Knowledge @lert for Tuesday 25th July
Our Fabulous NHS – Academy of Fabulous Stuff
***Get involved*** – share your fab stuff!
- Patient Flow – managing expectations and improving throughput
- Standardised procedure trollies save time and stress – a QI project
- Improving the pathway and experience for patients having a lung biopsy
- Haematology Discharge Project
- Case studies: Focus on improving patient flow
- “Spotting the Signs of Sepsis” safety netting film
HSJ Roundup (contact the Library for further details)
- New trust ‘foundation group’ formed across counties
- Jeremy Hunt to have final say over A&E closure
- Child suffers ‘severe harm’ as a result of trust’s data problems
- HR directors warn new union rules are ‘complete distraction’
- CQC: More trusts to face prosecution for safety breaches
- Richards: NHS must protect waiting times and access to treatment
- Prescription changes would worsen health inequalities, warns BMA
STP progress dashboard – NHS England
This report outlines baseline data for each STP area in England relating to progress so far on STP plans against nine domains. The nine domains focus on hospital performance, patient-focused change and transformation.
Focus on physicians: census of consultant physicians and higher specialty trainees 2016-17 – Royal College of Physicians (RCP)
This report outlines the findings of a wellbeing survey and it finds that only one in four substantive consultant physicians in the UK feel valued by the hospital in which they work. Respondents also reported a desire for more time for teaching, research and patient care in their workload.
Taking revalidation forward action plan – General Medical Council (GMC)
This plan sets out how the GMC will respond and implement the recommendations outlined in Sir Keith Pearson’s review of clinical revalidation. The report details work the GMC and others will do to improve medical revalidation, making it a more positive and meaningful experience for doctors, responsible officers, patients and everyone involved.
Measuring and monitoring of safety framework e-guide: better questions, safer care – Haelo
This guide has been produced in conjunction with Advancing Quality Alliance, UK Improvement Alliance, Health Improvement Scotland and the Improvement Academy. The guide contains a range of useful resources to help health and care professionals to take a more holistic approach when looking at the safety of care. It also offers detailed case studies and practical templates spanning roles from board to ward, and across ambulance, acute, mental health and primary care settings.
Stress reduction
The Point of Care Foundation has published Behind closed doors. This report argues that the hard truths learned through the Francis Inquiry are in danger of being forgotten in light of unprecedented service pressures. The foundation calls on organisations to prioritise staff experience and strengthen efforts to protect staff from stress and burnout.
Digital literacy
Health Education England and the Royal College of Nursing have jointly published Improving Digital Literacy. This document outlines why digital capabilities are so important in the provision of the best care; why the right digital knowledge, skills, behaviours and attitudes are important and relevant to each working in health and care; and what those digital capabilities are. It details the work undertaken to date on the digital literacy programme of work and also highlights the Royal College of Nursing’s focus on developing digital capabilities in the nursing and midwifery workforce
Professional standards for pharmacy services consultation – Royal Pharmaceutical Society (RPS)
Feedback and comments are being sought on these updated hospital pharmacy standards. The standards outline what a high-quality hospital pharmacy service should look like and aim to support the development of a transparent and open culture. This consultation closes on 11 September 2017.
Perinatal mental health
The Royal College of Midwives has published Every mother must get the help they need (pdf). This report was inspired by the Change.org petition of Lucie Holland, whose sister died in tragic circumstances as a result of mental illness. Lucie set up the petition in 2015 calling for better awareness and care for those affected by perinatal mental illness. This petition received thousands of signatures and many people left comments about their own experiences. The RCM and partners have analysed and collated all the comments to form this report, which aims to highlight the need for better awareness and care for those affected by maternal mental health problems.
Investment in NHS transformation projects
The Secretary of State for and NHS England has announced £325m of capital investment for local projects that will help the NHS to modernise and transform care for patients. Patients will see this investment deliver faster diagnosis for conditions like cancer, easier access to mental health care, expansion of A&Es, shorter waits for operations, and more services in GPs surgeries. This initial tranche of funding has been targeted at the strongest and most advanced schemes in STPs.
Musculoskeletal indicator set launched
Arthritis Research UK has created in partnership with the musculoskeletal community a standard set of indicators for musculoskeletal health services relevant to people with arthritis and commissioners. The recommended MSK Indicator Set reflects the agreed objectives for musculoskeletal health systems and is a mixture of generic and condition-specific indicators that includes both process and outcome measures. These indicators are intended to be used for local analysis which will highlight the reasons for variation.
Musculoskeletal conditions and multimorbidities
Arthritis Research UK has published Musculoskeletal conditions and multimorbidity. The purpose of this report is to explore why and how musculoskeletal health should be considered as part of multimorbidity. It examines why the presence of musculoskeletal disease such as osteoarthritis or back pain can have an overall impact on the health, wellbeing and independence of a person living with multimorbidity. The report highlights the extent of the challenge ahead. By 2018, it’s expected that there will be 2.9 million people in the UK living with multimorbidity, a substantial increase from 1.9 million in 2008.
National cancer patient experience survey
Quality Health has published the latest National Cancer Patient Experience Survey 2016. The survey asked people with cancer across England for their views on their care, with 72,788 responding. Patients reported improvements over the past year on being seen as soon as they thought necessary for hospital cancer appointments, cancer tests, and cancer treatment. The survey also shows people reported more positively on areas including: involvement in decisions about care and treatment, feeling they were given enough information and being treated with dignity and respect
Emergency care data set supplementary guidance
NHS Digital has published Emergency Care Data Set (ECDS) supplementary guidance. The guidance outlines how the data set should be utilised and interpreted by users, system suppliers and other stakeholders. It also supports local areas to get the best out of the commissioning for quality and Innovation (CQUIN) through useful examples and tools.
Sustainability and transformation plans housing and aging
Care and Repair England has published Sustainability and transformation plans: analysis of extent to which housing and ageing are mentioned in STPs. This briefing highlights why housing is so critical to achieving the future vision for the NHS and the importance of addressing population ageing. Based on a search of all 44 STPs, the summary table in this briefing shows the wide disparities with regard to inclusion of any references to housing and ageing, ranging from zero in a number of areas, to a few which are far ahead in terms of integrated analysis and cross sector planning.
NIHR Signals
The National Institute for Health Research Signals are summaries of recently published research and intended to provide decision makers in health and social care organisations with evidence they can use.
- Doxycycline may be a safer first option for treating a blistering skin condition
- Breaking multiple unhealthy habits all at once has modest impact, but not always
- New evidence for lower blood pressure targets
- An emergency department protocol to restore circulation doesn’t improve outcomes in septic shock
- Three psychological therapies are effective for adolescent depression
- Financial incentives do not increase attendance for diabetic eye screening
- Insulin pumps not much better than multiple injections for intensive control of type 1 diabetes
- Group therapy may help a few extra people quit smoking, if other methods fail
- Infants anaesthetised without placing a tube in the trachea have fewer adverse breathing events
- Chlorhexidine mouthwash is useful short-term for people with mild gum disease
- Laminar airflow in surgery might not reduce surgical site infections
NICE guidance
Medtech innovation briefing
MIB113 Nasal Alar SpO2 sensor for monitoring oxygen saturation by pulse oximetry