More people than ever receiving psychological therapies and recovering

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More people than ever are receiving psychological therapies and April saw the highest recovery rates so far in the history of the programme, end of year data has shown.

The number of people referred for treatment from January to March (Q4) increased to 367,689 by around 17,000 from 350,505 in Q3. The 15 per cent access target was exceeded hitting a new high of 16.8 per cent.

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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.

Top priorities for reshaping mental health services

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More than 20,000 people have given their views on the top priorities for reshaping mental health services as part of a drive to develop a five year national NHS strategy for people of all ages.

Better access to high quality services, a wider choice of treatments, more focus on prevention, more funding and less stigma were the top five calls for change by 2020.

Hospitals send patients home without confirming home situation is adequate, report says

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Vulnerable patients are being discharged from hospital unsafely and sent home to situations where they have inadequate support because of lack of coordination between health, social care, and community services, an investigation by the healthcare consumer organisation Healthwatch England has found.

The investigation was based on the experiences of discharge of 3230 people considered as vulnerable (elderly people, homeless people, and people with mental health conditions) and on information gathered from trusts through freedom of information legislation and from surveys of patients.

Smoking cigarettes may increase risk of schizophrenia, study shows

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Smoking may increase the risk of developing schizophrenia, an analysis by a team from King’s College, London has found.

An association between cigarettes and psychotic symptoms has been reported before, but it has been generally assumed that this arises because people with the symptoms take up smoking as a way to relieve distress, counteract the symptoms, or manage the side effects of drugs used to treat them.

Being underweight in middle age is associated with raised dementia risk, large study finds

People who are underweight in middle age are at increased risk of developing dementia, while increasing weight and obesity offer protection against the condition, a large cohort study has found.

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A number of previous studies have looked at the association between weight and dementia, and most have found that the risk of dementia increased among adults who are overweight or obese, although some studies have found the opposite. Most of these studies have been small, which led the present researchers to conduct a much larger analysis of the link.

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