Knowledge @lert for Tuesday 24th September
NICE Shared Learning
The following case studies illustrating how NICE guidance has been implemented have been added to the NICE Shared Learning website:
- Tackling the overtreatment of type 2 diabetes in frail older people through individualising care in East Sussex: a pharmacist led project
- Applying the principles of PINCER to learn from patient medicines safety incidents to improve the prescribing and monitoring of oral methotrexate in general practice
- Benzodiazepine/Hypnotics de-prescribing
NIHR Signals
The following research summaries have been added to the National Institute for Health Research website:
- Diet and physical activity interventions targeting children and youth have different, yet small, effects on preventing obesity
- Transcatheter aortic valve implantation may be an option for patients with aortic stenosis at lower surgical risk
- Text message reminders increase attendance at NHS health checks
- A lower drink-drive limit in Scotland is not linked to reduced road traffic accidents as expected
- A temporary clot-catching filter inserted after major trauma does not prevent lung clots
Inclusive recruitment
NHS Employers has produced How to recruit and support disabled staff in the NHS: an interactive toolkit. This toolkit is designed to help employers attract and retain disabled talent in their organisations. The toolkit features a suite of four new case study videos which support the understanding of the benefits of ensuring robust and reasonable workplace adjustments for staff.
Managing conflicts of interest
NHS Providers has published Managing conflicts of interest. This document argues that while there is no reason to believe that the NHS has a problem with conflicts of interest, it is important to demonstrate that potential conflicts are being identified and properly managed. It includes a case study on learning from Leeds Teaching Hospitals and their use of supportive technology to register staff interests.
NHS corporate governance map
The Healthcare Financial Management Association has updated the NHS corporate governance map. The map brings together the key guidance and models to support effective corporate governance within the NHS. This update provides links to new items, including guidance on strategic planning, system governance and workforce.
Perioperative Quality Improvement Programme
The Perioperative Quality Improvement Programme (PQIP) has published its Annual report 2018-19. The PQIP works towards reducing the risk of complications after major surgery through ensuring the patients get the best possible care throughout their perioperative pathway.
The value of community services
The Healthcare Financial Management Association has published The value of community services: helping people stay healthy, happy and independent. This briefing is the second of a series looking at how services delivered in the community add value to both the patient and the wider health and care economy. This report focuses on the role that community services play in preventing illness or reducing exacerbations.
National Ophthalmology Database Audit
The Healthcare Quality Improvement Partnership has published National Ophthalmology Database Audit 2019. This report examines cataract operations undertaken between 1 September 2017 and 31 August 2018 for 101 participating centres. Overall, the audit findings are favourable, indicating high quality surgery is being delivered to NHS patients. Specifically, among the contributors, no outlying centres or surgeons have been identified.
National Maternity and Perinatal Audit
The Healthcare Quality Improvement Partnership has published National Maternity and Perinatal Audit Clinical Report 2019. This report presents measures of maternity and perinatal care based on births in English, Welsh and Scottish NHS services between 1 April 2016 and 31 March 2017. The report also provides contextual information describing the characteristics of women and babies cared for by NHS maternity services during this time period.
National Paediatric Diabetes Audit
The Healthcare Quality Improvement Partnership has published two spotlight reports focusing on specific aspects of paediatric diabetes care. The reports are:
- The workforce in paediatric diabetes units 2017-18 – provides an analysis of data submitted by all paediatric diabetes teams in England and Wales about staffing resources, practices around transition to adult diabetes services, and access to specialist diabetes advice
- Diabetes-related technologies 2017-18 – provides evidence of the real improvements in diabetes management offered by use of insulin pumps and continuous glucose monitoring, while demonstrating huge variation in technology-related diabetes outcomes between different clinics.
NICE guidance
- NICE guideline
- Medtech innovation briefing
MIB193 | Alpha-Stim AID for anxiety |
- Medical technologies guidance
MTG25 | The 3M Tegaderm CHG IV securement dressing for central venous and arterial catheter insertion sites (updated) |
- Quality Standard
QS17 | Lung cancer in adults (updated) |
- Clinical guideline
CG176 | Head injury: assessment and early management (updated) |
CG191 | Pneumonia in adults: diagnosis and management (updated) |
Bulletins
- NICE in Social Care – September 2019
- Provider Bulletin – 18 September 2019
- NHS Workforce Bulletin – 9 September 2019
- Provider Bulletin – 11 September 2019
Statistics
- CCG Outcomes Indicator Set – September 2019
- NHS Payments to General Practice – England, 2018/19
- Investment in General Practice, 2014/15 to 2018/19, England, Wales, Northern Ireland and Scotland
- Proposed Dispensing Feescales for GMS Contractors, England and Wales – 2019 – October release
- Hospital Admitted Patient Care Activity 2018-19
- Summary Hospital-level Mortality Indicator (SHMI) – Deaths associated with hospitalisation, England – May 2018 – April 2019
- Learning Disability Services Monthly Statistics (AT: August 2019, MHSDS: June 2019 Final)
- Diagnostic Imaging Dataset – May 2019
- Direct Access Audiology waiting times – July 2019
- Drug misuse: findings from the 2018 to 2019 Crime Survey for England and Wales
- National Reporting and Learning System monthly report – September 2018 to August 2019
- Child Death Reviews: year ending 31 March 2018
- Child Death Reviews: year ending 31 March 2019
- RTT waiting times statistics for consultant-led elective care – July 2019
- Waiting times for suspected and diagnosed cancer patients – July 2019
- Diagnostics waiting times and activity – July 2019
- Patients Registered at a GP Practice – September 2019
- Ambulance Quality Indicators: Clinical Outcomes – April 2019 data
- Ambulance Quality Indicators: Systems Indicators – August 2019 data
- Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data – April 2019 – July 2019
- Monthly hospital activity data – July 2019
- Critical care bed capacity and urgent operations cancelled – July 2019
- A&E attendances and emergency admissions – August 2019
- Provisional Accident and Emergency Quality Indicators for England – July 2019, by provider
- Hospital Accident & Emergency Activity 2018-19