BMJ Best Practice looks at Assessment of Dementia



In this module Best Practice begins with an overview, then goes on to emergencies, diagnosis and finally resources relating to this increasingly common syndrome.

Assessment of dementia bp2

Dementia is a syndrome characterised by an appreciable deterioration in cognition resulting in behavioural problems and impairment in the activities of daily living. Decline in cognition is extensive, often affecting multiple domains of intellectual functioning. [1] [2]

The prevalence of dementia is approximately 1% at the age of 60 years, and doubles every 5 years, to reach 30% to 50% by the age of 85 years.
Continue reading at BMJ Best Best Practice

Finally: make sure you keep checking Google Play for the new Android version of the Best Practice App, and the app store for the updated version of the IOS Best Practice App.

DSCF0548If you can’t find a quiet space or an available computer on which to complete your Statutory and Mandatory elearning, then look no further – come and visit us in the Staff Library!

We have 11 computers in a very pleasant space on the 2nd floor of New Alderley House, where you can work in peace and receive support from library staff, who will help you to get started.

There’s no need to book, so please just come along with your username and temporary password details.  

Library space improved

Listening to user feedback has prompted a change to the library layout.  The shared space area which combines office staff  and library facilities has been re-arranged to define the different spaces more clearly.  For improved access and convenience, 4 computers and a scanner have been repositioned closer to the main library room.  These are intended for anyone wanting to drop-in and check their email but can also be used for elearning.  In addition, a large table with seating for 6 provides staff and students with somewhere for private study.


The changes will be complete when a number of  bookshelves are repositioned nearer the main library.

Please have a look around next time you visit and let us know what you think.  We are always keen to hear your views.

Never too late to learn

Dozens of members of staff from East Cheshire NHS Trust have attended a special adult learners event aimed at promoting lifelong learning and highlighting opportunities.

The well-attended drop in session saw a number of education providers taking part including the Staff Library, the MacMillan Cancer Resource Centre, Macclesfield College, Cheshire ICT, Cheshire HR and Unison.

The event took place in the lecture theatre at Macclesfield District General Hospital and was organised by the trust’s Learning and Development team.

A prize draw took place and the winner was Karen Larson, Midwife at East Cheshire NHS Trust, who collected a beautiful collection of potted plants, generously donated by Macclesfield Community Garden Centre.

If you would like to know more about the learning and development opportunities in the library please contact us on 01625 661362. 

Catch BMJ’s Best Practice Measles modules

Extract from BMJ Best Practice

Best Practice Measles summary

measlesMeasles is an epidemic disease prevalent worldwide whose incidence has been curtailed markedly in countries where immunisation is widespread. It is characterised by cough, coryza, conjunctivitis, a characteristic exanthem, and a pathognomonic enanthem (Koplik spots). Measles is preventable by immunisation, but high levels of coverage are required to prevent outbreaks of disease. Treatment is primarily supportive, and complications of measles are more common in immunocompromised and poorly nourished individuals and include pneumonia, laryngotracheitis, otitis media, and encephalitis.

You can view the Best Practice Prevention information on measles here, or Treatment information here.

Free BMJ Learning Modules on measles!

Following the recent outbreak of measles in the UK, BMJ Learning is offering its modules on the subject for free for one month only!

Measles: an update on diagnosis and management

Childhood immunisation: an update

Support for Stat&Mand elearning

keyboard handStatutory and Mandatory training via elearning is now being offered to staff across the Trust.  Whilst this is a flexible and often useful method of delivery, it is often difficult to work undisturbed in the workplace and concentrate on an elearning package.

The Staff Library has the perfect solution! We have 11 computers in a very pleasant space on the 2nd floor of New Alderley House, where people can work in peace and receive support from library staff, who can assist with getting started.  There is no need to book, so please just come along with your username and temporary password details (available from 01606544935).



April news from Skills for Health

IT Skills Training for Pharmacy staff

General News

Basic IT Skills Training: eLearning Available to Pharmacy Staff

The IT Skills Pathway was developed to provide an officially recognised route of IT skills learning and certification for the NHS workforce. It has been confirmed that e-learning via the IT Skills Pathway Tracking System will continue to be available free of charge to the NHS, including pharmacy contractors, however, Microsoft exams, practice tests and printable learning material will no longer be centrally funded after 1st July 2013. In some areas, exams may continue to be offered through local NHS funding arrangements.

A communication has gone directly to registered learners to alert them to this change; learners may want to consider arranging any outstanding Microsoft exams before the 1st July 2013 when the central funding for exams is withdrawn.

More information about the NHS IT Skills Pathway can be found in the Pharmacy IT section of this website.

NICE recommends use of ‘MUST’ tool for screening for malnutrition

Extract from Age Uk

On 21 January, the National Institute for Health and Clinical Excellence (NICE) recommended the use of BAPEN’s interactive e-learning resource on nutritional screening using the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for staff working in hospitals, primary care and care homes to aid implementation on the new opens link in new window NICE Quality Standards for Nutritional Support of Adults.

The three ‘MUST’ modules explain the causes and consequences of malnutrition, the importance of nutritional screening and how to screen using ‘MUST’. Customised versions are available to purchase via opens link in new window the BAPEN website.

News from NHS Networks: NHS elearning course

The NHS has constantly changed since it was created in 1948. It is a complex organisation with complex issues. The most recent changes are arguably the greatest since its creation.
Since its launch in 1948, the NHS has grown to become the world’s largest publicly funded health service. It provides genuine comprehensive health care that is free at the point of delivery. It is a hugely complex organisation with many aspects to it.

This course will give you an insight into the NHS through an understanding of its history, its structure and the challenges it is facing. It is designed for those who are new to the NHS or need to understand the recent changes and the organisations it created.

Introduction to NHS (£25 for 6 months access)

The NHS has constantly changed since it was created in 1948. It is a complex organisation with complex issues. The most recent changes are arguably the greatest since its creation.  This course explains in simple language the history of the NHS, the present structure and the challenges it is facing.

Introduction to the NHS enables you to:

• Understand the role and complexity of the NHS
• Develop an understanding of the history
• Consider the recent changes and their impact
• Identify the challenges the NHS faces

BMJ Modules: 4 February 2013

Abdominal conditions in children are common and have a wide range of causes. In this latest module Dr Ian Wacogne outlines the common causes of various abdominal problems in children and how to recognise and manage them.

Common problems in children 2: abdominal conditions

Also here are some of BMJ’s modules on oral health. They give an important update on a range of common dilemmas.mouthulcer

Mouth cancer: recognising it and referring early

Mouth ulcers: a guide to diagnosis and management 

HIV infection: diagnostic picture tests 

Herpes simplex type 1 oral infection: a guide to diagnosis and treatment 

Neck lumps: diagnostic picture tests

BMJ Learning modules for this week

Common problems in children 5: skin conditions

The following modules give an important update on a range of common dilemmas.

Caring for patients with bowel symptoms: in association with the NHS Cancer Screening Programmes

Suspected breast cancer: when you should refer – in association with NICE

Suspected lower gastrointestinal tract cancer: when you should refer – in association with NICE

Suspected lung cancer: when you should refer – in association with NICE

News from NHS Networks

NHS Networks requires free subscription before you can read any of the following articles in full.

Elearning: If you are looking for a less physically demanding alternative to gym membership in January, try our e-learning courses for practice managers looking to build a healthier, more robust business to meet the challenges of the new year.  There is a free course on CQC compliance, plus several courses on finance, employment and HR issues and primary care medical contracts.

Children and young people’s health and wellbeing in changing times
The NHS Confederation has published a report on the impact of the health reforms on children and young people’s health and wellbeing. Read more »

NHS Improvement turns spotlight on stroke
NHS Improvement has published Spotlight on Stroke.  Read more »

Health survey comes of age
The Health and Social Care Information Centre is running the annual health survey for England (HSE) for the twenty-first time.  Read more »

Action plan for improving the use of medicines and reducing waste
A report commissioned by the Department of Health looks at how the NHS is working to improve the use of medicines and tackle avoidable medicines wastage.  Read more »

Direct access to diagnostic imaging for cancer 
NHS Improvement has produced a document to help diagnostic imaging for cancer. Read more »

The health and social care ratings review  The Nuffield Trust has been commissioned by the secretary of state to review whether aggregate ratings of provider performance should be used in health and social care.  Read more »

National continence survey
The all party parliamentary group (APPG) for continence care is pushing to make integrated services more widely available to all age groups, and also to help break the taboo which prevents individuals seeking and receiving medical attention. Read more »

Key performance indicators for improving access to psychological therapies
Latest figures from the NHS Information Centre.  Read more »

Smoking campaign gets under way
The Department of Health has launched a new campaign to encourage smokers to quit in the new year.  Read more »

Making integrated out of hospital care a reality
This report discusses the foundations for integrated care for adults, children and young people, with a focus on implementing out of hospital care, and connecting primary, community and social care. Read more »

Primary care IT services operating model published The NHS Commissioning Board has published a document setting out how the management of IT systems will be organised for primary care providers (dentists, pharmacists and optometrists) from April 2013.  Read more »

New child abuse alert system for hospitals announced  Hospitals will have a new system to help doctors and nurses spot children suffering from abuse and neglect, Health Minister Dr Dan Poulter has announced.  Read more »

Lessons learned from the hospital pathways programme The hospital pathways programme aims to improve both processes of care and interactions between staff and patients through a collaborative programme involving five acute trusts, the King’s Fund and the Health Foundation to apply techniques, not widely used in the NHS.  Read more »

Allied health professionals bulletin – December 2012
December edition of the Allied health professionals bulletin.   Read more »

Cancer services coming of age report published   The cancer services coming of age report has been published.   Read more »

NHS funding transfer to local authorities
The Department of Health has written to the NHS Commissioning Board with provisional information on the transfer of £859m in 2013/14 to from the NHS to local authorities.  Read more »

Transforming end of life care in acute hospitals
A short report reflecting the views from a focus group complements progress reports from acute trusts involved in the transform programme pilot.
Read more »

NHS Commissioning Assembly: next steps
The NHS Commissioning Board has published further information about the NHS Commissioning Assembly, the community of leaders for NHS commissioning.  Read more »

Payment by results 2013/14 road test package   The road test exercise provides an opportunity for the service to test out the new tariff and supports the planning process. Read more »

Advance care planning toolkit   A team at the National End of Life Care Programme (NEoLCP) has developed an advance care planning toolkit to help care providers approach the planning process with confidence and knowledge.  Read more »

Primary Care Commissioning: News, events and elearning opportunities

primary care commissionExtract from the website of Primary Care Commissioning (PCC) … “provides trusted, practical support to commissioners and providers of health and care services including training, development and expert advice.

Our events, elearning and information services enable better value for the NHS, better business processes, better informed healthcare strategies and better outcomes.

We are a community interest company, a form of not-for-profit social enterprise.”

NEW Resources featuring ‘The Productive Series’

The Productive Series: Releasing Time to Care™ – is a programme developed by the NHS Institute for Innovation and Improvement to help front-line staff spend more time on patient care, reduce waste and improve efficiency. The Government aim to introduce the Productive Ward methodology into 100% of Acute, Mental Health, Community Hospital wards and Community Services teams by 31st March 2014. The Productive Series programmes have already been adopted by a high percentage of organisations and front line teams are using the tools and methodology to improve care, increase the time spent with patients, deliver process efficiencies and financial savings.

See for more information

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, 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.

Resource Watch: PILLARS

Pillars is an online resource designed to help you to improve your ability to search for and use high quality, up-to date information for your NHS role, professional development and academic work.  

Pillars also offers ways to improve your IT and Study Skills, tapping into quality  materials from providers including the Open University.

Choose a subject of interest, then select from a list of topics and resources. Resources could be demos or tutorials, documents or web pages.  

Visit PILLARS at

The quality framework for e-learning

Skills for Health News

Following on from the publication of the Department of Health’s Framework for Technology Enhanced Learning (Nov 2011) for England, Skills for Health and the e-learning Leads for the Strategic Health Authorities have developed a quality framework for e-learning.

This framework sets out key quality principles to be considered when developing an e-learning programme for use by the healthcare workforce. The framework articulates a set of expectations around minimum quality thresholds for e-learning. This framework can be used to evaluate the quality of currently available courses and other e-learning activities, and help identify those areas for potential enhancement.

The framework, which includes a useful checklist, is particularly helpful to commissioners of e-learning and those involved in the design, delivery and evaluation of e-learning. The framework can be accessed here.

As part of its remit to support the development of the health sector workforce through effective education, Skills for Health is committed to supporting the sector to fully benefit from the greater use of learning technologies such as e-learning.

For more information about how Skills for Health might help you get the most from your e-learning approaches, visit

3 part online Diabetes course

OnMedica are offering a comprehensive three-part course on diabetes covering all the aspects ranging from epidemiology to latest treatments. Each independently authored module contains exclusive videos with diabetologist Professor Steve Bain and is worth 2 hours of CME credit. And as with all the OnMedica learning, the course is accredited by the RCGP’s EPASS scheme. Don’t miss out, click on the links below to start the modules now:

BMJ – Free modules

How many free modules can you complete this week?
Free learning for everyone – with only five days left make sure you take advantage of the 100s of extra modules on offer.
There’s something new for everyone including:
Foundation skills – electrocardiogram (ECG)

Acute diarrhoea: a guide to assessment and management
Burns – for paramedics
Surgical skills – appendicectomy
Career Essentials – Effective handovers for foundation doctors

An offer from BMJ – too good to refuse?

BMJ Learning is fast approaching two million module completions!

To celebrate, from 2-9 July, everyone will be able to access all of our modules for free – including journal related modules.

Plus, if you complete the two millionth module, you will win an iPad. We expect this module completion to happen this week.

Here are our latest and most popular modules which you could complete:

BMJ: Learning module on Anticoagulants

Maintaining patients on anticoagulants: how to do it.

This is just one of many learning modules available from BMJ Learning, which can be added to a learning portfolio. You need to subscribe at
BMJ Learning offers high-quality CME/CPD and postgraduate training for doctors and other healthcare professionals. It features hundreds of accredited, peer-reviewed learning modules in text, video, and audio formats.