfaction and improved clinical outcomes. However, the available evidence is insufficient to make clinical recommendations.

Antimuscarinic drugs for urinary incontinence in women 

There is no strong evidence of a clinically important difference in efficacy between antimuscarinic drugs. The choice of antimuscarinic drug for an individual woman is likely to depend on tolerability, patient preference, and cost.

Details of a new resource available via NHS Evidence search.

Cochrane quality and productivity topics

Potential disinvestment opportunities highlighted this month are:
  • Aminosalicylates for induction of remission or response in Crohn’s disease.
  • Oral budesonide for induction of remission in ulcerative colitis.

Evidence Updates

This month NHS Evidence has published three Evidence Updates.
  • Improving outcomes in head and neck cancers.
  • Familial breast cancer.
  • Sedation in children and young people.

AQuA news

AQuA News Bulletin – June 2012  a regular newsletter which keeps you up to date with all the latest developments in AQuA. In this issue you’ll find:

How to apply the Shingo principles of operational excellence

The Manufacturing Institute has an excellent two-day workshop on offer.

Healthcare Foundation Shine Awards : Applications now open
The Health Foundation’s Shine programme open for funding applications – over £1 million available for support innovative healthcare teams.
Link to full details…

Recruiting for the next free “Nurse First” cohort in Manchester in September 2012
Nurse First is the most intensive innovation and leadership programme in the UK for clinical staff. It is a free 21 – day residential programme that runs over a year and includes masterclasses, learning sets and coaching support, developed in partnership with the Queens Nursing Institute, Bucks New University, the Shaftesbury Partnership and Johnson & Johnson. It will support you to: create innovative ideas to clinical challenges, raise the funding needed to make these ideas happen and help you implement them in your organisation.  For more information visit: www.nursefirst.org.uk

Get to grips with PDSA testing
Are you ready to start PDSA testing around the ‘Safe & Timely Discharge’ interventions? As we start work on PDSA testing of our 4 ‘safe & timely discharge interventions’ I invite you to join me for a practical ‘PDSA – Hands on, Getting to grips with PDSA’ afternoon on 23rd May at the Frank Rifkin Lecture Theatre, at the Mayo Centre, Salford Royal Hospital Trust, 2-4pm.

Avoiding unnecessary Hospital Admissions and inappropriate A&E attendances of Children & Young People with Long Term Conditions

Advancing Quality Pneumonia collaborative on 29th June
We are inviting you and your AQ pneumonia team to this Advancing Quality pneumonia collaborative learning session seven on Friday 29th June 2012. The meeting will include a number of presentations and networking opportunities where we hope to share best practice across the North West in pneumonia care.

Continue reading

AQuA – June issue


AQuA News
Latest AQuA News. Issue 19: June 2012 
Inside this edition you will find some of the following: 


– AQuA Launches Learning Set for Shared Decision Making
– Don’t miss AQuA’s Annual General Meeting
– This year’s Clinical Leaders Network/AQuA Steve Henderson Award Winner Announced
– Launch of the AQuA Mental Health ‘Harmfree’care Programme
– Blackpool shows how it is Advancing Quality in Heart Failure Care
Link to full details…

Continue reading

Dementia Awareness Survey

Dementia awareness survey  Extract from the Alzheimer’s Society website

Dementia a massive worry for many of us

Published 21 May 2012

A man in a blue short and a hat

Dementia worries nearly two thirds of us according to a joint poll commissioned by Alzheimer’s Society and Saga Homecare.

The YouGov survey – released to mark Dementia Awareness Week™ – found that 63 per cent of people say they are worried about dementia in some way. The majority of people (61 per cent) are worried about either themselves or someone they know developing dementia in later life. Yet despite their fears less than a fifth (16 per cent) of people want to know more about the condition, with 18-24 year olds the most keen to learn more (25 per cent) in comparison to only 15 per cent of over 55 year olds.

Read more at http://alzheimers.org.uk/site/scripts/news_article.php?newsID=1202

 

Skills for Care: Supporting dementia workers

Supporting dementia workers: a case study-based manager’s guide to good practice in learning and development for social care workers supporting people with dementia
This guide supports leaders and managers in developing their workforces to enable them to provide the highest quality of care for people with dementia. It considers how workforce planning and development can best improve the outcomes for people with dementia, supporting managers to work in the most effective way with training providers to deliver service outcomes and implement the Common Core Principles to Support People with Dementia.