National Diabetes Audit

The Healthcare Quality Improvement Partnership has published three reports from the National Diabetes Audit:

• National Diabetes Audit, 2016-17 report 1: care processes and treatment targets England and Wales – provides GP practice and specialist service level information and supplementary reports on severe mental illness and learning disability with diabetes

• National Diabetes Footcare Audit: third annual report 2014-17 – presents findings on care structures, patient management and outcomes of care for people with active diabetic foot ulcers
• National Diabetes Inpatient Audit England and Wales, 2017 – details the quality of diabetes care provided to people with diabetes while they are admitted to hospital whatever the cause.

Care for people with diabetes and a learning disability

A collaborative team funded by The Health Foundation and the University of Leeds has created a set of evidence-informed, practical resources to improve care for people with diabetes and a learning disability. The resources help commissioners and health practitioners to make ‘reasonable adjustments’ to the care they provide to people with diabetes breaking down barriers for people with a learning disability.

Instant messaging in the NHS: an exploration of the relationship between consumer messaging applications and modern healthcare delivery – CommonTime
This report reveals that 43 per cent of NHS staff rely on consumer instant messaging at work. It finds that WhatsApp, Facebook Messenger and other unauthorised instant messaging apps are being used by 500,000 NHS staff at work, as a growing number turn to consumer tools to communicate with colleagues and sometimes patients.

Using your apprenticeship levy – NHS Employers
This briefing looks at how NHS organisations can successfully tap in to the apprenticeship levy, and the wider benefits of providing apprenticeships and how they can support with addressing workforce supply challenges.

Quality patient referrals: right service, right time – Royal College of General Practitioners (RCGP)
This report argues that referral management centres must demonstrate their safety for patients and cost-effective to the whole NHS. It cites a dearth of evidence on referral management centres and argues that  they are ultimately more expensive to run than other systems designed to improve and maintain the quality of GP referrals.

Community indicators project: Improvement tool – NHS Improvement
The scorecard is a set of indicators that can be used to compare trusts to peers on patient and staff experience, and the effectiveness and responsiveness of their services.

Seven day hospital services: implementing a seven day frailty flying squad- NHS Improvement
Robin Fackrell, consultant physician and head of medicine division, Royal United Hospitals Bath NHS Foundation Trust outlines an initiative in geriatric care which aims to expedite the discharge of frail older patients as part of the delivery of seven day hospital services.

NIHR Signals

The National Institute for Health Research has published the following Signals containing summaries of published research for health and social care decision makers:

• Common osteoporosis drugs may prevent breast cancer spreading to bone
• Hypertonic saline as effective as normal saline for trauma patients
• Imaging is the only way to diagnose blood clots in pregnancy
• Pulmonary rehabilitation improves exercise tolerance in pulmonary fibrosis
• Statins are of no benefit in acute respiratory distress syndrome
• Mat Pilates probably improves balance and strength in older adults
• Waiting at home after inducing labour mechanically may be an option for low-risk women
• Diet and exercise programmes can prevent diabetes in high-risk individuals
• Inhaled anaesthesia with anti-sickness medication in children has the same risk of vomiting as intravenous anaesthesia

NICE guidance

NICE guideline

 Interventional procedures guidance

 Technology appraisal guidance

 Quality Standard (updated)

Meningococcal disease guidance

Public Health England has published Guidance for public health management of meningococcal disease in the UK.  This 2018 guidance on the public health management of individual cases and clusters of invasive meningococcal disease is an amalgamation of the 2014 guidance on preventing secondary cases of MenB disease and the 2012 guidance for public health management of meningococcal disease in the UK.

Statistics

• Mixed sex accommodation breaches – February 2018
• Direct access audiology waiting times – January 2018
• Prescription cost analysis, England 2017
• Community indicators scorecard – March 2018
• Pharmacy Quality Payments Scheme: declaration results – April / Nov 2017
• General ophthalmic services workforce statistics – 31 December 2017
• Childhood mortality in England and Wales 2016
• Infant mortality (birth cohort) in England and Wales 2015
• Patient Safety Alert compliance data – March 2018

Bulletins

• NHS Manager’s Bulletin – 8 March 2018
• Provider bulletin – 14 March 2018

HSJ Roundup (contact the Library for further details)

• NHS England given deadline for fatal hospital attack inquiry 
  A coroner has given NHS England less than three months to complete an investigation into a fatal attack on two hospital patients amid confusion of the investigation’s status, HSJ has learned.
• Tax regulator scrutinises CCG payments to GPs 
  HM Revenue and Customs has been scrutinising potential attempts from clinical commissioning groups to minimise GPs’ tax payments, HSJ has learned.
• Carillion collapse: Trusts close to securing builders for new hospitals 
  Construction on a long awaited PF2 hospital held up by the collapse of Carillion could resume next month, HSJ has been told.
• MPs accuse NHS Digital of damaging public trust over data sharing 
  NHS Digital’s leadership has been accused by MPs of damaging public trust in NHS after refusing to cease sharing patients’ personal details with the Home Office.
• Fire and IT risks heightened as capital squeeze ‘comes home to roost’ 
  NHS trusts have been forced to rein in plans for “essential” maintenance and infrastructure projects – leading to “significantly higher” fire risks and IT system vulnerability.
• Pension bosses consider extending tax relief for high earners 
  The organisation that runs the NHS pension is “actively considering” extending a facility designed to ease the tax burden on high earners, amid reports of staff being hit with bills worth many thousands of pounds a year.
• Teaching trust’s deficit to top £100m this year 
  A London teaching hospital trust will end the 2017-18 financial year with a deficit of around £120m, HSJ understands.
• New CCG alliance brings in consultants to review governance 
  Four clinical commissioning groups that formed an alliance at the start of the year have hired PwC to carry out a review of their governance.
• CCG plays down council’s rejection of ACS 
  The council’s decision to reject plans for an accountable care system will not affect Cornwall’s progress towards integrated health and social care, the chair of Kernow Clinical Commissioning Group has said.
• NHS England staff survey results revealed 
  More than one in five NHS England staff said they had been bullied, harassed or abused in the past year in its latest staff survey, which also shows improvements in several areas. NHS England progress on staff engagement March 2018

Our Fabulous NHS – Academy of Fabulous Stuff
***Get involved*** –  share your fab stuff!

• Transforming NHS Procurement This is the first in a series of guest blog posts about the new NHS Supply Chain and how it will have a positive effect for the NHS Each year the NHS uses £6 billion of consumable products (covering everything from baked beans to CT scanners). There is a huge variation in the products that […]
• Mandatory Training……..Fun? Some of the Scotter Ward team attended their annual mandatory training day last month. This year the format was very different. We all embraced this ingenious way of learning and Ward Sister Donna who is also a fab ambassador spoke to one of the education and workforce managers Emma Lee and asked her if she […]
• Better Training, Better Births Lancashire Teaching Hospitals NHS Foundation Trust is pleased to be part of a national campaign to improve maternity safety. The aim of the Better Births project is to improve safety for women and babies, and build collaboration across different hospitals to standardise training. We are collaborating with East Lancashire Hospitals, and Blackpool Hospital to provide […]