Knowledge @lert for Wednesday 13th June
Grand Round – SDGH Education Centre, Friday 15th June
Dr Chris Goddard – ‘Building a Safety Culture’
A lunch will be provided from 12-1pm in the Lounge and the presentation will follow in the Lecture Theatre 1-2pm.
Mortality review toolkit
The Royal College of Physicians has published The National Mortality Case Record Review toolkit. This toolkit has been developed to support trusts in implementing a standardised way of reviewing the case records of adults who have died in acute hospitals across England and Scotland.
Reducing emergency admissions
The Public Accounts Committee has published Reducing emergency admissions. The Committee finds it lamentable that nearly 1.5 million people could have avoided emergency admissions in 2016–17 if hospitals, GPs, community services and social care had worked together more effectively. They say it is frustrating that NHS England and partners are making some progress in reducing the impact of emergency admissions for patients and hospitals when they do happen, but no impact on reducing the numbers of admissions that could have been avoided.
Standards for children in emergency care settings
The Intercollegiate Committee for Standards for Children and Young People in Emergency Care Settings has published Facing the future: standards for children in emergency care settings. These seventy standards aim to ensure that urgent and emergency care is fully integrated to ensure children are seen by the right people, at the right place and in the right setting
Integrated care: organisations, partnerships and systems
The Health and Social Care Committee has published Integrated care: organisations, partnerships and systems. The Committee say the Government and the NHS must improve how they communicate NHS reforms to the public in their report on integrated care. The Committee recognises the potential benefits of further integration and calls on the Government to bring forward legislation to remove legal barriers imposed by the Health and Social Care Act 2012. The Committee says the Government must recognise the importance of adequate transformation and capital funding to effective service change.
Innovative models of general practice
The King’s Fund has published Innovative models of general practice. This report looks at innovative models of general practice from the UK and other countries and identifies key design features that will be important in designing effective GP services in the future. It makes recommendations for general practice, system leaders and commissioners, and national policymakers.
General practice forward view: BMA analysis
The British Medical Association has published The general practice forward view: two years on. This report evaluates how the implementation and delivery of the GPFV has progressed so far, and seeks to assess whether it is on track to deliver on its commitments.
Breaking down barriers to better health and care
NHS England has published Breaking down barriers to better health and care. This guide summarises how NHS organisations and local councils in England are moving from fragmented services to local partnerships and integrated care systems in order to meet the health needs of the population.
Adult social care funding
Commissioned by the Department of Health and Social Care, The review of adult social care relative needs formulae has been published. This document proposes a new formula to be used with the Local Government Finance Settlement. The research includes separate formulae for dividing budgets for 4 specific aspects of the Care Act. These formulae were commissioned in 2012 and may need to be revised to reflect the outcome of the forthcoming green paper on adult social care
Patient experience improvement framework
NHS Improvement has published Patient experience improvement framework. This framework is aimed at supporting healthcare providers with an increased focus on empowering patients to fully participate in decisions about their care and treatment. It enables trusts to carry out an organisational diagnostic to establish how far patient experience is embedded in its leadership, culture and its operational processes.
Quality checkers toolkits
NHS England has published toolkits for NHS quality checking where people with a learning disability, autism or both are employed to help look at the quality of the NHS services they use and make suggestions for how they can be improved.
Gross negligence manslaughter in healthcare
The Department of Health and Social Care has published Gross negligence manslaughter in healthcare. This report from Professor Sir Norman Williams looks at gross negligence manslaughter in healthcare and makes recommendations to support a more just and learning culture in the healthcare system. It covers the process for investigating gross negligence manslaughter; reflective practice of healthcare professionals; and the regulation of healthcare professionals.
Clinical correspondence
The Public Accounts Committee has published Clinical correspondence handling in the NHS. The Committee found that NHS England was too slow to tackle misdirected correspondence. NHS England is still assessing nearly 2,000 cases to determine whether there has been harm to patients and has so far identified two incidents where expert consultant review has concluded that patient harm cannot be ruled out.
Walking briskly app
Public Health England and the Royal College of GPs are encouraging adults to focus on walking briskly rather than just counting steps to improve their health. To help adults do this, PHE’s ‘Active 10’ app has been created; the app combines intensity and time, rather than just distance.
NICE guidance
NICE guideline (update)
NG36 | Cancer of the upper aerodigestive tract: assessment and management in people aged 16 and over |
Medtech innovation briefing
MIB148 | VIDAvision for lung volume analysis in emphysema |
NIHR Signals
- Prescribing anti-inflammatories for urine infection reduces antibiotic use but increases complication risk
- Aspirin may be a follow-on option to prevent blood clots, starting five days after hip or knee surgery
- Mesh repair of small umbilical hernias reduces recurrence compared to sutures
- People maintain increases in physical activity three years after receiving pedometers
- Plastic wraps or bags keep pre-term infants warm immediately after birth
- Low fat or low carbohydrate diets seem just as effective for weight loss
Statistics
- Recorded dementia diagnoses – May 2018
- Patients registered at a GP practice – June 2018
- Heatwave mortality monitoring report: summer 2016
- NHS screening programmes: KPI reports 2017 to 2018 – Q3 and updates to Q2 data
- Spend and outcome tool: local authorities (updated)
- Monthly legionella report – May 2018
- Friends and Family Test data – April 2018
- Abortion statistics for England and Wales – 2017
- Female genital mutilation – January to March 2018, experimental
- Data on written complaints in the NHS 2017-18 – Quarter 4, Experimental
- Dementia assessment and referral – March 2018
- P. aeruginosa bacteraemia: monthly data by onset and CCG – April 2017 – April 2018
- E. coli bacteraemia: monthly data by onset and CCG – April 2017 – April 2018
- E. coli bacteraemia: monthly data by CCG – March 2017 – March 2018
- Klebsiella spp. bacteraemia: monthly data by onset and CCG – April 2017 – April 2018
- MSSA bacteraemia: monthly data by CCG and location of onset – April 2017 – April 2018
- MRSA bacteraemia: monthly data by CCG and by location of onset – March 2017 – March 2018
- C. difficile infection: monthly data by CCG and onset status – April 2017 – April 2018
Bulletins
- NICE update for primary care – May 2018
- NICE news – May 2018
- Provider bulletin – 6 June 2018