Clinical Effectiveness Bulletin no. 53 June 2011

8/6/2019 Clinical Effectiveness Bulletin no. 53 June 2011

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NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletinfor PCTs in North Staffordshire

Issue No: 53 June 2011

About this Bulletin:

It aims to draw attention to some of the key documents and reviews on clinical effectivenessthat have been published in the previous month.

Where possible, links to the full text documents are included. If the article is in a journal, youcan contact the Health Library for a copy.

Link to request form:http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437[Please note - a charge of 2 per request is payable for most copies]

If you need further assistance, please contact the Health Library or the NHS OutreachLibrarians, details below.

The bulletin can be e-mailed to colleagues who may also find it useful.

A list of websites that are checked in the production of this bulletin are listed on the first page.Please suggest further useful sites.

Feedback is always welcomed to inform future issues of the bulletin.

Contact information

Bulletin produced by NHS Outreach LibrariansTel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429)

E-mail: [email protected]@northstaffs.nhs.uk

North Staffs Health Library

Tel: 01782 679500Fax: 01782 556582

E-mail:[email protected]

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http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]


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Sources for Clinical Effectiveness Bulletin

Please suggest further sites that should be monitored in the production of this bulletin

Websites

Cochrane Library http://www.thecochranelibrary.com/CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/

- DARE (Database of Abstracts of Reviews of Effects)- NHS Economic Evaluation Database

Health Technology Assessment (HTA) Database http://www.hta.ac.ukDaily Health Bulletinhttp://www.sheffield.nhs.uk/healthbulletin/Department of Healthhttp://www.dh.gov.uk/en/index.htmKings Fundhttp://www.kingsfund.org.uk/NeLM (National Electronic Library for Medicines) news bulletinhttp://www.nelm.nhs.uk/en/NICEhttp://www.nice.org.uk/

SIGNhttp://www.sign.ac.uk/new.html

Contents in this issue Mental Health

Alcohol Nursing

Cancer Neurology

Cardiovascular Diseases Obesity

Children and Young People Older PeopleCommissioning Patient Care and Safety

Dementia Pharmacy

Diabetes Prescribing

Emergency Care Public Health

Evidence and Information Research

Gastroenterology Respiratory

General Practice Safeguarding Children andVulnerable Adults

Guidance Service Management

Health Reforms Sexual and Reproductive

HealthIVF Substance Misuse

Learning Disabilities Vaccinatio n andImmunisation

Matern al and Infant Health Workforce

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http://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.sign.ac.uk/new.html


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Alcohol

Drinking patterns and alcohol service provision for different ethnic groups in the UK: areview of the literatureBayley, M

Some ethnic groups have higher than national average alcohol-related deaths. People fromblack and minority ethnic backgrounds have similar rates of alcohol dependency as the whitepopulation; however minority ethnic groups are under-represented in seeking treatment andadvice. Help-seeking preferences vary between and within groups suggesting that drinkingproblems need to be addressed within both mainstream and specialist services. Greaterunderstanding of cultural issues is needed in the development of alcohol services.http://www.pierprofessional.com/eihscflyer/downloads/EIHSC-3.4.pdf

Improving accuracy in recording alcohol consumption: a survey in Greater ManchesterCentre for Public Health (Liverpool John Moores University) in partnership with GreaterManchester Public Health Practice Unit

This survey uses a new methodology which reveals consumption quantities 33% higher thanequivalent regional/national surveys. This is particularly evident in higher level drinkers. Thesurvey provides a baseline for more accurate monitoring of drinking at the population level.Further, it highlights how surveys can be developed to more accurately capture data aroundsensitive subjects, and provides more accurate data for needs assessments and servicecommissioning.http://www.cph.org.uk/showPublication.aspx?pubid=726

Statistics on Alcohol: England, 2011NHS Information Centrehttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-

alcohol-england-2011-%5Bns%5D

Items in the Children and Young People sections may also be of interest.

[back to topics]

Cancer

Anticoagulation for the long-term treatment of venous thromboembolism (VTE) inpatients with cancerAkl, E et al.

For the long-term treatment of VTE in patients with cancer, low molecular weight heparincompared to vitamin K antagonist reduces venous thromboembolic events but not death.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006650/frame.html

Association between time to initiation of adjuvant chemotherapy and survival incolorectal cancer: a systematic review and meta-analysisBiagi, J et alThe authors concluded that a longer time to adjuvant chemotherapy was associated withworse survival among patients with resected colorectal cancer.JAMA. 2011; v.305(22) p.2335-2342. doi: 10.1001/jama.2011.749

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http://www.pierprofessional.com/eihscflyer/downloads/EIHSC-3.4.pdfhttp://www.cph.org.uk/showPublication.aspx?pubid=726http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006650/frame.htmlhttp://jama.ama-assn.org/content/305/22/2335.abstracthttp://jama.ama-assn.org/content/305/22/2335.abstracthttp://www.pierprofessional.com/eihscflyer/downloads/EIHSC-3.4.pdfhttp://www.cph.org.uk/showPublication.aspx?pubid=726http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/alcohol/statistics-on-alcohol-england-2011-[ns]http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006650/frame.htmlhttp://jama.ama-assn.org/content/305/22/2335.abstract


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National Bowel Cancer Audit Annual Report 2010NHS Information CentreThis report contains data collected on patients with a diagnosis date between 1 August 2008and 31 July 2009 - the reporting period 2008/09.http://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/bowel-cancer

Cancer survival in the 'Spearhead' Primary Care Trusts of EnglandOffice for National StatisticsThis report presents cancer survival for adult patients resident in the 62 'Spearhead' primarycare trusts in England, compared with those resident in the rest of England. It gives the one-and five-year age-standardised relative survival for patients diagnosed with one of thefollowing ten cancers: bladder, breast (women), cervix, colon, lung, oesophagus, ovary,prostate, rectum and stomach.http://www.statistics.gov.uk/StatBase/Product.asp?vlnk=14821

Funding Cancer Drugs: An evaluation of the impact of policies to improve access to

cancer treatmentsRarer Cancers FoundationThis is the first detailed evaluation of the impact of recent changes to cancer treatment. It isintended to inform the development and implementation of policy on access to treatments,including:

The implementation of the Cancer Drugs Fund in 2011/12. The development of detailed proposals to introduce a system of value-based pricing. How GP consortia develop local systems for determining access to treatments not

routinely available on the NHS.http://www.rarercancers.org/images/stories/news/pdf/0611/funding_cancer_drugs_final.pdf

How to improve cancer survival: explaining Englands relatively poor ratesKings FundThis report considers the existing differences in cancer survival rates between countries anddiscusses the reasons for these variations including: stage at diagnosis and diagnostic delay;treatment factors; patient factors; and physiological/biological factors.http://www.kingsfund.org.uk/publications/cancer_survival.html

Improving outcomes: A strategy for cancerNational Cancer Intelligence Network (NCIN)This supplement summarises some of the information and evidence that has been used toinform the development ofImproving Outcomes: A strategy for cancerand highlights the

extent to which variations in the quality of cancer services and outcomes continue to vary.http://www.ncin.org.uk/view.aspx?rid=663The strategy is available at:http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123371

Promoting earlier diagnosis of cancerDepartment of HealthLetter about the Department of Health's desire to invest in local pilot campaigns in order topromote cancer symptom awareness and encourage earlier presentation to primary care for a

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http://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/bowel-cancerhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/bowel-cancerhttp://www.statistics.gov.uk/StatBase/Product.asp?vlnk=14821http://www.rarercancers.org/images/stories/news/pdf/0611/funding_cancer_drugs_final.pdfhttp://www.kingsfund.org.uk/publications/cancer_survival.htmlhttp://www.kingsfund.org.uk/publications/cancer_survival.htmlhttp://www.ncin.org.uk/view.aspx?rid=663http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123371http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123371http://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/bowel-cancerhttp://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/bowel-cancerhttp://www.statistics.gov.uk/StatBase/Product.asp?vlnk=14821http://www.rarercancers.org/images/stories/news/pdf/0611/funding_cancer_drugs_final.pdfhttp://www.kingsfund.org.uk/publications/cancer_survival.htmlhttp://www.ncin.org.uk/view.aspx?rid=663http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123371http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123371


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number of cancers and target groups. Bids of up to 100,000 are being invited. Deadline forsubmissions: Thursday, 4 August.http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_127937

Revised Chemotherapy Measures for the Manual for Cancer ServicesDepartment of HealthThese measures are the outcome of a 3 month consultation period.http://www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_127744

The second all breast cancer report: focussing on inequalities - variation in breastcancer outcomes with age and deprivation.National Cancer Intelligence Network (NCIN)http://www.ncin.org.uk/view.aspx?rid=612

Items in the Children and Young People sections may also be of interest.

[back to topics]

Cardiovascular Diseases

Risk of incident diabetes with intensive-dose compared with moderate-dose statintherapy: a meta-analysisPriess, D et al.In an analysis of data from 5 trials, intensive-dose statin therapy was associated with anincreased risk of new-onset diabetes compared with moderate-dose statin therapy.JAMA. 2011;305(24) p.2556-2564. doi: 10.1001/jama.2011.860

Naftidrofuryl for intermittent claudicationde Backer, T et al.The authors of this Cochrane Review concluded that naftidrofuryl has a statistically significantand clinically meaningful effect of improving walking distance in the six months after initiationof therapy for people with intermittent claudication.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001368/frame.html

Structured telephone support or telemonitoring programmes for patients with chronicheart failure (CHF)Inglis, S et al.The authors of this Cochrane review concluded that structured telephone support and

telemonitoring are effective in reducing the risk of all-cause mortality and CHF-relatedhospitalisations in patients with CHF; and that they improve quality of life, reduce costs, andevidence-based prescribing.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007228/frame.html

Items in the Cancer and Diabetes sections may also be of interest.

[back to topics]

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http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_127937http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_127937http://www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_127744http://www.ncin.org.uk/view.aspx?rid=612http://jama.ama-assn.org/content/305/24/2556.abstracthttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001368/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007228/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007228/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_127937http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_127937http://www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_127744http://www.ncin.org.uk/view.aspx?rid=612http://jama.ama-assn.org/content/305/24/2556.abstracthttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001368/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007228/frame.html


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Children and Young People

Adolescent health in the UK today: where next?Association for Young People's HealthThis report looks at why adolescent health matters. It also covers key trends in adolescenthealth and issues for service delivery. The report makes recommendations and gives

supporting data about young people's health and well-being.http://www.chimat.org.uk/youngpeople/AHUK

Grommets (ventilation tubes) for recurrent acute otitis media in childrenMcDonald, S et al.The authors of this Cochrane Review concluded that grommets have a significant role inmaintaining a 'disease-free' state in the first six months after insertion, but that cliniciansshould consider the possible adverse effects of grommet insertion before surgery isundertaken.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004741/frame.html

Place of Death for Children, Teenagers and Young Adults with Cancer in EnglandNational Cancer Intelligence Network (NCIN)This briefing explores patterns of place of death among children, teenagers and young adultswith cancer in England who died during 2000-2009.http://www.ncin.org.uk/publications/data_briefings/place_of_death_for_ctya_with_cancer.aspx

PREview Planning ResourcesChild and Maternal Health ObservatoryPREview is intended to help commissioners, managers and professionals to target preventiveresources, in particular around the Healthy Child Programme, where they are most needed.PREview is based on evidence for the factors in pregnancy and infancy that are associated

with outcomes for children at five years.http://www.chimat.org.uk/preview

You are not on your own: A booklet to help children and adults talk about a parentsdrinkingChildrens CommissionerThis booklet helps children to have frank discussions with teachers, professionals or an adultwho they trust.http://www.childrenscommissioner.gov.uk/force_download.php?fp=%2Fclient_assets%2Fcp%2Fpublication%2F498%2FYou_are_not_on_your_own_-

_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdf

Items in the Maternal and Infant Health, Mental Health and Obesity sections may also be of interest.

[back to topics]

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http://www.chimat.org.uk/youngpeople/AHUKhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004741/frame.htmlhttp://www.ncin.org.uk/publications/data_briefings/place_of_death_for_ctya_with_cancer.aspxhttp://www.chimat.org.uk/previewhttp://www.childrenscommissioner.gov.uk/force_download.php?fp=/client_assets/cp/publication/498/You_are_not_on_your_own_-_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdfhttp://www.childrenscommissioner.gov.uk/force_download.php?fp=/client_assets/cp/publication/498/You_are_not_on_your_own_-_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdfhttp://www.childrenscommissioner.gov.uk/force_download.php?fp=/client_assets/cp/publication/498/You_are_not_on_your_own_-_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdfhttp://www.chimat.org.uk/youngpeople/AHUKhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004741/frame.htmlhttp://www.ncin.org.uk/publications/data_briefings/place_of_death_for_ctya_with_cancer.aspxhttp://www.chimat.org.uk/previewhttp://www.childrenscommissioner.gov.uk/force_download.php?fp=/client_assets/cp/publication/498/You_are_not_on_your_own_-_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdfhttp://www.childrenscommissioner.gov.uk/force_download.php?fp=/client_assets/cp/publication/498/You_are_not_on_your_own_-_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdfhttp://www.childrenscommissioner.gov.uk/force_download.php?fp=/client_assets/cp/publication/498/You_are_not_on_your_own_-_A_booklet_to_help_children_and_adults_talk_about_a_parents_drinking.pdf


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Commissioning

Changes to QOF 2011/12NHS EmployersThis page gives an outline summary of the changes.http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages

/ChangestoQOF2011-12.aspx

GP commissioning in the NHS in England: Ten suggestions from the United StatesNuffield TrustAs the NHS prepares to transfer responsibility for around 60 per cent of its budgets to clinicalcommissioning groups, the degree of financial risk that will be faced by these groups is muchwider in scope than anything seen before in the NHS. It is closer to the risk that has been heldby some doctor-led groups and networks in the US. This Viewpoint provides a brief history ofrisk contracting in the US; describes the different models of physicians contracting with healthinsurance plans; and sets out ten suggestions for GP-led commissioning in England.http://www.nuffieldtrust.org.uk/publications/gp-commissioning-insights-medical-groups-united-

states

Thanks for the Petunias: A guide to developing and commissioning non-traditionalproviders to support the self management of people with long term conditionsNHS NetworksThis guide is a product of the national Year of Care Programme. The Programme aims toensure local services are available via commissioning, to support people in the actions theywant to take to improve their health and well being outcomes.http://www.diabetes.nhs.uk/document.php?o=2328

[back to topics]

Dementia

A call to action on the use of antipsychotic drugs for people with dementiaDementia Action AllianceThis call aims to improve the quality of life of people with dementia and their carers byreducing the inappropriate use of antipsychotics.http://www.institute.nhs.uk/qipp/calls_to_action/Dementia_and_antipsychotic_drugs.html

Common core principles for supporting people with dementia: a guide to training thesocial care and health workforce

Department of HealthThese principles can be used to support workforce development for any member of staff, inany health or social care setting, working with people at any stage of dementia. They can alsobe used to inform the content of curricula and training courses.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127442

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http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nuffieldtrust.org.uk/publications/gp-commissioning-insights-medical-groups-united-stateshttp://www.nuffieldtrust.org.uk/publications/gp-commissioning-insights-medical-groups-united-stateshttp://www.diabetes.nhs.uk/document.php?o=2328http://www.institute.nhs.uk/qipp/calls_to_action/Dementia_and_antipsychotic_drugs.htmlhttp://www.institute.nhs.uk/qipp/calls_to_action/Dementia_and_antipsychotic_drugs.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127442http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127442http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2011-12.aspxhttp://www.nuffieldtrust.org.uk/publications/gp-commissioning-insights-medical-groups-united-stateshttp://www.nuffieldtrust.org.uk/publications/gp-commissioning-insights-medical-groups-united-stateshttp://www.diabetes.nhs.uk/document.php?o=2328http://www.institute.nhs.uk/qipp/calls_to_action/Dementia_and_antipsychotic_drugs.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127442http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127442


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The Ministerial Group on Dementia Research: headline reportDepartment of HealthThe Advisory Group has been working over the last 18 months on proposals to increase thevolume, quality and impact of dementia research. Its final Headline Report includes acomprehensive set of agreed actions, with clear timelines. Progress against these actions willbe assessed at a final meeting of the Advisory Group in 12 months time.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127750

[back to topics]

Diabetes

Blood pressure targets in subjects with type 2 diabetes mellitus/impaired fastingglucose: observations from traditional and Bayesian random-effects meta-analyses ofrandomized trialsBangalore, S et al.

The authors concluded that the evidence suggests that in patients withtype 2 diabetesmellitus/ impaired fasting glucose/ impaired glucosetolerance, a systolic BP treatment goal of130 to 135 mm Hgis acceptable. With more aggressive goals (


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Gastroenterology

Prevention of NSAID-induced gastroduodenal ulcersRostom, A et al.The authors of this Cochrane review concluded that various interventions prevent NSAID-induced gastroduodenal ulcers in different patient groups.

http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002296/frame.html

[back to topics]

General Practice

GP Patient Survey, April 2010 to March 2011Department of HealthResponses from around 5 million patients, providing timely and valuable information forPrimary Care Trusts, GP practices and other patients about patients' experiences of localservices.

http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/GPpatientsurvey2007/index.htm

National survey of GP opinion 2011BMAThis interim analysis of some key questions in the National Survey of GP Opinion 2011covers data from the first 10,000 UK postal respondents. It describes in more detailresponses according to GP status where appropriate.http://www.bma.org.uk/images/gpopinionsurvey2011_tcm41-207092.pdf

Promoting Continuity of Care in General Practice

RCGPThis paper outlines the evidence of the cost-effectiveness of general practice. It also makesthe important link between access and continuity of care and suggests ways of helpingpatients achieve effective therapeutic relationships. The report identifies two specific types ofContinuity of care: Relationship Continuity (the doctor-patient relationship in its most basicsense), and Management Continuity (co-ordination and co-operation between serviceproviders to enable the patient to navigate the healthcare system). The report makes 30recommendations to policy-makers, managers and commissioners, and practices.http://www.rcgp.org.uk//news/press_releases_and_statements/greater_continuity_of_care.aspx

Items in the Commissioning sections may also be of interest.

[back to topics]

Guidance

Annual Review 2010/2011NICEhttp://review2010-2011.nice.org.uk/

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http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002296/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002296/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/GPpatientsurvey2007/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/GPpatientsurvey2007/index.htmhttp://www.bma.org.uk/images/gpopinionsurvey2011_tcm41-207092.pdfhttp://www.rcgp.org.uk//news/press_releases_and_statements/greater_continuity_of_care.aspxhttp://www.rcgp.org.uk//news/press_releases_and_statements/greater_continuity_of_care.aspxhttp://review2010-2011.nice.org.uk/http://review2010-2011.nice.org.uk/http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002296/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/GPpatientsurvey2007/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/GPpatientsurvey2007/index.htmhttp://www.bma.org.uk/images/gpopinionsurvey2011_tcm41-207092.pdfhttp://www.rcgp.org.uk//news/press_releases_and_statements/greater_continuity_of_care.aspxhttp://www.rcgp.org.uk//news/press_releases_and_statements/greater_continuity_of_care.aspxhttp://review2010-2011.nice.org.uk/


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NICE Clinical GuidelinesBRAHMS Copeptin assayMTG4http://guidance.nice.org.uk/MTG4

The management of hip fracture in adults

CG124http://guidance.nice.org.uk/CG124

[back to topics]

NICE Technology AppraisalsGolimumab for the treatment of rheumatoid arthritis after the failure of previousdisease-modifying anti-rheumatic drugsTA225http://guidance.nice.org.uk/TA225

Lung cancer (non-small-cell, advanced or metastatic maintenance treatment): erlotinib(monotherapy)TA227http://guidance.nice.org.uk/TA227

Rheumatoid arthritis (methotrexate-nave) - golimumab (terminated appraisal)TA224http://guidance.nice.org.uk/TA224

Rituximab for the treatment of follicular non-Hodgkins lymphoma (maintenancetreatment following response to first-line chemotherapy)

TA226http://guidance.nice.org.uk/TA226

[back to topics]

NICE Consultation DocumentsAcute coronary syndromes: ticagrelorClosing date for comments: 21 July 2011http://guidance.nice.org.uk/TA/Wave20/70/Consultation/DraftGuidance

AnaphylaxisTo comment, contact the registered stakeholder organisation that most closely represents

your interests.http://www.nice.org.uk/guidance/index.jsp?action=folder&o=55280

NICE advice on healthcare-associated infectionsTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 9 August 2011http://www.nice.org.uk/guidance/phg/advicehealthcareassociatedinfectionsconsultation.jsp

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http://guidance.nice.org.uk/MTG4http://guidance.nice.org.uk/CG124http://guidance.nice.org.uk/TA225http://guidance.nice.org.uk/TA227http://guidance.nice.org.uk/TA224http://guidance.nice.org.uk/TA226http://guidance.nice.org.uk/TA/Wave20/70/Consultation/DraftGuidancehttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=55280http://www.nice.org.uk/guidance/phg/advicehealthcareassociatedinfectionsconsultation.jsphttp://guidance.nice.org.uk/MTG4http://guidance.nice.org.uk/CG124http://guidance.nice.org.uk/TA225http://guidance.nice.org.uk/TA227http://guidance.nice.org.uk/TA224http://guidance.nice.org.uk/TA226http://guidance.nice.org.uk/TA/Wave20/70/Consultation/DraftGuidancehttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=55280http://www.nice.org.uk/guidance/phg/advicehealthcareassociatedinfectionsconsultation.jsp


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Diagnostics Assessment programme manualThe manual has been developed with substantial input from a number of individuals andorganisations in the NHS, the diagnostics industry, academia and the Department of Health.Development of the manual has also been informed by NICE's experience of running otherevaluation programmes.Closing date for comments: 9 September 2011

http://www.nice.org.uk/aboutnice/whatwedo/aboutdiagnosticsassessment/DiagnosticsProgrammeManual.jsp

End of life careClosing date for comments: 22 July 2011http://www.nice.org.uk/guidance/qualitystandards/indevelopment/endoflifecare.jsp

Obesity: working with local communitiesGuidance to tackle obesity at a local level using a whole system approach was initiated byNICE in 2009. The work was put on hold in November 2010 and reviewed as part of theGovernments obesity strategy work programme. The revised scope has a stronger focus on

local, community-wide best practice. To comment, contact the registered stakeholderorganisation that most closely represents your interests.Closing date for comments: 22 July 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=55088

Patient experience in generic terms: Guidance and Quality StandardThis standard is for England, Wales and Northern Ireland. An associated quality standard isbeing developed for use in the NHS in England. To comment, contact the registeredstakeholder organisation that most closely represents your interests.Closing date for comments:19 July 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=55048

Prophylaxis against infective endocarditisTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 25 July 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=55269

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Other GuidanceEvidence-based guideline: Treatment of painful diabetic neuropathyAmerican Academy of Neurology, the American Association of Neuromuscular andElectrodiagnostic Medicine, and the American Academy of Physical Medicine andRehabilitationNeurology May 17, 2011 v.76(20) p.1758-1765. Published online before print April 11, 2011,doi: 10.1212/WNL.0b013e3182166ebe

Guidelines on oral anticoagulation with warfarin: 4th editionBritish Committee for Standards in Haematologyhttp://www.bcshguidelines.com/documents/warfarin_4th_ed.pdf

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http://www.nice.org.uk/aboutnice/whatwedo/aboutdiagnosticsassessment/DiagnosticsProgrammeManual.jsphttp://www.nice.org.uk/aboutnice/whatwedo/aboutdiagnosticsassessment/DiagnosticsProgrammeManual.jsphttp://www.nice.org.uk/guidance/qualitystandards/indevelopment/endoflifecare.jsphttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=55088http://www.nice.org.uk/guidance/index.jsp?action=folder&o=55269http://www.neurology.org/content/76/20/1758.abstracthttp://www.neurology.org/content/76/20/1758.abstracthttp://www.bcshguidelines.com/documents/warfarin_4th_ed.pdfhttp://www.bcshguidelines.com/documents/warfarin_4th_ed.pdfhttp://www.nice.org.uk/aboutnice/whatwedo/aboutdiagnosticsassessment/DiagnosticsProgrammeManual.jsphttp://www.nice.org.uk/aboutnice/whatwedo/aboutdiagnosticsassessment/DiagnosticsProgrammeManual.jsphttp://www.nice.org.uk/guidance/qualitystandards/indevelopment/endoflifecare.jsphttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=55088http://www.nice.org.uk/guidance/index.jsp?action=folder&o=55269http://www.neurology.org/content/76/20/1758.abstracthttp://www.neurology.org/content/76/20/1758.abstracthttp://www.bcshguidelines.com/documents/warfarin_4th_ed.pdf


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Other Health Technology AssessmentsConservative treatment for urinary incontinence in Men After Prostate Surgery (MAPS):two parallel randomised controlled trialsGlazener CThis Study found that providing one-to-one conservative physical therapy for men with urinaryincontinence after prostate surgery is unlikely to be effective or cost-effective compared with

standard care including the provision of information about conducting pelvic floor muscletraining.Health Technol Assess 2011:15(24)

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Health Reforms

Accountability in the NHS: Implications of the government's reform programmeKings FundThe authors identify five types of accountability most relevant to health care by scrutiny,

management, regulation, contract and election. Current accountability relationships, of bothproviders and commissioners, are considered, and compared and contrasted with theproposed new forms. The authors then assess whether the reforms will meet thegovernments policy aims and whether the new system is workable.http://www.kingsfund.org.uk/publications/nhs_accountability.html

Establishing social enterprises under the Right to Request ProgrammeNational Audit OfficeThis report highlights risks to value for money associated with the Department of Health'sprogramme for enabling its staff to take the lead in leaving the NHS to set up health socialenterprises.

http://www.nao.org.uk/publications/1012/the_right_to_request_programme.aspx

Government response to the NHS Future Forum reportDepartment of HealthThis document sets out the Government's detailed response to the Forum's report. It explainshow the government will make significant changes in line with the Forum's recommendations.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127444

Government's response to forum report: briefingNHS Confederation

This briefing gives commentary and analysis on the governments response to the NHSFuture Forum.http://www.nhsconfed.org/OurWork/latestnews/Pages/member-briefing-on-Governments-response.aspx

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http://www.hta.ac.uk/project/1417.asphttp://www.kingsfund.org.uk/publications/nhs_accountability.htmlhttp://www.nao.org.uk/publications/1012/the_right_to_request_programme.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127444http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127444http://www.nhsconfed.org/OurWork/latestnews/Pages/member-briefing-on-Governments-response.aspxhttp://www.nhsconfed.org/OurWork/latestnews/Pages/member-briefing-on-Governments-response.aspxhttp://www.hta.ac.uk/project/1417.asphttp://www.kingsfund.org.uk/publications/nhs_accountability.htmlhttp://www.nao.org.uk/publications/1012/the_right_to_request_programme.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127444http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127444http://www.nhsconfed.org/OurWork/latestnews/Pages/member-briefing-on-Governments-response.aspxhttp://www.nhsconfed.org/OurWork/latestnews/Pages/member-briefing-on-Governments-response.aspx


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Ensuring transparency and probity: GPC guidance to ensure the honest andtransparent operation of clinically led commissioning consortia.BMAThis guidance sets out how consortia can ensure their governance arrangements have theconfidence and trust of the public. It also calls on the government to scrap the proposal to payconsortia a performance-related payment if they perform well financially.

http://www.bma.org.uk/images/whitepapergpcguide10transparancymay2011_tcm41-206907.pdf

NHS Future Forum recommendations to GovernmentDepartment of HealthSet up as an independent group to pause, listen and reflect on the content of the existingHealth and Social Care Bill the Forum has made a series of recommendations in the followingareas:

Choice and Competition Clinical advice and leadership Education and training

Patient involvement and public accountabilityThe reports and supporting documents are available at:http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127443

Reforming the NHS: Changes to the Health and Social Care BillKings FundThis simple comparison sets out the Bill's initial proposals, what has now changed, and somekey questions that remain unanswered.http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/reforming_the_health_bill/index.html

Registration of primary medical services providers by the Care Quality Commission: aconsultation on a proposed change in the date of registrationDepartment of HealthFrom April 2012, providers of primary medical services for the NHS are due to register withthe CQC. This document describes proposals to change the start date for registration of GPpractices to April 2013, while proposing that the registration of out of hours providers andNHS walk-in centres should still go ahead in April 2012.Consultation closing date: 29 July 2011http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_127174

The voluntary and community sector in health: Implications of the proposed NHSreformsKings FundThis report considers the main opportunities and challenges facing the voluntary andcommunity sector. It discusses what needs to happen to ensure the sector can flourish in thenew system and what it needs to do to grasp new opportunities.http://www.kingsfund.org.uk/publications/voluntary_sector.html

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http://www.bma.org.uk/images/whitepapergpcguide10transparancymay2011_tcm41-206907.pdfhttp://www.bma.org.uk/images/whitepapergpcguide10transparancymay2011_tcm41-206907.pdfhttp://www.bma.org.uk/images/whitepapergpcguide10transparancymay2011_tcm41-206907.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127443http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127443http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/reforming_the_health_bill/index.htmlhttp://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/reforming_the_health_bill/index.htmlhttp://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/reforming_the_health_bill/index.htmlhttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_127174http://www.kingsfund.org.uk/publications/voluntary_sector.htmlhttp://www.kingsfund.org.uk/publications/voluntary_sector.htmlhttp://www.bma.org.uk/images/whitepapergpcguide10transparancymay2011_tcm41-206907.pdfhttp://www.bma.org.uk/images/whitepapergpcguide10transparancymay2011_tcm41-206907.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127443http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127443http://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/reforming_the_health_bill/index.htmlhttp://www.kingsfund.org.uk/current_projects/the_health_and_social_care_bill/reforming_the_health_bill/index.htmlhttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_127174http://www.kingsfund.org.uk/publications/voluntary_sector.html


15/26


IVF

Holding back the British IVF revolution? A report into NHS IVF provision in the UKtodayAll Party Parliamentary Group on InfertilityFollowing a number of Freedom of Information questions to all PCTs in the UK, this reporthighlights the inconsistent availability of IVF provision.http://www.infertilitynetworkuk.com/News/?id=15620

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Learning Disabilities

Information for people with learning disability and their carersRoyal College of PsychiatristsThis is a new series of very accessible information for people with mental health problemswho also have learning disabilities. All these materials have been written and tested withpeople with learning disabilities and their carers.http://www.rcpsych.ac.uk/mentalhealthinfo/problems/learningdisabilities.aspx

[back to topics]

Maternal and Infant Health

Bump to BabyNHS LocalAn NHS search engine for new and expectant mums, giving access to articles, videos,discussions and forums about birth and pregnancy.

http://www.bumptobaby.info/

Infant Feeding Survey 2010: Early ResultsNHS Information CentreThe survey provides estimates of the incidence, prevalence and duration of breastfeeding andother feeding practices adopted by mothers from the birth of their baby up to around tenmonths. It also collects information about mothers smoking and drinking behaviour before,during and after pregnancy.http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/infant-feeding-survey/infant-feeding-survey-2010-early-results

Management of Women with Mental Health Issues during Pregnancy and the PostnatalPeriodRoyal College of Obstetricians and GynaecologistsThis document highlights the role of maternity services in the early identification of high-riskwomen and assessment of current illness, and describes principles of service organisation tomeet these needs.http://www.rcog.org.uk/management-women-mental-health-issues-during-pregnancy-and-postnatal-period

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http://www.infertilitynetworkuk.com/News/?id=15620http://www.rcpsych.ac.uk/mentalhealthinfo/problems/learningdisabilities.aspxhttp://www.bumptobaby.info/http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/infant-feeding-survey/infant-feeding-survey-2010-early-resultshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/infant-feeding-survey/infant-feeding-survey-2010-early-resultshttp://www.rcog.org.uk/management-women-mental-health-issues-during-pregnancy-and-postnatal-periodhttp://www.rcog.org.uk/management-women-mental-health-issues-during-pregnancy-and-postnatal-periodhttp://www.infertilitynetworkuk.com/News/?id=15620http://www.rcpsych.ac.uk/mentalhealthinfo/problems/learningdisabilities.aspxhttp://www.bumptobaby.info/http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/infant-feeding-survey/infant-feeding-survey-2010-early-resultshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/infant-feeding-survey/infant-feeding-survey-2010-early-resultshttp://www.rcog.org.uk/management-women-mental-health-issues-during-pregnancy-and-postnatal-periodhttp://www.rcog.org.uk/management-women-mental-health-issues-during-pregnancy-and-postnatal-period


16/26


Maternity Finder (West Midlands)NHS LocalUse this Maternity Finder to find information about maternity units and pregnancy servicesacross the West Midlands, including details of services before, during and after birth, cateringand parking facilities.http://nhslocal.nhs.uk/data-and-tools/maternity-finder-west-midlands

Non-clinical interventions for reducing unnecessary caesarean sectionKhunpradit, SThe authors of this Cochrane Review concluded that a number of measures may reduceunnecessary Caesarean sections.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD005528/frame.html

Self Assessment Tool - NICE Neonatal StandardsChild and Maternal Health Observatory (ChiMat)This tool is for neonatal clinical and managerial leads to assess progress against the standardfor specialist neonatal care. This is to help ensure that the physical, psychological and social

needs of babies and their families are at the heart of all care given.Registration with the ChiMat website required to access this tool. Registration is free.http://www.chimat.org.uk/selfassessmenttools

Thinking of getting pregnant? Make sure youre protected against German measlesDepartment of HealthThis patient information leaflet outlines the risks of German measles and how mothers canprotect themselves, friends and family from getting the disease.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127517

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Mental Health

Attitudes to Mental Illness: 2011 survey reportNHS Information CentreThis report presents the findings of a survey of attitudes towards mental illness among adultsin England undertaken in 2011. Questions on this topic have been asked since 1994.http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/attitudes-to-mental-illness--2011-survey-report-ns

Clinical relevance of findings in trials of antipsychotics: systematic reviewLepping, P et al.A systematic review identified studies of antipsychotics that used the Brief Psychiatric RatingScale (BPRS) and Positive and Negative Syndrome Scale (PANSS). A published method oftranslating these into Clinical Global Impression Change scale (CGIC) scores was used tomeasure clinical relevance. The findings show improvements of limited clinical relevance.The British Journal of Psychiatry (2011) 198: 341-345. doi: 10.1192/bjp.bp.109.075366

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http://nhslocal.nhs.uk/data-and-tools/maternity-finder-west-midlandshttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD005528/frame.htmlhttp://www.chimat.org.uk/selfassessmenttoolshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127517http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127517http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/attitudes-to-mental-illness--2011-survey-report-nshttp://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/attitudes-to-mental-illness--2011-survey-report-nshttp://bjp.rcpsych.org/cgi/content/abstract/198/5/341http://nhslocal.nhs.uk/data-and-tools/maternity-finder-west-midlandshttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD005528/frame.htmlhttp://www.chimat.org.uk/selfassessmenttoolshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127517http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127517http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/attitudes-to-mental-illness--2011-survey-report-nshttp://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/attitudes-to-mental-illness--2011-survey-report-nshttp://bjp.rcpsych.org/cgi/content/abstract/198/5/341


17/26


Haloperidol versus chlorpromazine for schizophreniaLeucht, C et al.The authors of this Cochrane Review concluded that given that haloperidol andchlorpromazine are global standard antipsychotic treatments for schizophrenia, it is surprisingthat incomplete reporting still makes it difficult for anyone to draw clear conclusions on thecomparative effects of these drugs.

http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004278/frame.html

Mental health and wellbeing of elders in black and minority ethnic communitiesSocial Care Institute for Excellence (SCIE)Black and minority ethnic communities are often at greater risk of isolation and loneliness,which SCIE has found are two of the most significant factors linked to poor mental wellbeing.This series of 3 films looks at how social care professionals can work together to providepersonalised services that help to alleviate problems with isolation and give people back theirindependence.http://www.scie.org.uk/socialcaretv/topic.asp?guid=588c2a0d-8307-4cd0-baa4-c8cd5feb6fcd

Mindful ForumMental Health Providers ForumThis website aims to provide information to all mental health stakeholders from service usersto professionals, focusing on practical solutions for the delivery of more responsive mentalhealth services. It aims to be as accessible as possible and to engage individuals at all levelsin the debates surrounding mental health, for effective development of policy and practice.http://mindfulforum-mhpf.org.uk/

QIPP and mental health: reducing the use of out of area servicesNHS ConfederationThis Briefing provides a guide to support local mental health communities, from both the NHS

and local authorities, gain a better understanding of their use of out of area services and,where appropriate, come up with solutions to provide better value for money. It gives anoverview of the issue and describes a seven step approach to reducing use of out of areaservices where appropriate.http://www.nhsconfed.org/Publications/briefings/Pages/QIPP-and-mental-health.aspx

Repeat doses of prenatal corticosteroids for women at risk of preterm birth forimproving neonatal health outcomesCrowther, C et al.This Cochrane review shows that a repeat dose of prenatal corticosteroids, given to womenwho remain at risk of an early birth after an initial course of prenatal corticosteroids, helps the

baby's lungs and reduces serious health problems in the first few weeks of life.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003935/frame.html

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http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004278/frame.htmlhttp://www.scie.org.uk/socialcaretv/topic.asp?guid=588c2a0d-8307-4cd0-baa4-c8cd5feb6fcdhttp://mindfulforum-mhpf.org.uk/http://www.nhsconfed.org/Publications/briefings/Pages/QIPP-and-mental-health.aspxhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003935/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004278/frame.htmlhttp://www.scie.org.uk/socialcaretv/topic.asp?guid=588c2a0d-8307-4cd0-baa4-c8cd5feb6fcdhttp://mindfulforum-mhpf.org.uk/http://www.nhsconfed.org/Publications/briefings/Pages/QIPP-and-mental-health.aspxhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003935/frame.html


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Self Assessment Tool CAMHSChild and Maternal Health Observatory (ChiMat)This tool helps CAMHS partnerships to assess progress against mental health andpsychological well-being standards. It can be used by individual organisations, partnershipsand local areas to support improvement in their services. This is an adaptation of the tooloriginally provided by ChiMat and the Childrens Service Mapping (CSM) programme.

Registration with the ChiMat website required to access this tool. Registration is free.http://www.chimat.org.uk/selfassessmenttools http://www.chimat.org.uk/selfassessmenttools

Items in the Maternal and Infant Health, Prescribing and Safeguarding Children and Vulnerable Adultssections may also be of interest.

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Nursing

Making nursing visible: valuing our contribution to high quality patient-centred careRCN

This guidance covers the use of standardised terminologies in electronic patient records.It describes the value of ensuring that nursing concepts can be captured within electronicpatient records to make nursing visible and valued.http://www.rcn.org.uk/__data/assets/pdf_file/0003/372990/003877.pdf

Items in the Research sections may also be of interest.

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Neurology

Local adult neurology services for the next decadeRoyal College of PhysiciansThis new report makes three proposals:

expansion and improvement of local services with a shift in emphasis from scheduledto emergency care

better organised care for patients with long-term neurological conditions, partly throughan enhanced role for specialist nurses and GPs with a special interest in neurology

better local planning with increased clinical involvement in a commissioner/ providerforum, creating a neurological network to improve clinical and financial outcomes.

http://bookshop.rcplondon.ac.uk/details.aspx?e=354 (Scroll to the bottom of the page to download the report)

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Obesity

Obesity Epidemic, Paranoia or Evidence Based?The Bow GroupThis paper assesses current predictions indicating that 60% of the UK population will beclassified as clinically obese by 2050 and recommends action to reduce this risk.http://www.bowgroup.org/content/target-paper-obesity-epidemic-paranoia-or-evidence-based

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http://www.chimat.org.uk/selfassessmenttoolshttp://www.rcn.org.uk/__data/assets/pdf_file/0003/372990/003877.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0003/372990/003877.pdfhttp://bookshop.rcplondon.ac.uk/details.aspx?e=354http://www.bowgroup.org/content/target-paper-obesity-epidemic-paranoia-or-evidence-basedhttp://www.chimat.org.uk/selfassessmenttoolshttp://www.chimat.org.uk/selfassessmenttoolshttp://www.rcn.org.uk/__data/assets/pdf_file/0003/372990/003877.pdfhttp://bookshop.rcplondon.ac.uk/details.aspx?e=354http://www.bowgroup.org/content/target-paper-obesity-epidemic-paranoia-or-evidence-based


19/26


A simple guide to classifying body mass index in childrenNational Obesity Observatoryhttp://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdf

Slide sets for adult and child obesity

National Obesity ObservatoryPowerpoint slides presenting key data and information on adult and child obesity in clear,easy to understand charts and graphics.Adults: http://www.noo.org.uk/gsf.php5?f=10928&fv=11474 Children: http://www.noo.org.uk/gsf.php5?f=10929&fv=11475

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Older People

Dignity and nutrition for older people

CQCThis review is a targeted inspection programme of NHS hospitals. It looks at whether olderpeople are treated with respect and whether they get food and drink that meets their needs.CQC is adding reports to these pages as they are published.http://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfm

Items in the Mental Health, Substance Misuse and Workforce sections may also be of interest.

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Patient Care and Safety

Complaints and LitigationHouse of Commons Health Select CommitteeThe Health Committee has found that the role of the Health Service Ombudsman needs acomplete overhaul if it is to provide an effective appeals process for the complaints system.The other key finding is that there continues to be unacceptably wide variation in operation ofcomplaints procedures within the NHS.http://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/786/78602.htm

Social Impact Evaluation of five Carers' Centres using Social Return on InvestmentThe Princess Royal Trust for Carers

This analysis evaluates the impact of the support given by five Carers' Centres over a numberof years. Looking across the whole network of 144 Carers Centres supported by ThePrincess Royal Trust for Carers, the independent analysis estimated the gain based on totalfunding of 57m to be in the region of 814m per year.http://www.carers.org/sites/default/files/prtc_draft_report_v7_final_version_3_with_edits.pdf

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http://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdfhttp://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdfhttp://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdfhttp://www.noo.org.uk/gsf.php5?f=10928&fv=11474http://www.noo.org.uk/gsf.php5?f=10929&fv=11475http://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/786/78602.htmhttp://www.carers.org/sites/default/files/prtc_draft_report_v7_final_version_3_with_edits.pdfhttp://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdfhttp://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdfhttp://www.noo.org.uk/gsf.php5?f=10928&fv=11474http://www.noo.org.uk/gsf.php5?f=10929&fv=11475http://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.cqc.org.uk/reviewsandstudies/inspectionprogramme-dignityandnutritionforolderpeople.cfmhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/786/78602.htmhttp://www.carers.org/sites/default/files/prtc_draft_report_v7_final_version_3_with_edits.pdf


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Pharmacy

NHS Community Pharmacy Contractual Framework: 2011/12 Service Developments:UpdatePharmaceutical Services Negotiating CommitteeThis update summarises changes to the Framework.

http://www.psnc.org.uk/news.php/1067/update_on_changes_to_the_pharmacy_contract

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Prescribing

An organisational competency framework to ensure the effective delivery of medicinesmanagement functions and responsibilities: a guide for commissioning consortiaboards.National Prescribing CentreThe Framework and a supporting Self-assessment tool are available at:

http://www.npc.nhs.uk/qipp/

PCT Prescribing for January to March 2011NHS Information CentreThe data includes PCT code and name; BNF section code; BNF section name; Items; ActualCost and Net Ingredient Costhttp://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/pct-prescribing-for-january-to-march-2011

Scopolamine (hyoscine) for preventing and treating motion sicknessSpinks, A et al.

The authors of this Cochrane Review concluded that the use of scopolamine versus placeboin preventing motion sickness has been shown to be effective but no conclusions can bemade on the comparative effectiveness of scopolamine and other agents such asantihistamines and calcium channel antagonists.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002851/frame.html

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Public Health

Analysis of controls on the marketing and promotion of food and drink to childrenDepartment of Health

This report is based on: A mapping exercise of marketing practices, regulations, policies, commitments and

proposals relating to food marketing to children; Consultations with corporate stakeholders; Consultations with children, young people and parents; An analysis of the Marine Stewardship Council as a case study.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127778

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http://www.psnc.org.uk/news.php/1067/update_on_changes_to_the_pharmacy_contracthttp://www.npc.nhs.uk/qipp/http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/pct-prescribing-for-january-to-march-2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/pct-prescribing-for-january-to-march-2011http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002851/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002851/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127778http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127778http://www.psnc.org.uk/news.php/1067/update_on_changes_to_the_pharmacy_contracthttp://www.npc.nhs.uk/qipp/http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/pct-prescribing-for-january-to-march-2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/pct-prescribing-for-january-to-march-2011http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD002851/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127778http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127778


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Healthier and more sustainable catering: toolkit and supporting nutrition principlesDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125579

Local Health Profiles 2011

Association of Public Health ObservatoriesThe Profiles give a snapshot overview of health for each local authority in England, and areproduced annually.http://www.apho.org.uk/default.aspx?QN=HP_FINDSEARCH2011

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Research

Informed consent in health and social care researchRCN

This document provides an overview of: the concept of informed consent for research; theethical and legal framework; the process of gaining informed consent; the participantsperspective; and obtaining informed consent in specific circumstances.http://www.rcn.org.uk/__data/assets/pdf_file/0010/78607/002267.pdf

NIHR Research Support Services FrameworkNational Institute for Health ResearchThis framework of good practice and standard procedures is intended to facilitate consistentlocal research management and improve performance.http://www.nihr.ac.uk/systems/Pages/Research_Support_Services.aspx

Items in the Dementia section may also be of interest.

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Respiratory

Epinephrine for bronchiolitisHartling, L et al.This Cochrane review demonstrates the superiority of epinephrine compared to placebo forshort-term outcomes for outpatients, particularly in the first 24 hours of care.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003123/frame.html

Immunostimulants for preventing respiratory tract infection in childrenDel-Rio-Navarro, BThis review shows immunostimulants reduce the incidence of Acute Respiratory TractInfections by 40% on average in susceptible children, and considers possible safetyconcerns.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004974/frame.html

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125579http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125579http://www.apho.org.uk/default.aspx?QN=HP_FINDSEARCH2011http://www.apho.org.uk/default.aspx?QN=HP_FINDSEARCH2011http://www.rcn.org.uk/__data/assets/pdf_file/0010/78607/002267.pdfhttp://www.nihr.ac.uk/systems/Pages/Research_Support_Services.aspxhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003123/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004974/frame.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125579http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125579http://www.apho.org.uk/default.aspx?QN=HP_FINDSEARCH2011http://www.rcn.org.uk/__data/assets/pdf_file/0010/78607/002267.pdfhttp://www.nihr.ac.uk/systems/Pages/Research_Support_Services.aspxhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD003123/frame.htmlhttp://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD004974/frame.html


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Mortality associated with tiotropium mist inhaler in patients with chronic obstructivepulmonary disease: systematic review and meta-analysis of randomised controlledtrialsSingh, S et al.The authors concluded that this meta-analysis indicates a 52% increased risk of mortalityassociated with tiotropium mist inhaler in patients with chronic obstructive pulmonary disease.

BMJ 2011; 342:d3215 doi: 10.1136/bmj.d3215 (Published 14 June 2011)

Respiratory disease competence frameworkSkills for HealthThis Framework describes the knowledge, skills and attitudes required to deliver patientcentred respiratory care. Its purpose is to provide an underpinning framework of NationalOccupational Standards (NOS) and Units of Learning for the respiratory care workforce, sothat people can plan and develop their services more effectively. The NOS and units oflearning were identified with input from healthcare professionals as well as professionalbodies and other national groups.The Standards, report and case studies are available at:

http://www.skillsforhealth.org.uk/copd/

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Safeguarding Children and Vulnerable Adults

The role, function and future of designated safeguarding professionals in the NHS inEnglandRCN, Royal College of Paediatrics and Child HealthThis document aims to provide clarity and guidance to support designated safeguardingprofessionals while carrying out their statutory functions during the current structural

turbulence in the NHS; and to outline a long term model to ensure that children and youngpeople in contact with the heath service are adequately protected.http://www.rcn.org.uk/__data/assets/pdf_file/0011/390584/Designated_Professionals_-

_FINAL.PDF

Messages for MunroOfstedThis report gives the views of children in care and care leavers at three separate events heldfor the review carried out by Professor Eileen Munro. Munro was present at all three events tohear the views of the children at first hand.http://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-

by/Care/Children-s-rights/Messages-for-Munro

Out of Mind, Out of Sight: Breaking down the barriers to understanding child sexualexploitationChild Exploitation and Online Protection CentreThis report shows that while some areas of the UK have victim focused services withagencies effectively working together to identify victims of child sexual exploitation this is notthe case in all areas. It highlights multi-agency work as essential to ensuring that the victimsneeds come first and tackling this crime. The assessment acknowledges the major challengesfaced by agencies in identifying victims of child sexual exploitation and in gaining the trust of

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http://www.bmj.com/content/342/bmj.d3215.abstracthttp://www.skillsforhealth.org.uk/copd/http://www.skillsforhealth.org.uk/copd/http://www.rcn.org.uk/__data/assets/pdf_file/0011/390584/Designated_Professionals_-_FINAL.PDFhttp://www.rcn.org.uk/__data/assets/pdf_file/0011/390584/Designated_Professionals_-_FINAL.PDFhttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Care/Children-s-rights/Messages-for-Munrohttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Care/Children-s-rights/Messages-for-Munrohttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Care/Children-s-rights/Messages-for-Munrohttp://www.bmj.com/content/342/bmj.d3215.abstracthttp://www.skillsforhealth.org.uk/copd/http://www.rcn.org.uk/__data/assets/pdf_file/0011/390584/Designated_Professionals_-_FINAL.PDFhttp://www.rcn.org.uk/__data/assets/pdf_file/0011/390584/Designated_Professionals_-_FINAL.PDFhttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Care/Children-s-rights/Messages-for-Munrohttp://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Care/Children-s-rights/Messages-for-Munro


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victims to build successful cases against offenders. It gives full details of best practice andadvocates similar approaches be more widely adopted, based on needs and risks in localareas.Executive summary:http://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment_executive_summary.pdf

Full report http://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment.zip

Prevention in adult safeguarding: A review of the literatureSocial Care Institute for ExcellenceThis report shares findings from research, policy and practice on prevention in adultsafeguarding and presents a wide range of approaches that can help prevent abuse.http://www.scie.org.uk/publications/reports/report41/index.asp?dm_t=0,0,0,0,0

Quarterly analysis of Mental Capacity Act 2005, Deprivation of Liberty SafeguardsAssessments (England) Quarter 4 2010/11NHS Information Centre

http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11

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Service Management

Implementing the Overseas Visitors Hospital Charging Regulations 2011 (Regulationscome into force from 1 August 2011)Department of Health

This guidance is for NHS bodies in carrying out their duties under the NHS (Charges toOverseas Visitors) Regulations 2011 to make and recover charges for NHS hospital treatmentfrom overseas visitors not exempt from charge. It also includes guidance to safeguard thehealth of those not entitled to free hospital treatment. NB, the Regulations do not come intoforce until 1 August 2011 and aspects of this guidance that relate directly to thoseRegulations should not be implemented until then.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127393

Collaboration between local health and local government agencies for healthimprovement

Hayes, S et al.The authors of this Cochrane Review concluded that when comparing local collaborativepartnerships between health and government agencies with standard working arrangementsthere is no difference in health outcomes.http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007825/frame.html

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http://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment_executive_summary.pdfhttp://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment_executive_summary.pdfhttp://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment.ziphttp://www.scie.org.uk/publications/reports/report41/index.asp?dm_t=0,0,0,0,0http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127393http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127393http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007825/frame.htmlhttp://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment_executive_summary.pdfhttp://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment_executive_summary.pdfhttp://www.ceop.police.uk/Documents/ceopdocs/ceop_thematic_assessment.ziphttp://www.scie.org.uk/publications/reports/report41/index.asp?dm_t=0,0,0,0,0http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-health-act/quarterly-analysis-of-mental-capacity-act-2005-deprivation-of-liberty-safeguards-assessments-england-quarter-4-2010-11http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127393http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127393http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD007825/frame.html


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NHS Chief Executive Innovation review: Call for evidence and ideasDepartment of HealthThe NHS Chief Executive has asked Sir Ian Carruthers to lead a review on his behalf on howthe spread of innovations can be accelerated across the NHS, and to produce a report inNovember 2011 that will inform the strategic approach to innovation in the modernised NHS.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc

e/DH_127940

Review of Community Health PartnershipsAudit ScotlandThis report looks at the impact of Community Health Partnerships in improving peopleshealth and quality of life by joining up health and social care services and moving moreservices from hospitals into the community. This is a challenging and important role but fewCHPs have the authority to influence how resources are used in their area. The report alsocalls for a fundamental review of partnership arrangements to ensure they focus on meetingindividuals needs. The report also highlights examples of good practice, but there is limitedevidence of wide-spread sustained improvements.

http://www.audit-scotland.gov.uk/media/article.php?id=168

Routes for social and health care: a simulation exerciseKings FundThis report focuses on Crafton a hypothetical metropolitan borough in central England andsets up a number of routes to managing change. During the simulation two contrastingviewpoints emerged. One group took a strongly managerial perspective that recognised theneed for immediate decisions to reduce expenditure, while putting in place the conditions for aradical transformation in the way that people receive care and support in the longer term. Theother group took a more devolutionist approach, arguing that the financial challenges acrosshealth, social care and housing could not be managed through a top-down approach; they

proposed a radical acceleration of personalisation and community engagement.http://www.kingsfund.org.uk/publications/social_care_routes.html

Specification for the planning, application and measurement of cleanliness services inhospitalsBritish Standards InstitutionThis Standard provides a framework for the planning, application and measurement ofcleanliness in hospitals. This Standard is freely available to NHS staff.http://shop.bsigroup.com/en/ProductDetail/?pid=000000000030208877

Items in the Mental Health section may also be of interest.

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127940http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127940http://www.audit-scotland.gov.uk/media/article.php?id=168http://www.kingsfund.org.uk/publications/social_care_routes.htmlhttp://shop.bsigroup.com/en/ProductDetail/?pid=000000000030208877http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127940http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127940http://www.audit-scotland.gov.uk/media/article.php?id=168http://www.kingsfund.org.uk/publications/social_care_routes.htmlhttp://shop.bsigroup.com/en/ProductDetail/?pid=000000000030208877


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the extent of the problem and makes a series of key recommendations covering screening,alcohol consumption guidelines, public health campaigns and training for health and socialcare professionals.http://www.rcpsych.ac.uk/files/pdfversion/CR165.pdf

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Vaccination and Immunisation

Items in the Maternal and Infant Health section may also be of interest.

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Workforce

Integrated care for older people: Examining workforce and implementation challengesCentre for Workforce IntelligenceThis report is the first in a series investigating the workforce implications of moving towards

an integrated health and social care system. It considers eight different models of care,describing the service provided and assessing economic, quality of care and workforceimplications.http://www.cfwi.org.uk/intelligence/projects/integrated-care-for-older-people-examining-workforce-and-implementation-challenges

NHS staff attitudes tracking surveyDepartment of HealthThis survey provides an overview of NHS staff morale and engagement plus awareness ofattitudes towards a range of DH and NHS initiatives. It includes NHS staff working in a rangeof primary, secondary and community settings.

http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/DH_127666

NHS Staff Earnings January - March 2011NHS Information CentreThis data gives present estimates of annual basic pay and total earnings for NHS staff groups(excluding GPs and high street dentists). Pay data is taken from all NHS organisations usingthe Electronic Staff Record (ESR) during the period.http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-earnings/nhs-staff-earnings-january--march-2011

The support workforce in the NHSNHS ConfederationThis digest highlights recent research on support workers in health. This evidence can helpmanagers understand the increasing importance of support staff and how they can best beused as part of a flexible modern workforce.http://www.nhsconfed.org/Publications/digests/Pages/SDO-Digest-1.aspx

Items in the Dementia and General Practice sections may also be of interest.

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http://www.rcpsych.ac.uk/files/pdfversion/CR165.pdfhttp://www.cfwi.org.uk/intelligence/projects/integrated-care-for-older-people-examining-workforce-and-implementation-challengeshttp://www.cfwi.org.uk/intelligence/projects/integrated-care-for-older-people-examining-workforce-and-implementation-challengeshttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/DH_127666http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/DH_127666http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-earnings/nhs-staff-earnings-january--march-2011http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-earnings/nhs-staff-earnings-january--march-2011http://www.nhsconfed.org/Publications/digests/Pages/SDO-Digest-1.aspxhttp://www.rcpsych.ac.uk/files/pdfversion/CR165.pdfhttp://www.cfwi.org.uk/intelligence/projects/integrated-care-for-older-people-examining-workforce-and-implementation-challengeshttp://www.cfwi.org.uk/intelligence/projects/integrated-care-for-older-people-examining-workforce-and-implementation-challengeshttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/DH_127666http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/DH_127666http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-earnings/nhs-staff-earnings-january--march-2011http://www.ic.nhs.uk/statistics-and-data-collections/workforce/nhs-staff-earnings/nhs-staff-earnings-january--march-2011http://www.nhsconfed.org/Publications/digests/Pages/SDO-Digest-1.aspx

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