Knowledge @lert for Friday 6th September
Friends and Family Test guidance
NHS England and NHS Improvement have published Using the Friends and Family Test to improve patient experience. This guidance is intended to support all provider organisations to deliver the Friends and Family Test. It will also be of use to commissioners. It replaces all previous implementation guidance for the patient focused FFT. These revisions are effective from 1 April 2020
Atrial Fibrillation High Impact Intervention Toolkit
NHS RightCare has launched the Atrial Fibrillation High Impact Intervention Tool. The toolkit is an interactive dashboard that aims to support local health systems to measure the value of identifying and treating patients with Atrial Fibrillation (AF), including the impact of screening and treatment-based interventions. The toolkit is accompanied by a user guide.
Unrelieved pain in palliative care
The Office of Health Economics has published Unrelieved pain in palliative care in England. This study estimates the number of palliative care patients who would have their pain relieved if ‘best practice’ was adopted across all care settings and some projections of how these numbers may change over time.
Spending Round 2019
HM Treasury has published Spending Round 2019 which sets out the government’s spending plans for 2020-2021. The Department of Health and Social Care’s resource budget will rise by 3.1% in real terms. This settlement gives the NHS a cash increase of £33.9 billion a year by 2023-24 compared to 2018-19 budgets, as well as boosting other budgets to deliver better health outcomes for patients and the public.
Funding priorities for the NHS
NHS Confederation has published Five funding priorities for the NHS. Ahead of the 2019 Spending Review, this briefing sets out what the NHS Confederation believe to be the key funding priorities for the NHS which are: workforce, capital investment, social care, public health and mental health.
Capital funding
NHS Providers have launched a new campaign calling on the government to address the challenge of NHS capital funding in the forthcoming Spending Review. Their briefing, Rebuild our NHS: our asks of the government, sets out why there is a problem with NHS capital funding, what needs to be done address the problem, and the positive impact that addressing the problem will have. In addition, they have published the results of a survey of trust leaders which reveals the scale of the challenge of capital funding and the impact it has.
UK healthcare spending
The Office for National Statistics has published How does UK healthcare spending compare with other countries? This report analyses UK healthcare spending relative to comparable countries, using data produced to the international definitions of the System of Health Accounts (SHA 2011).
Medicines bill savings
NHS England has announced the NHS has saved more than £700 million from the annual medicines bill as part of its campaign supporting patient and doctors to maximise the use of ‘generic’ and best value ‘biologic’ treatments. This news release contains a list of the savings delivered by the uptake of best value medicines.
Drivers of health care expenditure
The Centre for Health Economics has published Drivers of health care expenditure: final report. This report examines the drivers of past trends in health care expenditure and how much each has contributed to past increases in expenditure. It also examines how much each type of health service has contributed to past trends in health care expenditure and why there have been different trends for different types of care. It presents four lessons that could inform decisions on building a projections model of health care expenditure.
Social care priorities
The Health Foundation has published What should be done to fix the crisis in social care? This ‘long read’ sets out five messages for government about priorities and options for social care reform in England, based on an assessment of the evidence and analysis of the costs of reform. It focuses primarily on changes to the funding system rather than other policy questions such as the relationship between the NHS and social care.
NICE guidance
NICE guideline
NG137 | Twin and triplet pregnancy |
Clinical guideline
CG132 | Caesarean section (updated) |
Quality standard
QS46 | Multiple pregnancy: twin and triplet pregnancies (updated) |
Technology appraisal guidance
TA599 | Sodium zirconium cyclosilicate for treating hyperkalaemia |
TA565 | Benralizumab for treating severe eosinophilic asthma (updated) |
Medtech innovation briefing
MIB189 | The V.A.C. Veraflo Therapy system for infected wounds |
NICE consultations
- Hip fracture: management: surveillance consultation. Closing date for comments: 12 September 2019.
- Cannabidiol for adjuvant treatment of seizures associated with Dravet syndrome [ID1211]: appraisal consultation: 1. Closing date for comments: 16 September 2019.
- Cannabidiol for adjuvant treatment of seizures associated with Lennox-Gastaut syndrome [ID1308]. Closing date for comments: 16 September 2019. Additional link: NICE press release
- Balloon dilation for eustachian tube dysfunction: interventional procedure consultation. Closing date for comments: 20 September 2019.
- Balloon cryoablation for Barrett’s oesophagus: interventional procedure consultation. Closing date for comments: 20 September 2019.
- Balloon cryoablation for squamous dysplasia of the oesophagus: interventional procedure consultation. Closing date for comments: 20 September 2019.
- Safe prescribing and withdrawal management of prescribed drugs associated with dependence and withdrawal: draft scope consultation. Closing date for comments: 26 September 2019.
- Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management: call for evidence. Closing date for evidence: 4 October 2019.
Statistics
- Dementia assessment and referral data collection – Quarter 1, 2019-20
- MRSA bacteraemia: monthly data by location of onset and NHS organisation – July 2018 to July 2019
- MSSA bacteraemia: monthly data by location of onset and NHS organisation – July 2018 to July 2019
- C. difficile infection: monthly data by prior trust exposure and NHS organisation – July 2018 to July 2019
- E. coli bacteraemia: monthly data by location of onset and NHS organisation – July 2018 to July 2019
- P. aeruginosa bacteraemia: monthly data by location of onset and NHS organisation – July 2018 to July 2019
- Klebsiella spp bacteraemia: monthly data by location of onset and NHS organisation – July 2018 to July 2019
- Venous thromboembolism (VTE) risk assessment – Q1 2019/20
- Suicide prevention profile – September 2019 update
- Suicides in the UK – 2018 registrations
- Quarterly suicide death registrations in England – 2001 to 2018 registrations and 2019 provisional data
- Local tobacco control profiles for England – September 2019 update
- NHS Health Check quarterly returns – September 2019
- Statistics on NHS Stop Smoking Services in England – April 2018 to March 2019
- Trends in new HIV diagnoses and in people receiving HIV-related care in the United Kingdom: data to the end of December 2018
- Quarterly hospital activity data – Q1 2019/20
- Maternity Services Monthly Statistics – May 2019, experimental statistics
- Maternity Services Monthly Statistics – April 2019, experimental statistics
- NHS Vacancy Statistics England – February 2015 – June 2019, Provisional Experimental Statistics
- Healthcare Workforce Statistics – March 2019, Experimental
- Work and Health Programme statistics to May 2019
- Never Events data – 1 April – 31 July 2019
- European Region loses ground in effort to eliminate measles
- NHS Dental Statistics for England 2018-19, Annual Report Additional link: NHS Digital press release
- Dental Earnings and Expenses Estimates 2017/18
- GP Earnings and Expenses Estimates 2017/18 Additional link: NHS Digital press release
- General Practice Workforce – 30 June 2019
- General Practitioner Workforce in Alternative Settings, Experimental Statistics
- GP Earnings and Expenses Estimates Time Series
- GP Contract Services, England 2019-20
- Interim Seniority Factors for GMS GPs in England and Northern Ireland – 2019/20
Bulletins
- NHS Workforce Bulletin – 27 August 2019
- Update for Primary Care – August 2019
- NICE News – August 2019
- Environmental sustainability round-up – August 2019
- Hospital Pharmacy and Medicines Optimisation Programme newsletter – August 2019