Falls Prevention Horizon Scanning Volume 3 Issue 6

Falls Prevention Horizon Scanning | from North West Health Libraries.

The latest edition of the Falls Prevention Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

End of Life Care Horizon Scanning Volume 5 Issue 6

End of Life Care Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the X Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

BBC News – NHS ‘needs to simplify urgent care’

The NHS in England needs to provide a much simpler and co-ordinated system of round-the-clock urgent and emergency care, a review of its services says.

via BBC News – NHS ‘needs to simplify urgent care’.

Bolton FT’s financial governance is slammed | Health Service Journal

Bolton Foundation Trust’s financial governance is “inadequate” in all areas, according to a devastating independent assessment seen by HSJ.

via Bolton FT’s financial governance is slammed | News | Health Service Journal.

This article is solely the work of the HSJ. For a full copy of the article please contact the library.

BBC News – Rise in child obesity-related hospital admissions

There has been a four-fold increase in the number of children and teenagers admitted to hospital for obesity-related conditions in the last decade, doctors in England and Wales warn.

via BBC News – Rise in child obesity-related hospital admissions.

Hospitals fear that GPs will invite tenders on services to avoid legal challenges from private sector | BMJ

NHS hospital trust managers are worried that GP commissioners may decide to open up some commissioned services to competitive tendering because they fear challenges from private providers, MPs have been told.

via Hospitals fear that GPs will invite tenders on services to avoid legal challenges from private sector | BMJ.

An NHS Athens account may be required to view this article in full. 

Diabetes Type 2 Horizon Scanning Volume 5 Issue 5

Diabetes Type 2 Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the Diabetes Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

How is the health and social care system performing? June 2013 | The King’s Fund

This quarter’s report aims to take stock of what has happened over the past year and assess the state of the health and care system halfway through the £20 billion Nicholson Challenge

via How is the health and social care system performing? June 2013 | The King’s Fund.

Patient-centred leadership | The King’s Fund

This report summarises the main findings of the Francis Inquiry into the failings of care at Mid Staffordshire in relation to NHS leadership and culture. It sets out what needs to be done to avoid similar failures in future, focusing on the role of three key ‘lines of defence’ against poor-quality care: frontline clinical teams, the boards leading NHS organisations, and national organisations responsible for overseeing the commissioning, regulation and provision of care.

via Patient-centred leadership | The King’s Fund.

Emphasise benefits of reconfiguration to support change, says report | BMJ

Three UK health bodies representing doctors, managers, and patients have warned that the NHS in England must get people more involved in radical change of services or risk “paralysis.”

via Emphasise benefits of reconfiguration to support change, says report | BMJ.

An NHS Athens account may be required to view this article in full. 

Nicholson: Transferring NHS funds to social care would mean ‘radical changes’ to hospitals | Health Service Journal

The government must accept “radical changes” to hospital services if it diverts more NHS funding to shore up the social care budget, the head of the NHS England has said.

via Nicholson: Transferring NHS funds to social care would mean ‘radical changes’ to hospitals | News | Health Service Journal.

This article is solely the work of the HSJ. For a full copy of the article please contact the library.

You can also view this in the BMJ by clicking here. You will need an Athens account to access this.

Nearly 40% of hospitals missed emergency department waiting time target in last quarter, show figures | BMJ

The proportion of patients in England waiting for four hours or longer in hospital emergency departments reached a nine year high in the last quarter of 2012-13, as nearly four in every 10 hospitals breached the government’s target on waiting times, new figures have shown.

via Nearly 40% of hospitals missed emergency department waiting time target in last quarter, show figures | BMJ.

An NHS Athens account may be required to view this article in full. 

New analysis confirms government target missed as A&E waiting times hit nine-year high | The King’s Fund

via New analysis confirms government target missed as A&E waiting times hit nine-year high | The King’s Fund.

New analysis of data for the final quarter of 2012/13 shows that nearly 6 per cent of patients waited four hours or longer in A&E departments, the highest level since 2004.

The latest quarterly monitoring report from The King’s Fund shows that 313,000 patients (5.9 per cent) spent four hours or more in A&E in the period January to March 2013, an increase of more than a third on the previous three months and nearly 40 per cent on the same quarter in 2011/12. This means that, across the quarter as a whole, the government’s target that no more than 5 per cent of patients should wait longer than four hours in A&E was missed for the first time since the Prime Minister pledged to keep A&E waiting times low in June 2011.

 

Associations between the organisation of stroke services, process of care, and mortality in England: prospective cohort study | BMJ

via Associations between the organisation of stroke services, process of care, and mortality in England: prospective cohort study | BMJ.

An NHS Athens account may be required to view this article in full. 

Abstract

Objective To estimate the relations between the organisation of stroke services, process measures of care quality, and 30 day mortality in patients admitted with acute ischaemic stroke.

Design Prospective cohort study.

Setting Hospitals (n=106) admitting patients with acute stroke in England and participating in the Stroke Improvement National Audit Programme and 2010 Sentinel Stroke Audit.

Participants 36 197 adults admitted with acute ischaemic stroke to a participating hospital from 1 April 2010 to 30 November 2011.

Main outcome measure Associations between process of care (the assessments, interventions, and treatments that patients receive) and 30 day all cause mortality, adjusting for patient level characteristics. Process of care was measured using six individual measures of stroke care and summarised into an overall quality score.

Results Of 36 197 patients admitted with acute ischaemic stroke, 25 904 (71.6%) were eligible to receive all six care processes. Patients admitted to stroke services with high organisational scores were more likely to receive most (5 or 6) of the six care processes. Three of the individual processes were associated with reduced mortality, including two care bundles: review by a stroke consultant within 24 hours of admission (adjusted odds ratio 0.86, 95%confidence interval 0.78 to 0.96), nutrition screening and formal swallow assessment within 72 hours (0.83, 0.72 to 0.96), and antiplatelet therapy and adequate fluid and nutrition for first the 72 hours (0.55, 0.49 to 0.61). Receipt of five or six care processes was associated with lower mortality compared with receipt of 0-4 in both multilevel (0.74, 0.66 to 0.83) and instrumental variable analyses (0.62, 0.46 to 0.83).

Conclusions Patients admitted to stroke services with higher levels of organisation are more likely to receive high quality care as measured by audited process measures of acute stroke care. Those patients receiving high quality care have a reduced risk of death in the 30 days after stroke, adjusting for patient characteristics and controlling for selection bias.

 

Volunteering in health and care Securing a sustainable future

A report has been published that considers the role and value of volunteers in health and social care. It looks at the important part that volunteers play in improving patient experience, addressing health inequalities, and building a closer relationship between services and communities. It also outlines the changing nature of volunteering, why this can cause tensions, and why volunteering does not always reach its full potential. Examples of good practice in the NHS and voluntary sector illustrate how these barriers can be overcome.

via Management Newsfeed.

This was originally shared by the hardworking staff at East Midlands SHA

Commissioners must start redesigning services to ensure real savings, MPs say | BMJ

A reliance on reductions in hospitals’ price tariffs to drive NHS efficiency savings is offering commissioners a “cop-out” from redesigning services and will not improve the effectiveness and quality of NHS healthcare, MPs have warned.

via Commissioners must start redesigning services to ensure real savings, MPs say | BMJ.

An NHS Athens account may be required to view this article in full. 

MPs accuse government of “dreadful” return on public money spent on new consultants’ contract | BMJ

Consultants have received significant pay rises since their contracts were renegotiated but are being far less productive, MPs have claimed.

via MPs accuse government of “dreadful” return on public money spent on new consultants’ contract | BMJ.

An NHS Athens account may be required to view this article in full. 

The King’s Fund response to the Health Select Committee’s report on public expenditure on health and social care services | The King’s Fund

Responding to the publication of the Health Select Committee’s report on public expenditure on health and social care services, John Appleby, Chief Economist at The King’s Fund said:

‘Today’s report from the Health Select Committee hits the nail on the head by calling for fundamental change in health and social care.

via The King’s Fund response to the Health Select Committee’s report on public expenditure on health and social care services | The King’s Fund.

Cardiovascular Horizon Scanning Volume 5 Issue 2

Cardiovascular Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the CVD Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

Stroke Horizon Scanning Volume 5 Issue 2

Stroke Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the X Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

Supporting hospitals to become dementia-friendly | Department of Health

This letter to chief executives of acute trusts follows up on a campaign by The Dementia Action Alliance launched in October 2012, aimed at encouraging all hospitals to commit to becoming dementia-friendly by March 2013.

via Supporting hospitals to become dementia-friendly | Department of Health.

Orthopaedics Horizon Scanning Volume 4 Issue 3

Orthopaedics Horizon Scanning | Just another WordPress.com site.

The latest edition of the Orthopaedics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

Diabetes Type 2 Horizon Scanning Volume 5 Issue 2

Diabetes Type 2 Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the Diabetes Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

End of Life Care Horizon Scanning Volume 5 Issue 3

End of Life Care Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the End of Life Care Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

Infection Control Horizon Scanning Volume 3 Issue 11

Infection Control Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the Infection Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

Bolton’s Health Matters Presents: Health, Care & Wellbeing News & Evidence for the week ending 3rd March 2013

Top Stories

• Liverpool Care Pathway independent review: sessions with families and carers | Department of Health
• Community services to be focus of extended competition | Health Service Journal
• DH opens door to NHS pension for private sector | Health Service Journal
• Risk of narcolepsy in children and young people receiving AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine: retrospective analysis | BMJ

Commissioning/Primary Care

• Care commissioning process is too laborious, study concludes | BMJ
• CCGs warn they risk being ‘saddled with inherited debt’ | Health Service Journal
• Survival from breast cancer is lower in UK than in other developed countries | BMJ
• Direct payments for healthcare consultation | Department of Health

Public Health 

• Guidance for local authority charging on public health activity | Department of Health
• Influence of initial severity of depression on effectiveness of low intensity interventions: meta-analysis of individual patient data | BMJ
• Tougher action is needed on alcohol pricing, labelling, and advertisements, say experts | BMJ
• Invasive pneumococcal disease and socioeconomic deprivation: a population study from the North East of England

Social Care

 

• Identification of risk loci with shared effects on five major psychiatric disorders: a genome-wide analysis : The Lancet
• BBC News – Dementia ‘affects 80% of care home residents’

 

 

Survival from breast cancer is lower in UK than in other developed countries | BMJ

Women aged over 70 with breast cancer and women in all age groups with more advanced disease may be treated less aggressively in the United Kingdom than in some other countries, an international study indicates.

via Survival from breast cancer is lower in UK than in other developed countries | BMJ.

An NHS Athens account may be required to view this article in full. 

Child Health Horizon Scanning Volume 2 Issue 3

Child Health Horizon Scanning | from Library and Information Health Network North West (LIHNN).

The latest edition of the Child Health Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

Obesity Horizon Scanning Volume 5 Issue 1

Obesity Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the Obesity Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.

 

Cardiovascular Horizon Scanning Volume 5 Issue 2

Cardiovascular Horizon Scanning | from the North West PCT Librarians Group.

The latest edition of the Cardiovascular Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.