Knowledge @lert for Thursday 8th November
Health of babies and expectant mothers
The Nuffield Trust has published an ‘explainer’ Understanding the health of babies and expectant mothers. This article looks at the possible reasons why progress on stillbirths and neonatal and infant mortality has slowed down in the UK in recent years and what can be done about it.
Winter planning in emergency departments
The Royal College of Emergency Medicine has published Improving safety in the emergency department this winter. This document is aimed at Trust and Hospital Boards to help them oversee how to maximise the resources they have to better support staff and manage the increased demand that winter brings.
Cannabis-based products for medicinal use
NHS England has published Cannabis-based products for medicinal use: guidance to clinicians. Following the Government’s announcement to reschedule certain cannabis-based products for medicinal use, this guidance sets out expectations of what this regulatory change will mean in practice for clinicians in England.
Gluten free foods on NHS prescription
The Department of Health and Social Care has published Responses to the consultation on the gluten-free food regulations. This report summarises the gluten-free foods on NHS prescription consultation responses received, including the main issues raised, and provides details on the updates that will take place to the Drug Tariff for prescribing in England.
Public policy and kindness
The Carnegie UK Trust has published Kindness, emotions and human relationships: the blind spot in public policy. This report argues that there have been good reasons for keeping kindness separate from public policy but that public policy challenges demand an approach that is more centred on relationships. With technology and artificial intelligence transforming lives, it is imperative there is equal focus on emotional intelligence.
Specialist hospitals
The Innovation Agency and the Academic Health Science Network have published Understanding the performance and potential of specialist hospitals. This report examines why specialist trusts consistently score higher than their counterparts in ratings for performance and satisfaction and outlines how they have the potential to do more to benefit the wider NHS.
Intermediate care
The Social Care Institute for Excellence has published Promoting independence through intermediate care: a quick guide for staff delivering intermediate care services. This short guide provides an overview of planning and delivering person-centred intermediate care covering communication, core principles, person-centred planning, personalised goals and risk.
Contract dispute resolution: lessons learned
NHS England has published Lessons learned from contract dispute resolution. NHS England and NHS Improvement have produced this document containing ten helpful hints for commissioners and providers to avoid conflict. It includes links to useful websites.
Towards integrated care
NHS Clinical Commissioners has published the first two of a series of case studies from the Core Cities Network following the local areas’ journey towards delivering more integrated approaches to health and care:
- Clinical engagement and collaboration (Newcastle Gateshead CCG) – explores the value of clinical engagement and collaboration, as well as the challenges and benefits from working across different geographies.
- The Greater Nottingham Transformation Partnership – looks at how commissioners and providers in Nottingham used the results of system-wide actuarial analysis to develop a framework that improves care, infrastructure and governance.
Prevention is better than cure
The Department of Health and Social Care has published Prevention is better than cure: our vision to help you live well for longer. This document sets out the government’s vision for putting prevention at the heart of the nation’s health. It aims to stop health problems from arising in the first place as well as to support people to manage their health problems when they do arise. The goal is to improve healthy life expectancy by at least 5 extra years, by 2035, and to close the gap between the richest and poorest. A collection of case studies has been published, showing examples of good practice in preventing health problems from happening.
Personalised care models
NHS England has published the following models relating to personalised care:
- Comprehensive model of Personalised Care – this model helps to establish a whole-population approach to supporting people of all ages and their carers to manage their physical and mental health and wellbeing, build community resilience, and make informed decisions and choices when their health changes.
- Personalised care operating model – this model shows how all the various components work together to deliver a joined-up approach around the needs of each individual.
Maternal deaths
The Healthcare Quality Improvement Partnership has published Saving Lives, Improving Mothers’ Care. This is the fifth edition of the Maternal, Newborn and Infant Clinical Outcome Review Programme’s report concerning maternal deaths and morbidity. The report includes surveillance data on women who died during or up to one year after pregnancy between 2014 and 2016 in the UK.
Alcohol treatment inquiry
Public Health England has published PHE inquiry into the fall in numbers of people in alcohol treatment: findings. This document presents the findings and recommendations from PHE’s inquiry into the fall in numbers of people in treatment for alcohol dependence. They can be used to inform local commissioning and service development plans for increasing the numbers of people in alcohol treatment.
Test Beds Programme: evaluation learning
NHS England has published NHS England Test Beds Programme: evaluation learning from Wave 1. This document shares learning about conducting real-world evaluations based on the experiences of Wave 1 of the Test Beds programme. It is designed to support innovation projects like the Test Beds which implement combinations of digital technology and pathway redesign in order to improve patient outcomes.
Atlas of Shared Learning
The following case studies have been added to the Atlas of Shared Learning:
- Leeds Respiratory Network: nurse-led education approach to improve the quality of respiratory care
- Introducing a specialist team and care pathway to improve care for cognitively impaired patients
- High quality care for survivors of childhood cancer
- Care staff leadership implementing the Esther care model at a care home in Kent
- “Share your dialysis” – Patient engagement in care
- Introduction of a smartphone communication app at West Suffolk NHS Foundation Trust
- HealthCare Assistants leading insulin administration at Hertfordshire Community NHS Trust
- End of life training for social care providers
- Introduction of the exercise instructor role to support mobility and independence for elderly residents in a dementia care setting
- A new community pathway for year 3 student nurses
Statistics
- Public health outcomes framework – November 2018 update
- End of life care profiles – November 2018 update
- Liver disease profiles – November 2018 update
- Suicide prevention profile – November 2018 update
- Wider determinants of health – November 2018 update
- Characteristics of disabled people in employment – April to June 2017
- NHS injury costs recovery scheme – April 2018 to March 2019
- Substance misuse treatment for adults statistics – 2017 to 2018
- Estimates of alcohol dependent adults in England – 2016-2017
- Abortion statistics for England and Wales – 2017
- General Practice Extended Access Data Collection (Biannual) – September 2018
- Dental Commissioning Statistics, England – September 2018
Bulletins
- Learning Disability Newsletter – Winter 2018-19
- Technology Enhanced Learning News – October 2018
- NHS Workforce Bulletin – 29 Oct 2018
- NHS Managers’ Bulletin – 1 Nov 2018
- NICE Update for Primary Care – Oct 2018
- NICE News – October 2018
- Vaccine update – Issue 287, October 2018
- NHS Improvement Provider Bulletin – 31 October 2018