Knowledge @lert for Wednesday 21st December
Shared commitment to quality from the National Quality Board – NHS England
This framework provides a nationally agreed definition of quality and guide for clinical and managerial leaders wanting to improve quality. The approach has been agreed across NHS and social care organisations to provide more consistency and to enable the system to work together more effectively.
Beyond Brexit: assessing key risks to the nursing workforce in England – Institute for Employment Studies (IES)
This paper analyses data at national and trust level to map the regions and NHS trusts in England who may be most vulnerable to the associated risks of Brexit and population growth. The analysis forecasts that areas with a high projected rate of population growth of over-85s and above average employment of nurses from the European Economic Area are most at risk of facing greater pressures in those health economies.
Hospital activity and funding
The King’s Fund has published How hospital activity and funding in England have changed over time. This analysis explores demand for hospital services by looking at the data for different aspects of activity over the past 13 years. The analysis indicates rising demand is resulting in increasing hospital activity. There is also evidence that other parts of the health service are facing similar challenges including general practice, district nursing health services and mental health.
Improving care for people with long-term conditions – Royal Pharmaceutical Society (RPS)
This report, published by the RPS in Scotland, argues that pharmacist led care of people with long term conditions could deliver better results and be more cost effective. It focuses on the role of the pharmacist as part of a multidisciplinary approach to tackling the challenges facing the NHS in providing the highest quality care and support for people with long term conditions.
NICE surveillance reports
NICE Surveillance Reports provide a summary of new evidence published related to a guideline and provide an in depth commentary on a selection of this evidence. They include the decision that NICE has taken about the need to update the relevant clinical guideline in light of new evidence.
- Anaphylaxis: assessment and referral after emergency treatment(CG134) – surveillance decision: NICE has decided not to update this guideline at this time.
- Coexisting severe mental illness (psychosis) and substance misuse: assessment and management in healthcare settings (CG120) surveillance decision: NICE has decided not to update this guideline at this time.
- Headaches in over 12s: diagnosis and management(CG150) surveillance decision: NICE has decided not to update this guideline at this time.
- Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence (CG76) – surveillance decision: NICE has decided not to update this guideline at this time.
- Organ donation for transplantation: improving donor identification and consent rates for deceased organ donation (CG135) – surveillance decision: NICE has decided not to update this guideline at this time.
- Psychosis and schizophrenia in children and young people: recognition and management (CG155) surveillance decision: NICE has decided not to update this guideline at this time.
- Spasticity in under 19s: management(CG145) – surveillance decision: NICE has decided not to update this guideline at this time.
- Venous thromboembolic diseases: diagnosis, management and thrombophilia testing (CG144) surveillance decision: NICE will update three sections of the guideline and an extension to the scope is needed.
Long term conditions packs for CCGs
NHS Rightcare has published Long term conditions packs for each CCG. Each pack contains data on a number of disease areas and elements of care. The pack is split by stages along a long term conditions pathway and enables a local health economy to look at an element, for example disease detection or prescribing, across multiple disease areas. The pack contains a number of new indicators not included in previous packs. It also includes case studies, tools and guidance to support CCGs to make improvements to long term conditions care in their local health economy.
Suicide prevention
The House of Commons Health Committee has published Suicide prevention: interim report Fourth Report of Session 2016–17. The Health Committee has published an interim report to allow the emerging themes from witnesses to be presented to government in time to inform the updated suicide prevention strategy. A full report will follow next year, once the strategy has been published and witnesses have been invited to give their views.
Postpartum haemorrhage guideline
The Royal College of Obstetrics and Gynaecologists has updated their guideline Postpartum haemorrhage, prevention and management (Green-top Guideline No. 52). This provides information about the prevention and management of postpartum haemorrhage), primarily for clinicians working in obstetric-led units in the UK.
Winter beds pressures
The Nuffield Trust has published Nuffield winter insight briefing 1: Winter beds pressures). This is the first in a short series of briefings examining the extra pressures on the NHS in winter. This briefing looks at bed occupancy rates across the NHS in England in winter.
Professional standards
The Professional Standards Authority has published two documents dealing with issues of professional standards:
- Initial evaluation of the feasibility of prohibition order schemes for unregulated health and care workers in the UK: Advice to the Secretary of State for Health – provides detailed information on what prohibition order schemes are and looks at them in relation to health and social care.
- Professional identities and regulation: a literature review – a literature review is to better understand how professional identities are acquired and developed amongst health and social care professionals.
Statistics
NHS Sickness Absence Rates – August 2016, Provisional Statistics
NHS Staff Earnings Estimates– September 2016, Provisional Statistics
NHS Workforce Statistics – September 2016, Provisional Statistic