Knowledge @lert for Friday 19th February
Building a Knowledge Enabled NHS for the Future – NHS England
This report identifies the successful characteristics of a knowledge-enabled organisation and how and why these can encourage knowledge sharing behaviours. In the context of describing how KM was adopted in the NHS from the business world, it identifies the benefits of a knowledgeenabled organisation and the barriers which have challenged its widespread adoption in the health sector since. Reflecting on past initiatives, and drawing on examples of successful KM in the NHS, this report concludes with recommendations on the best way for KM to support the NHS’ future success.
Trusts may lose training cash if they don’t impose contract, warns HEE – Health Service Journal
Health Education England has moved to force NHS trusts to adopt the new junior doctors’ contract and threatened to withdraw investment in training posts to stop trusts from using their own contracts.
- HEE chief executive Ian Cumming says he is not prepared to see a competitive market between trusts with different junior doctor contracts
- Adoption of new contract will be key criteria for HEE decisions on training posts with NHS trusts
- Follows speculation some trusts could choose not to adopt the new contract
Hip fracture: 30-day mortality rate
The Health Quality Improvement Partnership has published National Hip Fracture Database (NHFD): an analysis of 30-day mortality in 2014. This document is a supplement to the 2015 audit annual report which presented results from over 64,000 patients who were admitted for hip fracture during 2014. The supplement analyses data from the Office for National Statistics which indicates the overall mortality rate within 30 days of hip fracture in 2014 was 7.5%. This continues a pattern of progressive improvement from 8.5% in 2011.
NICE Quality Standards and Guidance
Guidelines
- NG37 Fractures (complex): assessment and management
- NG38 Fractures (non-complex): assessment and management
- NG39 Major trauma: assessment and initial management
- NG40 Major trauma: service delivery
- NG41 Spinal injury: assessment and initial management
- CG72 Attention deficit hyperactivity disorder: diagnosis and management – update of dietary advice recommendations
Quality Standards
- QS115 Antenatal and postnatal mental health – covers the recognition, assessment, care and treatment of mental health problems in women during pregnancy and the postnatal period (up to 1 year after childbirth). It also includes providing pre-conception support and advice for women with an existing mental health problem who might become pregnant, and the organisation of mental health services needed in pregnancy and the postnatal period.
- QS9 Chronic heart failure in adults – includes new and updated statements covering the assessment, diagnosis and management of chronic heart failure in adults.
Technology Appraisal Guidance
Delivering the benefits of digital health care
The Nuffield Trust has published Delivering the benefits of digital health care. This report looks at the impact of digital technologies in health care, in particular their impact on the workforce and productivity. The technologies explored include: electronic health records; telehealth; monitoring equipment, including wearable devices; electronic communications; the use of web- and cloud-based tools; and data analytics. It sets out the possibilities and benefits offered to health care by digital technologies, with insight about how to grasp those possibilities and benefits from those furthest on in their digital journey.
Realising the value of people and communities
Nesta and the Health Foundation have published At the heart of health: realising the value of people and communities. This report explores the value of people and communities in health and wellbeing, in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities. The report is intended to be a practical resource to support the work of commissioners, providers, communities and others seeking to find ways to empower individuals and communities in their health and care.
Department of Health plans NHS ‘transparency league table’ – Health Service Journal
The Department of Health is developing a “learning organisation league table” to rate NHS trusts on how well they report and respond to information, HSJ has learnt.
Leases briefing – Healthcare Financial Management Association (HFMA)
This is a brief summary of the requirements of IFRS 16 on accounting for leases. Please note that you need to enter your details in order to download this publication.
Developing a framework for evaluating the patient engagement, quality, and safety of mobile health applications – The Commonwealth Fund
Rising ownership of smartphones and tablets across social and demographic groups has made mobile applications, or apps, a potentially promising tool for engaging patients in their health care, particularly those with high health care needs. Through a systematic search of iOS (Apple) and Android app stores and an analysis of apps targeting individuals with chronic illnesses, the report assesses the degree to which apps are likely to be useful in patient engagement efforts. The authors also developed criteria for evaluating the patient engagement, quality, and safety of mobile apps.
RESPONSE model – managing patient flow – Academy of Fabulous NHS Stuff
RESPONSE is a simple model to follow for acute hospital Trusts to enable:
- A structured and action focused site meeting to maintain safe patient flow.
- A simple set of rules to create robust discussion and ensure the right actions are agreed.
- Control and management of a hospital site using a set of simple rules used daily to monitor, work towards and deliver good practice principles agreed by all hospital teams.
Person-centred care in Europe: a cross-country comparison of health system performance, strategies and structures – Picker Institute Europe
The document provides an overview of the different approaches taken to providing quality healthcare across Europe. It looks specifically at the person-centred care interpretations and strategies taken in England, Italy, Spain, Germany and the Netherlands. It aims to advance understanding of the ways in which different national services have chosen to focus on the needs of their users and have adapted to address financial pressures and efficiency challenges.