Knowledge @lert for Thursday 13th February
NHS Premises Assurance Model
This model supports boards, directors of finance and estates and clinical leaders to make more informed decisions about the development of their estates and facilities services and provides assurances that the estate is safe, efficient, effective and of high quality.
How will we know if integrated care systems reduce demand for urgent care? Establishing fair benchmark levels for the blended payment system
For the 2019/20 financial year the National Tariff Payment System (NTPS) for emergency care moved from a fee-for-service arrangement to a blended payment system. The blended system encourages the provider to moderate activity growth by providing financial incentives for effective demand management. However, there is currently scant detail surrounding crucial aspects of the NTPS scheme. Failure to address this issue may not only lead to the inappropriate distribution of resources across the health system; it could result in tens of millions of pounds being diverted away from urgent care.
Creative emergency department recruitment amid staff shortages
Conducting a skill-mix and establishment review, the Princess Royal University Hospital’s emergency department introduced new rolesincluding healthcare support workers and trainee nursing associates to help support the significant staff shortages and high use of temporary staffing.
Special Collection: Coronavirus (2019-nCoV): evidence relevant to critical care
This Cochrane Library Special Collection pulls together the Cochrane Reviews that are most relevant to the management of people hospitalized with severe acute respiratory infections. It features Cochrane Reviews from three Cochrane Groups who are part of the Acute and Emergency Care Network to inform health-decision making relevant to current WHO recommendations for the 2019 Coronavirus outbreak.
New bill gives hospitals power to develop personalised treatment
The Medicines and Medical Devices Bill introduces new safety measures, increases the professions that can prescribe low-risk medicines and allows hospitals to develop personalised medicines.
Improving primary and community care
The Institute of Public Policy Research has published Realising the neighbourhood NHS: delivering a new deal for primary care in England. This paper provides new evidence and ideas to improve the provision of primary and community care. It argues there should be a ‘new deal’ for general practice which should consist of: creating neighbourhood care providers to deliver the ‘neighbourhood NHS’; offering all GPs the right to NHS employment; reforming new GP roles to create career progression, time to care and realistic workload; and a radical transformation of the primary care infrastructure.
Social Care Digital Pathfinders
NHS Digital has announced sixteen organisations providing and commissioning adult social scare services will receive a share of £4.5m to enable them to roll out their local digital projects on a wider scale. The Social Care Digital Pathfinders will now commence a 13-month implementation phase with projects predominantly looking at standardising information and developing digital ways of sharing information between multiple health and care organisations.
NICE guidance
- NICE guidelines
NG152 | Leg ulcer infection: antimicrobial prescribing |
NG80 | Asthma: diagnosis, monitoring and chronic asthma management (updated) |
- Clinical guidelines
CG192 | Antenatal and postnatal mental health: clinical management and service guidance (updated) |
CG185 | Bipolar disorder: assessment and management (updated) |
CG137 | Epilepsies: diagnosis and management (updated) |
- Medical technologies guidance
MTG47 | Episcissors-60 for mediolateral episiotomy |
- Technology appraisal guidance
TA622 | Sotagliflozin with insulin for treating type 1 diabetes |
TA597 | Dapagliflozin with insulin for treating type 1 diabetes (updated) |
E-learning for Health
Health Education England has launched the following e-learning programmes, available with your NHS OpenAthens login (contact the Hanley Library if you’re not sure of your login details or if you don’t have an account):
- Hypertension – this upskilling programme incorporates up to date guidelines and evidence-based aims to aid front-line primary care staff in the diagnosis and management of hypertension and cardiovascular disease risk.
- Helping people living in cold homes – supports health and social care professionals to put NICE Guidance NG6 ‘Excess winter deaths and illness and the health risks associated with cold homes’ into practice.
- AI for healthcare: equipping the workforce for digital transformation – shows how AI is transforming healthcare in a variety of beneficial ways, from streamlining workflow processes to making more precise patient diagnoses.
Statistics
- Impact of registration delays on mortality statistics in England and Wales: 2018
- Group A streptococcal infections: first report on seasonal activity in England, 2019 to 2020