Clinical Effectiveness Bulletin no. 60, January 2012

8/3/2019 Clinical Effectiveness Bulletin no. 60, January 2012

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NHS Library and Information Service North Staffordshire

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Clinical Effectiveness Bulletinfor NHS Primary Care in North

StaffordshireIssue No: 60 January 2012

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 checked in the production of this bulletin is on the first page. Please suggestfurther 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]

[email protected]

North Staffs Health Library

Tel: 01782 679500Fax: 01782 679582

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


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


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Contents in this issue:

Alcohol ...................................................................................................................................... 4Breast implants ......................................................................................................................... 4Cancer ...................................................................................................................................... 4Cardiovascular Disease ............................................................................................................ 5Commissioning ......................................................................................................................... 6Children and Young People ...................................................................................................... 7COPD ....................................................................................................................................... 7Diabetes .................................................................................................................................... 7General Practice ....................................................................................................................... 8Genomics .................................................................................................................................. 8Guidance .................................................................................................................................. 9Health Reforms ....................................................................................................................... 11Kidney Disease ....................................................................................................................... 12Maternal and Infant Health ...................................................................................................... 12Mental Health .......................................................................................................................... 13Multiple Sclerosis .................................................................................................................... 14Nursing and Midwifery ............................................................................................................ 14Nutrition .................................................................................................................................. 15Obesity .................................................................................................................................... 15Older People ........................................................................................................................... 15Oral Health .............................................................................................................................. 15Patient Care and Safety .......................................................................................................... 16Pharmacy and Prescribing ...................................................................................................... 16Public Health ........................................................................................................................... 17Safeguarding Children and Vulnerable Adults ........................................................................ 19Service Management .............................................................................................................. 19Sexual Health ......................................................................................................................... 22Telehealth ............................................................................................................................... 22Tobacco .................................................................................................................................. 22Urgent Care ............................................................................................................................ 22Vaccination ............................................................................................................................. 23Workforce ............................................................................................................................... 23


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Alcohol

Alcohol GuidelinesHouse of Commons. Science and Technology CommitteeThe report concludes that a thorough review of the evidence concerning alcohol and healthrisks is due. In the meantime, it says the evidence suggests that the public should be advisedto take at least two alcohol-free days a week; and the sensible drinking limits should not beincreased.http://www.publications.parliament.uk/pa/cm201012/cmselect/cmsctech/1536/153602.htm

Alcohol-related deaths in the United Kingdom, 2010Office for National Statisticshttp://www.ons.gov.uk/ons/rel/subnational-health4/alcohol-related-deaths-in-the-united-kingdom/2010/index.html

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

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Breast implants

Poly Implant Prostheses (Pip) Breast Implants: Interim Report of the Expert GroupDepartment of HealthThis report reviews the available data on the health risks from PIP implantsand makesrecommendations for treatment of women who have received these implants.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132110

Poly Implant Prothse (PIP) breast implants: Joint surgical statement on clinicalguidance for patients, GPs and surgeonsAssociation of Breast Surgery, British Association of Plastic and Reconstructive AestheticSurgeons, British Association of Aesthetic Plastic Surgeons, Federation of Surgical SpecialityAssociations and Royal College of SurgeonsThis guidance outlines appropriate treatment and referral pathways for women who have hadPIP implants, and signs and symptoms to look out for when examining patients with theimplants.http://www.rcseng.ac.uk/publications/docs/pip-statement/

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Cancer

Equity and Excellence for Bowel CancerBeating Bowel CancerThis report sets out recommendations for how the reforms for health and social care can bestbe applied to improving outcomes from bowel cancer and how the risks posed by thistransition can best be managed.http://www.beatingbowelcancer.org/equity-and-excellence-bowel-cancer
http://www.publications.parliament.uk/pa/cm201012/cmselect/cmsctech/1536/153602.htmhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmsctech/1536/153602.htmhttp://www.ons.gov.uk/ons/rel/subnational-health4/alcohol-related-deaths-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health4/alcohol-related-deaths-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health4/alcohol-related-deaths-in-the-united-kingdom/2010/index.htmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132110http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132110http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132110http://www.rcseng.ac.uk/publications/docs/pip-statement/http://www.rcseng.ac.uk/publications/docs/pip-statement/http://www.beatingbowelcancer.org/equity-and-excellence-bowel-cancerhttp://www.beatingbowelcancer.org/equity-and-excellence-bowel-cancerhttp://www.beatingbowelcancer.org/equity-and-excellence-bowel-cancerhttp://www.rcseng.ac.uk/publications/docs/pip-statement/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132110http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132110http://www.ons.gov.uk/ons/rel/subnational-health4/alcohol-related-deaths-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health4/alcohol-related-deaths-in-the-united-kingdom/2010/index.htmlhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmsctech/1536/153602.htm


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Hospital-level briefings on applications to the Cancer Drugs FundRarer Cancers FoundationThe briefings include information on the number of applications to the Fund between 1September and 30 November 2011, as well as a breakdown of cancer treatments requestedwhere data has been provided. University Hospital of North Staffordshire is included.http://www.rarercancers.org/index.php?option=com_content&view=article&id=238:cdf-

hospital-level-briefings-on-applications-to-the-cdf&catid=43:england-news&Itemid=5

More than a million: understanding the UKs carers of people with cancerIpsos Mori for Macmillan Cancer SupportThis report contains the findings of research conducted among people in the UK who provideinformal unpaid help and support for someone with cancer. It looks at what carers do, theimpact on their lives of caring, and the support available to them.http://www.macmillan.org.uk/Documents/Cancerinfo/Ifsomeoneelsehascancer/More_than_a_million.pdf

Items in the General Practice section may also be of interest.

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Cardiovascular Disease

After the event: getting care right for patients after a heart attackHeart UKThis report looks at regional variations in cardiac rehabilitation services, and makesrecommendations for improvement, particularly to improve take-up of services.http://www.heartuk.org.uk/pressroom/index.php?/news/heart_uk_cardiac_rehabilitation_report

Dabigatran Association With Higher Risk of Acute Coronary Events: Meta-analysis ofNoninferiority Randomized Controlled TrialsUchino, K et al.The authors concluded that dabigatran is associated with an increased risk of MI or ACS in abroad spectrum of patients when tested against different controls. Clinicians should considerthe potential of these serious harmful cardiovascular effects with use of dabigatran.Arch Intern Med. Published online January 9, 2012. doi:10.1001/archinternmed.2011.1666

Effect of Aspirin on Vascular and Nonvascular Outcomes: Meta-analysis ofRandomized Controlled TrialsSeshasai, S et al.The authors conclude that despite important reductions in nonfatal MI, aspirin prophylaxis inpeople without prior CVD does not lead to reductions in either cardiovascular death or cancermortality. Because the benefits are further offset by clinically important bleeding events,routine use of aspirin for primary prevention is not warranted and treatment decisions need tobe considered on a case-by-case basis.Arch Intern Med. Published online January 9, 2012. doi:10.1001/archinternmed.2011.628
http://www.rarercancers.org/index.php?option=com_content&view=article&id=238:cdf-hospital-level-briefings-on-applications-to-the-cdf&catid=43:england-news&Itemid=5http://www.rarercancers.org/index.php?option=com_content&view=article&id=238:cdf-hospital-level-briefings-on-applications-to-the-cdf&catid=43:england-news&Itemid=5http://www.macmillan.org.uk/Documents/Cancerinfo/Ifsomeoneelsehascancer/More_than_a_million.pdfhttp://www.macmillan.org.uk/Documents/Cancerinfo/Ifsomeoneelsehascancer/More_than_a_million.pdfhttp://www.macmillan.org.uk/Documents/Cancerinfo/Ifsomeoneelsehascancer/More_than_a_million.pdfhttp://www.heartuk.org.uk/pressroom/index.php?/news/heart_uk_cardiac_rehabilitation_report/http://www.heartuk.org.uk/pressroom/index.php?/news/heart_uk_cardiac_rehabilitation_report/http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.1666http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.1666http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.628http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.628http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.628http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.1666http://www.heartuk.org.uk/pressroom/index.php?/news/heart_uk_cardiac_rehabilitation_report/http://www.macmillan.org.uk/Documents/Cancerinfo/Ifsomeoneelsehascancer/More_than_a_million.pdfhttp://www.macmillan.org.uk/Documents/Cancerinfo/Ifsomeoneelsehascancer/More_than_a_million.pdfhttp://www.rarercancers.org/index.php?option=com_content&view=article&id=238:cdf-hospital-level-briefings-on-applications-to-the-cdf&catid=43:england-news&Itemid=5http://www.rarercancers.org/index.php?option=com_content&view=article&id=238:cdf-hospital-level-briefings-on-applications-to-the-cdf&catid=43:england-news&Itemid=5


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The effect of combination treatment with aliskiren and blockers of the renin-angiotensin system on hyperkalaemia and acute kidney injury: systematic review andmeta-analysisHarel, Z et al.The authors conclude that use of aliskiren in combination with angiotensin converting enzymeinhibitors or angiotensin receptor blockers is associated with an increased risk for

hyperkalaemia. Combined use of these agents warrants careful monitoring of serumpotassium levels.BMJ 2012; 344:e42 doi: 10.1136/bmj.e42 (Published 9 January 2012)

Guide for commissioning a quality heart failure serviceNHS ImprovementThis guide aims to demonstrate what good heart failure services looks like, to help improveand standardise care nationally, where service provision and resources vary.http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdf

Items in the General Practice section may also be of interest.

[back to topics]

Commissioning

Analytical tools to support commissionersNHS Primary Care CommissioningThis updated summary of information sources and analytical tools to support planning anddecision making briefly describes each resource and how it is used. Links are included.http://www.pcc.nhs.uk/uploads/tools_to_support_commissioners.pdf

CCG case studies: patient and public engagementDepartment of HealthThese case studies share lessons learned from projects on increasing communityinvolvement. Two focus on social media and technology and two look at citizens juries.http://healthandcare.dh.gov.uk/ppe_case_studies/

Specialists in Commissioning: Looking beyond current policyNHS AllianceThis paper discusses GPs and specialists views on current policy on specialists in ClinicalCommissioning Groups. It calls for policy to be more flexible to allow both groups to develop

positive relationships to enable integrated care across primary-secondary care boundaries.http://www.nhsalliance.org/fileadmin/files/pdf/SPECIALISTSINCOMMISSIONINGJanuary2012

_kl3.pdf

Items in the Cardiovascular Diseases, Health Reforms, Mental Health, Service Management and UrgentCare sections may also be of interest.

[back to topics]
http://www.bmj.com/content/344/bmj.e42http://www.bmj.com/content/344/bmj.e42http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdfhttp://www.pcc.nhs.uk/uploads/tools_to_support_commissioners.pdfhttp://www.pcc.nhs.uk/uploads/tools_to_support_commissioners.pdfhttp://healthandcare.dh.gov.uk/ppe_case_studies/http://healthandcare.dh.gov.uk/ppe_case_studies/http://www.nhsalliance.org/fileadmin/files/pdf/SPECIALISTSINCOMMISSIONINGJanuary2012_kl3.pdfhttp://www.nhsalliance.org/fileadmin/files/pdf/SPECIALISTSINCOMMISSIONINGJanuary2012_kl3.pdfhttp://www.nhsalliance.org/fileadmin/files/pdf/SPECIALISTSINCOMMISSIONINGJanuary2012_kl3.pdfhttp://www.nhsalliance.org/fileadmin/files/pdf/SPECIALISTSINCOMMISSIONINGJanuary2012_kl3.pdfhttp://www.nhsalliance.org/fileadmin/files/pdf/SPECIALISTSINCOMMISSIONINGJanuary2012_kl3.pdfhttp://healthandcare.dh.gov.uk/ppe_case_studies/http://www.pcc.nhs.uk/uploads/tools_to_support_commissioners.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fSLCSN_heart_failure_commissioning_guide.pdfhttp://www.bmj.com/content/344/bmj.e42


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Children and Young People

Items in the Nutrition and Vaccination section may also be of interest.

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COPD

National audit of supported discharge programmes for management of acuteexacerbations of chronic obstructive pulmonary disease 2008Kastelik, JA et al.This audit examined the use of supported discharge programmes (SDPs) in clinical practiceagainst British Thoracic Society guidelines. The authors concluded that SDPs within the UKare safe and effective and reduce length of hospital stay without adverse effects on mortality.Thorax, 16 January 2011. doi:10.1136/thoraxjnl-2011-200884

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Diabetes

Care Planning and DiabetesNHS DiabetesThis document includes a brief summary introduction, followed by a short collection of latestkey policy papers, national body statements, clinical or care guidelines and the latest keyresearch and evaluation papers.http://www.diabetes.nhs.uk/document.php?o=3188 Executive Summary:http://www.diabetes.nhs.uk/document.php?o=3189

DiabetesE Seventh National ReportNHS DiabetesThis Executive Summary provides a snapshot of the quality of diabetes services in England. Itis based on data from the PCT and specialist diabetes provider questionnaires, captured on17th December 2011.http://www.diabetes.nhs.uk/news_and_events/diabetese_seventh_national_report/

Self-monitoring of blood glucose in patients with type 2 diabetes mellitus who are notusing insulinMalanda, UL et al.The authors of this Cochrane Review concluded that when diabetes duration is over one year,

the overall effect of self-monitoring of blood glucose on glycaemic control in patients with type2 diabetes who are not using insulin is small up to six months after initiation and subsidesafter 12 months. Furthermore, based on a best-evidence synthesis, there is no evidence thatSMBG affects patient satisfaction, general well-being or general health-related quality of life.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005060.pub3/abstract

Items in the Obesity section may also be of interest.

[back to topics]
http://thorax.bmj.com/content/early/2012/01/16/thoraxjnl-2011-200884.abstracthttp://thorax.bmj.com/content/early/2012/01/16/thoraxjnl-2011-200884.abstracthttp://www.diabetes.nhs.uk/document.php?o=3188http://www.diabetes.nhs.uk/document.php?o=3188http://www.diabetes.nhs.uk/document.php?o=3189http://www.diabetes.nhs.uk/document.php?o=3189http://www.diabetes.nhs.uk/document.php?o=3189http://www.diabetes.nhs.uk/news_and_events/diabetese_seventh_national_report/http://www.diabetes.nhs.uk/news_and_events/diabetese_seventh_national_report/http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005060.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005060.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005060.pub3/abstracthttp://www.diabetes.nhs.uk/news_and_events/diabetese_seventh_national_report/http://www.diabetes.nhs.uk/document.php?o=3189http://www.diabetes.nhs.uk/document.php?o=3188http://thorax.bmj.com/content/early/2012/01/16/thoraxjnl-2011-200884.abstract


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General Practice

Choice of GP practice: guidance for PCTsDepartment of HealthThis guidance sets out the action PCT clusters need to take to ensure that patients who

register with a GP practice away from home, as part of the forthcoming GP choice pilots, areable to receive home visits, and to access other urgent care and community health services. Italso sets out the action needed to establish outer practice boundary areas for all GPpractices, arrangements to simplify the system of open and closed lists; and best practice onproviding information to support informed choice of GP practice.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132386

How GPs can prepare for Be Clear on CancerDepartment of HealthThis short factsheet looks at how the campaign will affect GPs and how they can support thecampaign.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132047

Top tips for GPs: Heart FailureNHS ImprovementThese postcards summarise key points.Diagnosishttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip1.pdf Up-titration of drugs in heart failurehttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip2.pdf Managing heart failure patientshttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip3.pdf A crash course in heart failure with preservec ejection fractionhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip4.pdf

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Genomics

Building on our inheritance: Genomic technology in healthcareDepartment of HealthThis report sets out a strategic vision for how the healthcare system in the UK andparticularly in the NHS can benefit from the mainstream adoption of genomic technology. Italso provides specific recommendations on the steps to be taken to realise this vision.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132369
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132386http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132386http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132386http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132047http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132047http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132047http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip1.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip1.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip1.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip2.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip2.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip2.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip3.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip3.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip3.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip4.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip4.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip4.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132369http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132369http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132369http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132369http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132369http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip4.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip4.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip3.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip3.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip2.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip2.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip1.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fHeart%20failure%20website%2fTop_Tip1.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132047http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132047http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132386http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132386


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Guidance

NICE Clinical GuidelinesThe epilepsies: the diagnosis and management of the epilepsies in adults and childrenin primary and secondary care

CG137http://guidance.nice.org.uk/CG137

NICE Technology AppraisalsCetuximab (monotherapy or combination chemotherapy), bevacizumab (incombination with non-oxaliplatin chemotherapy) and panitumumab (monotherapy) forthe treatment of metastatic colorectal cancer after first-line chemotherapyTA242http://guidance.nice.org.uk/TA242

Dasatinib, high-dose imatinib and nilotinib for the treatment of imatinib-resistantchronic myeloid leukaemia (CML) and dasatinib and nilotinib for people with CML forwhom treatment with imatinib has failed because of intoleranceTA241http://guidance.nice.org.uk/TA241

Rituximab for the first-line treatment of stage III-IV follicular lymphomaTA243http://guidance.nice.org.uk/TA243

Roflumilast for the management of severe chronic obstructive pulmonary diseaseTA244http://guidance.nice.org.uk/TA244

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NICE Consultation DocumentsOverweight and obese adults - lifestyle weight management: consultation on the draftscopeTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 14 February 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57859

Overweight and obese children and young people - lifestyle weight managementservices: consultation on the draft scopeTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 14 February 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57862
http://guidance.nice.org.uk/CG137http://guidance.nice.org.uk/CG137http://guidance.nice.org.uk/TA242http://guidance.nice.org.uk/TA242http://guidance.nice.org.uk/TA241http://guidance.nice.org.uk/TA241http://guidance.nice.org.uk/TA243http://guidance.nice.org.uk/TA243http://guidance.nice.org.uk/TA244http://guidance.nice.org.uk/TA244http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57859http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57859http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57862http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57862http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57862http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57859http://guidance.nice.org.uk/TA244http://guidance.nice.org.uk/TA243http://guidance.nice.org.uk/TA241http://guidance.nice.org.uk/TA242http://guidance.nice.org.uk/CG137


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BMI and waist circumference - black and minority ethnic groups: consultation on thedraft scopeTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 20 February 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57967

Consultation on Commissioning Outcomes Framework indicatorsClosing date for comments: 29 February 2012http://www.nice.org.uk/aboutnice/cof/ConsultationOnCOFIndicators.jsp

Prostate cancer (metastatic, castration resistant) - abiraterone (following cytoxictherapy): appraisal consultationClosing date for comments: 23 February 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58013

Gene expression profiling and expanded immunohistochemistry tests to guide

selection of chemotherapy regimes in breast cancer management - MammaPrint,Oncotype DX, IHC4 and Mammostrat: diagnostics consultationClosing date for comments: 24 February 2012http://guidance.nice.org.uk/DT/4/Consultation/DraftGuidance

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Other Health Technology AssessmentsThe clinical effectiveness and cost-effectiveness of exercise referral schemes: asystematic review and economic evaluationPavey, T et al.

This review found weak evidence to support the effectiveness and cost-effectiveness ofexercise referral schemes in either people with a medical diagnosis or in those who aresedentary and without a medical diagnosis.Health Technol Assess 2012:15(44)

A 1-year follow-on study from a randomised, head-to-head, multicentre, open-labelstudy of two pandemic influenza vaccines in childrenDe Whalley, P et al.The authors concluded that one year after immunisation, children receiving two doses of theroutinely recommended, adjuvanted pandemic influenza vaccine had higher antibody levelsthan those receiving the alternative, egg-free vaccine; both groups produced a marked

serological response to the H1N1 component of the 2010/11 seasonal influenza vaccine.Health Technol Assess 20120:15(45)

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http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57967http://www.nice.org.uk/guidance/index.jsp?action=folder&o=57967http://www.nice.org.uk/aboutnice/cof/ConsultationOnCOFIndicators.jsphttp://www.nice.org.uk/aboutnice/cof/ConsultationOnCOFIndicators.jsphttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=58013http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58013http://guidance.nice.org.uk/DT/4/Consultation/DraftGuidancehttp://guidance.nice.org.uk/DT/4/Consultation/DraftGuidancehttp://www.hta.ac.uk/project/1815.asphttp://www.hta.ac.uk/project/2369.asphttp://www.hta.ac.uk/project/2369.asphttp://www.hta.ac.uk/project/1815.asphttp://guidance.nice.org.uk/DT/4/Consultation/DraftGuidancehttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=58013http://www.nice.org.uk/aboutnice/cof/ConsultationOnCOFIndicators.jsphttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=57967


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Health Reforms

Building the NHS Trust Development AuthorityDepartment of HealthThis document explains the purpose of the NTDA, its process, its people and its relationships

with other parts of the NHS.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776

Consultation on the regulations for Healthwatch England membershipDepartment of HealthThis consultation asks about the number of members of HealthWatch England, suitability formembership; and the process for appointing members.Closing date for comments: 2 Marchhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132416

Design of the NHS Commissioning BoardNHS Commissioning BoardThis paper presents recommendations for the organisational design of the NHS CB. Itincludes the context for the design process; details of how the Board will operate through amatrix working approach; and detailed recommendations on the design of each of the Boardsdirectorates, including the Sectors and Local Offices.https://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02-2012-5-Organisational-Design-Recommendations-Final.pdf

Destabilising our healthcare: how private companies could threaten the ethics andefficiency of the NHSNHS Support FederationThis report looks at the impact commercial providers might have on the NHS and its patients.http://www.nhscampaign.org/NHS-reforms/companies-run-hospitals.html

Framework agreement for NHS Commissioning Board AuthorityDepartment of HealthThe agreement covers roles and responsibilities and lines of accountability, and describeshow the Department and the Authority will work together.http://www.dh.gov.uk/health/2012/01/cb-framework/

JSNAs and joint health and wellbeing strategies: draft guidanceDepartment of HealthThis guidance lays out a best practice framework, and the statutory duties underpinning theproduction of JSNAs and joint health and wellbeing strategies. It explains how JSNAs, jointhealth and wellbeing strategies and commissioning plans fit together in the new system, andsets out how they will make real improvements to the health and wellbeing of local people.Closing date for comments: 17 Februaryhttp://healthandcare.dh.gov.uk/draft-guidance/
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132416http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132416http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132416https://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02-2012-5-Organisational-Design-Recommendations-Final.pdfhttps://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02-2012-5-Organisational-Design-Recommendations-Final.pdfhttps://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02-2012-5-Organisational-Design-Recommendations-Final.pdfhttp://www.nhscampaign.org/NHS-reforms/companies-run-hospitals.htmlhttp://www.nhscampaign.org/NHS-reforms/companies-run-hospitals.htmlhttp://www.dh.gov.uk/health/2012/01/cb-framework/http://www.dh.gov.uk/health/2012/01/cb-framework/http://healthandcare.dh.gov.uk/draft-guidance/http://healthandcare.dh.gov.uk/draft-guidance/http://healthandcare.dh.gov.uk/draft-guidance/http://www.dh.gov.uk/health/2012/01/cb-framework/http://www.nhscampaign.org/NHS-reforms/companies-run-hospitals.htmlhttps://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02-2012-5-Organisational-Design-Recommendations-Final.pdfhttps://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02-2012-5-Organisational-Design-Recommendations-Final.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132416http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132416http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776


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Report of the commission on competition in the NHSOffice of Health EconomicsThis report recommends careful expansion of competition between providers of NHS-fundedhealth care in England.http://news.ohe.org/2012/01/31/new-report-competition-can-help-the-nhs-%e2%80%93-but-proceed-with-care/

Were massive reforms necessary to save the NHS? Inquiry into the NHS HealthReformsAll Party Parliamentary Group on Primary Care & Public HealthThis report argues that finds there was no real need for a wholesale restructuring of the NHSin order to make the system more efficient. It makes a number of recommendations about thecurrent health reforms, particularly related to CCGs, and engaging with patients.http://www.pagb.co.uk/appg/inquiry.html

Why the RCN is opposing the Health and Social Care BillRCN

http://www.rcn.org.uk/__data/assets/pdf_file/0003/426909/Why_the_RCN_is_opposing_the_Health_and_Social_Care_Bill.pdf

Items in the Commissioning, Public Health, Service Management and Workforce sections may also be ofinterest.

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Kidney Disease

Chronic Kidney Disease Resource PackNHS Kidney Care

This Pack contains resources to support management of CKD in the community.http://www.kidneycare.nhs.uk/_Ourworkprogrammes-Prevention-Toolstohelpyou.aspx

Parenteral versus oral iron therapy for adults and children with chronic kidney diseaseAlbaramki, J et al.The authors of this Cochrane Review concluded that there is strong evidence for increasedferritin and transferrin saturation levels, together with a small increase in haemoglobin, inpatients with CKD who were treated with IV iron compared with oral iron. From a limited bodyof evidence, they identified a significant reduction in ESA requirements in patients treated withIV iron, and found no significant difference in mortality.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007857.pub2/abstract

[back to topics]

Maternal and Infant Health

Interventions for helping to turn term breech babies to head first presentation whenusing external cephalic version (ECV)Cluver, C et al.The authors of this Cochrane Review concluded that betastimulants, to facilitate ECV,increased cephalic presentation in labour and birth, and reduced the caesarean section rate
http://news.ohe.org/2012/01/31/new-report-competition-can-help-the-nhs-%e2%80%93-but-proceed-with-care/http://news.ohe.org/2012/01/31/new-report-competition-can-help-the-nhs-%e2%80%93-but-proceed-with-care/http://news.ohe.org/2012/01/31/new-report-competition-can-help-the-nhs-%e2%80%93-but-proceed-with-care/http://www.pagb.co.uk/appg/inquiry.htmlhttp://www.pagb.co.uk/appg/inquiry.htmlhttp://www.rcn.org.uk/__data/assets/pdf_file/0003/426909/Why_the_RCN_is_opposing_the_Health_and_Social_Care_Bill.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0003/426909/Why_the_RCN_is_opposing_the_Health_and_Social_Care_Bill.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0003/426909/Why_the_RCN_is_opposing_the_Health_and_Social_Care_Bill.pdfhttp://www.kidneycare.nhs.uk/_Ourworkprogrammes-Prevention-Toolstohelpyou.aspxhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007857.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007857.pub2/abstracthttp://www.kidneycare.nhs.uk/_Ourworkprogrammes-Prevention-Toolstohelpyou.aspxhttp://www.rcn.org.uk/__data/assets/pdf_file/0003/426909/Why_the_RCN_is_opposing_the_Health_and_Social_Care_Bill.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0003/426909/Why_the_RCN_is_opposing_the_Health_and_Social_Care_Bill.pdfhttp://www.pagb.co.uk/appg/inquiry.htmlhttp://news.ohe.org/2012/01/31/new-report-competition-can-help-the-nhs-%e2%80%93-but-proceed-with-care/http://news.ohe.org/2012/01/31/new-report-competition-can-help-the-nhs-%e2%80%93-but-proceed-with-care/


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in both nulliparous and multiparous women, but there were insufficient data on adverseeffects.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000184.pub3/abstract

Preventing Babies Deaths: what needs to be doneSANDS

This report looks at the numbers of babies who are stillborn or who die shortly after birth inthe UK, and makes recommendations for public health, patient care, staffing and research.http://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdf

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Mental Health

Consultation on low secure services and psychiatric intensive care

Department of HealthThis consultation is to invite stakeholders views on how new guidance will operate.Closing date for comments: 19 April.http://www.dh.gov.uk/health/2012/01/consultation-on-low-secure-services-and-psychiatric-intensive-care/

Defining mental health services: promoting effective commissioning and supportingQIPPNHS ConfederationIn mental health there has not been a consistent set of definitions that describe what is meantby an inpatient bed. This has led to difficulty in benchmarking and understanding patterns of

performance. This report seeks to address those variations of understanding by suggesting arange of definitions that can be used by commissioners and service providers.http://www.nhsconfed.org/Publications/reports/Pages/Defining-mental-health-services-QIPP.aspx

Estimating the Prevalence of Autism Spectrum Conditions in Adults: Extending the2007 Adult Psychiatric Morbidity SurveyNHS Information CentreThis prevalence estimate was derived using data from the 2007 Adult Psychiatric MorbiditySurvey (APMS 2007) in combination with data from a new study of the prevalence of autismamong adults with learning disabilities, who could not take part in the APMS 2007.

http://www.ic.nhs.uk/pubs/autism11

The Mental Health Strategy, system reforms and spending pressures: what do we knowso far?Centre for Mental HealthThis paper examines how delivery of No Health without Mental Health is being influencedby pressures on public spending and the reforms in health and other public services.http://www.centreformentalhealth.org.uk/publications/summit_paper.aspx?ID=638
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000184.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000184.pub3/abstracthttp://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://www.dh.gov.uk/health/2012/01/consultation-on-low-secure-services-and-psychiatric-intensive-care/http://www.dh.gov.uk/health/2012/01/consultation-on-low-secure-services-and-psychiatric-intensive-care/http://www.dh.gov.uk/health/2012/01/consultation-on-low-secure-services-and-psychiatric-intensive-care/http://www.nhsconfed.org/Publications/reports/Pages/Defining-mental-health-services-QIPP.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/Defining-mental-health-services-QIPP.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/Defining-mental-health-services-QIPP.aspxhttp://www.ic.nhs.uk/default.asp?sID=1231750469828http://www.ic.nhs.uk/default.asp?sID=1231750469828http://www.ic.nhs.uk/pubs/autism11http://www.ic.nhs.uk/pubs/autism11http://www.centreformentalhealth.org.uk/publications/summit_paper.aspx?ID=638http://www.centreformentalhealth.org.uk/publications/summit_paper.aspx?ID=638http://www.ic.nhs.uk/pubs/autism11http://www.ic.nhs.uk/default.asp?sID=1231750469828http://www.ic.nhs.uk/default.asp?sID=1231750469828http://www.nhsconfed.org/Publications/reports/Pages/Defining-mental-health-services-QIPP.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/Defining-mental-health-services-QIPP.aspxhttp://www.dh.gov.uk/health/2012/01/consultation-on-low-secure-services-and-psychiatric-intensive-care/http://www.dh.gov.uk/health/2012/01/consultation-on-low-secure-services-and-psychiatric-intensive-care/http://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://www.uk-sands.org/fileadmin/content/Media/PREVENTING_BABIES_DEATHS_REPORT_2012LR02.pdfhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000184.pub3/abstract


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Getting it together for mental health care: Payment by Results, personalisation andwhole system workingNational Development Team for InclusionThis paper considers how the two policy initiatives of Payment by Results (PbR) andpersonalisation need to be developed in tandem with one another, and in the context of wholesystem commissioning, if the aims of both are to be achieved. It raises questions for

discussion about whether personalisation and PbR can meet the challenge of a more radicalwhole system approach and what impact success or failure will have on mental healthservices and outcomes for individuals. It concludes with specific issues that need to beconsidered nationally and locally.http://www.ndti.org.uk/who-were-concerned-with/mental-health/payment-by-results-and-personalisation-in-mental-health-services/

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Multiple Sclerosis

Interferon beta for secondary progressive multiple sclerosis (SPMS)La Mantia, L et al.The authors of this Cochrane Review concluded that recombinant interferon (IFN) beta doesnot prevent the development of permanent physical disability in SPMS. This treatmentsignificantly reduces the risk of relapse and of short -term relapse-related disability. Overall,these results show that IFNs' anti-inflammatory effect is unable to retard progression, whenestablished. The authors believe this review gives conclusive evidence on the clinical efficacyof IFNs versus placebo in SPMS.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005181.pub3/abstract

[back to topics]

Nursing and Midwifery

Lone working survey 2011RCNThis survey of 766 RCN members looks at lone workers perceptions of safety and employerhelp and support with the challenges they face. It makes recommendations for improving lonenurses and midwives safety.http://www.rcn.org.uk/__data/assets/pdf_file/0007/424096/RCN_lone_working_survey_2011.pdf

Supervision, support and safety: quality assurance of the LSAs 2010-2011NMCThis report contains the analysis of the annual report received from local supervisingauthorities (LSA) in the UK. The LSA reports identified examples of good practice insupervision, with some key challenges. The key recommendations for the LSAs will bemonitored during 2011-2012 through quarterly submissions to the NMC midwifery advisers.http://www.nmc-uk.org/Press-and-media/Latest-news/Supervision-support-and-safety-NMC-quality-assurance-of-the-LSAs-2010-2011/

Items in the Patient Care and Safety section may also be if interest.
http://www.ndti.org.uk/who-were-concerned-with/mental-health/payment-by-results-and-personalisation-in-mental-health-services/http://www.ndti.org.uk/who-were-concerned-with/mental-health/payment-by-results-and-personalisation-in-mental-health-services/http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005181.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005181.pub3/abstracthttp://www.rcn.org.uk/__data/assets/pdf_file/0007/424096/RCN_lone_working_survey_2011.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0007/424096/RCN_lone_working_survey_2011.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0007/424096/RCN_lone_working_survey_2011.pdfhttp://www.nmc-uk.org/Press-and-media/Latest-news/Supervision-support-and-safety-NMC-quality-assurance-of-the-LSAs-2010-2011/http://www.nmc-uk.org/Press-and-media/Latest-news/Supervision-support-and-safety-NMC-quality-assurance-of-the-LSAs-2010-2011/http://www.nmc-uk.org/Press-and-media/Latest-news/Supervision-support-and-safety-NMC-quality-assurance-of-the-LSAs-2010-2011/http://www.nmc-uk.org/Press-and-media/Latest-news/Supervision-support-and-safety-NMC-quality-assurance-of-the-LSAs-2010-2011/http://www.nmc-uk.org/Press-and-media/Latest-news/Supervision-support-and-safety-NMC-quality-assurance-of-the-LSAs-2010-2011/http://www.rcn.org.uk/__data/assets/pdf_file/0007/424096/RCN_lone_working_survey_2011.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0007/424096/RCN_lone_working_survey_2011.pdfhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005181.pub3/abstracthttp://www.ndti.org.uk/who-were-concerned-with/mental-health/payment-by-results-and-personalisation-in-mental-health-services/http://www.ndti.org.uk/who-were-concerned-with/mental-health/payment-by-results-and-personalisation-in-mental-health-services/


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Nutrition

Claims about gluten in foodFood Standards AgencyThis guidance aims to help industry and enforcement authorities understand the new rulesand encourage the provision of information for coeliacs. It includes guidance for consumersand also for caterers.http://www.food.gov.uk/safereating/allergyintol/label/gluten/

Voluntary Food and Drink Guidelines for Early Years Settings in England: A PracticalGuideSchool Food TrustThis guide has been developed to help early years providers and practitioners meet the EarlyYears Foundation Stage (EYFS) welfare requirement for the provision of healthy, balancedand nutritious food and drink.http://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guide

Obesity

Effects of glucagon-like peptide-1 receptor agonists on weight loss: systematic reviewand meta-analyses of randomised controlled trialsVilsboll, T et al.The authors concluded that treatment with GLP-1R agonists leads to weight loss inoverweight or obese patients with or without type 2 diabetes mellitus.BMJ 2012; 344:d771 doi: 10.1136/bmj.d7771 (Published 11 January 2012)

[back to topics]

Older People

Oral healthcare for Older People 2020 Vision: Check-up January 2012British Dental AssociationThis short report provides a check-up on 21 recommendations made by BDA in 2003, andupdates demographic information and recommendations for how commissioners and socialcare services can ensure that the oral health needs of their patients are met.http://www.bda.org/dentists/policy-campaigns/research/patient-care/older-people.aspx

Oral Health

Items in the Older People section may be of interest.
http://www.food.gov.uk/safereating/allergyintol/label/gluten/http://www.food.gov.uk/safereating/allergyintol/label/gluten/http://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.bmj.com/content/344/bmj.d7771http://www.bmj.com/content/344/bmj.d7771http://www.bda.org/dentists/policy-campaigns/research/patient-care/older-people.aspxhttp://www.bda.org/dentists/policy-campaigns/research/patient-care/older-people.aspxhttp://www.bda.org/dentists/policy-campaigns/research/patient-care/older-people.aspxhttp://www.bmj.com/content/344/bmj.d7771http://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.schoolfoodtrust.org.uk/parents-carers/for-parents-carers/eat-better-start-better/voluntary-food-and-drink-guidelines-for-early-years-settings-in-england-a-practical-guidehttp://www.food.gov.uk/safereating/allergyintol/label/gluten/


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Patient Care and Safety

The 'never events' list for 2012/13Department of HealthThe list has been updated with minor amendments to two of the never event definitions.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132355

Putting quality into the Care Quality CommissionRCNThis report details the findings from a recent survey of more than 5,000 RCN members on thehealth care regulator, the Care Quality Commission (CQC). It found that although nursessupport the CQC and welcome the improvements it has made, there is more work to do tofully understand issues such as staffing levels and skill mix when undertaking assessments.http://www.rcn.org.uk/__data/assets/pdf_file/0004/426478/004208.pdf

Raising and acting on concerns about patient safetyGMCThe guidance gives advice on raising a concern that patients might be at risk of serious harm,and on the help and support available to doctors. It also explains doctors responsibilitieswhen colleagues or others raise concerns with them and how to handle those concerns.http://www.gmc-uk.org/guidance/ethical_guidance/raisingconcerns.asp

Items in the Commissioning and Health Reforms section may also be of interest.

[back to topics]

Pharmacy and Prescribing

Lithium toxicity profile: systematic review and meta-analysisMcKnight, RF et al.The authors concluded that lithium is associated with increased risk of reduced urinaryconcentrating ability, hypothyroidism, hyperparathyroidism, and weight gain. There is littleevidence for a clinically significant reduction in renal function in most patients, and the risk ofend-stage renal failure is low. The risk of congenital malformations is uncertain; the balanceof risks should be considered before lithium is withdrawn during pregnancy. Because of theconsistent finding of a high prevalence of hyperparathyroidism, calcium concentrations shouldbe checked before and during treatment.The Lancet, Early Online Publication, 20 January 2012. doi:10.1016/S0140-6736(11)61516-X

Medicines Use Review Suggested QuestionsPharmaceutical Services Negotiating CommitteeThese questions aim to help shape pharmacists discussions with patients during MURconsultations.http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Medicines_Use

_Review_Exemplar_Interview_Schedule_Jan_2012.pdf
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132355http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132355http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132355http://www.rcn.org.uk/__data/assets/pdf_file/0004/426478/004208.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0004/426478/004208.pdfhttp://www.gmc-uk.org/guidance/ethical_guidance/raisingconcerns.asphttp://www.gmc-uk.org/guidance/ethical_guidance/raisingconcerns.asphttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61516-X/abstracthttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61516-X/abstracthttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Medicines_Use_Review_Exemplar_Interview_Schedule_Jan_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Medicines_Use_Review_Exemplar_Interview_Schedule_Jan_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Medicines_Use_Review_Exemplar_Interview_Schedule_Jan_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Medicines_Use_Review_Exemplar_Interview_Schedule_Jan_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Medicines_Use_Review_Exemplar_Interview_Schedule_Jan_2012.pdfhttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61516-X/abstracthttp://www.gmc-uk.org/guidance/ethical_guidance/raisingconcerns.asphttp://www.rcn.org.uk/__data/assets/pdf_file/0004/426478/004208.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132355http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132355


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New Medicine Service (NMS) and Medicines Use Reviews (MURs)Pharmaceutical Services Negotiating CommitteeGuidance on the Medicines Use Review serviceThis guidance is aimed at commissioners of community pharmacy, as well as pharmacycontractors and individual pharmacists who deliver the service.http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Guidance_on_t

he_Medicines_Use_Review_service_Jan_2012_final.pdf Working with hospital colleagues to support patients discharged from hospital:guidance for community pharmacists.http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Post-discharge_guidance_for_community_pharmacists_January_2012.pdfCommunity pharmacy services: Guidance for hospitalshttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Community_pharmacy_services_-_guidance_for_hospitals_January_2012.pdf Related documents are available athttp://www.psnc.org.uk/news.php/1218/guidance_on_post_discharge_nmsmur_published

[back to topics]

Public Health

Campaign Resource CentreDepartment of HealthThis website is a one-stop shop for all Department of Health public health campaigns. Fromkeeping up to date with the latest campaign news, to the leaflets, posters, ads and toolkitsavailable to support the campaigns, the CRC gives access to all the public health informationand resources you need.http://campaigns.dh.gov.uk/category/home/

Health economic assessment tools (HEAT) for walking and for cycling. Methodologyand user guide. Economic assessment of transport infrastructure and policiesWorld Health Organisation. Regional Office for Europe.The promotion of cycling and walking for everyday physical activity not only promotes healthbut can also have positive effects on the environment. This booklet summarizes the tools andguidance developed to facilitate this shift: the methodology for the economic assessment oftransport infrastructure and policies in relation to the health effects of walking and cycling;systematic reviews of the economic and health literature; and guidance on applying the healtheconomic assessment tools and the principles underlying it.http://www.euro.who.int/en/what-we-publish/abstracts/health-economic-assessment-tools-

heat-for-walking-and-for-cycling.-methodology-and-user-guide

Healthy lives, healthy people: Improving outcomes and supporting transparencyDepartment of HealthThis Public Health Outcomes Framework sets out the desired outcomes for public health andhow these will be measured. Part 1 introduces the overarching vision for public health, theoutcomes to be achieved and the indicators that will assist with understanding how well healthis being improved and protected. Part 2 specifies the current technical details for each public
http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Guidance_on_the_Medicines_Use_Review_service_Jan_2012_final.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Guidance_on_the_Medicines_Use_Review_service_Jan_2012_final.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Guidance_on_the_Medicines_Use_Review_service_Jan_2012_final.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Post-discharge_guidance_for_community_pharmacists_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Post-discharge_guidance_for_community_pharmacists_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Community_pharmacy_services_-_guidance_for_hospitals_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Community_pharmacy_services_-_guidance_for_hospitals_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Community_pharmacy_services_-_guidance_for_hospitals_January_2012.pdfhttp://www.psnc.org.uk/news.php/1218/guidance_on_post_discharge_nmsmur_publishedhttp://www.psnc.org.uk/news.php/1218/guidance_on_post_discharge_nmsmur_publishedhttp://campaigns.dh.gov.uk/category/home/http://campaigns.dh.gov.uk/category/home/http://www.euro.who.int/en/what-we-publish/abstracts/health-economic-assessment-tools-heat-for-walking-and-for-cycling.-methodology-and-user-guidehttp://www.euro.who.int/en/what-we-publish/abstracts/health-economic-assessment-tools-heat-for-walking-and-for-cycling.-methodology-and-user-guidehttp://www.euro.who.int/en/what-we-publish/abstracts/health-economic-assessment-tools-heat-for-walking-and-for-cycling.-methodology-and-user-guidehttp://www.euro.who.int/en/what-we-publish/abstracts/health-economic-assessment-tools-heat-for-walking-and-for-cycling.-methodology-and-user-guidehttp://www.euro.who.int/en/what-we-publish/abstracts/health-economic-assessment-tools-heat-for-walking-and-for-cycling.-methodology-and-user-guidehttp://campaigns.dh.gov.uk/category/home/http://www.psnc.org.uk/news.php/1218/guidance_on_post_discharge_nmsmur_publishedhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Community_pharmacy_services_-_guidance_for_hospitals_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Community_pharmacy_services_-_guidance_for_hospitals_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Post-discharge_guidance_for_community_pharmacists_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Post-discharge_guidance_for_community_pharmacists_January_2012.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Guidance_on_the_Medicines_Use_Review_service_Jan_2012_final.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/Guidance_on_the_Medicines_Use_Review_service_Jan_2012_final.pdf


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health indicator and indicates where further work will be conducted to fully specify allindicators. Part 3 consists of the impact assessment and equalities impact assessment.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358

Lifestyles Surveys: Consultation Review

NHS Information CentreThe Lifestyles Surveys are:

Health Survey for England Health, Lifestyles and Social Care Smoking, Drinking and Drug Use Among Young People in England

Infant Feeding SurveyThe findings provide an insight into the health and behaviour of people in England over time.This consultation aims to develop a more complete understanding of the use made of thisdata; ensure the surveys are relevant and meaningful to users needs; and to seek the viewsof users on the content and format of the publications.Closing date for comments: 23 Marchhttp://www.ic.nhs.uk/work-with-us/consultations/lifestyles-surveys-consultation-review

Mortality in the United Kingdom, 2010Office for National StatisticsThis summary provides an update of mortality within the UK and its constituent countries overthe last 30 years. It describes current and past age-standardised mortality rates, along withthe percentage distributions of all deaths by age in the UK.http://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-the-united-kingdom/mortality-in-the-united-kingdom--2010/mortality-in-the-uk-2010.html

New public health systemDepartment of Health

A series of factsheets on the new system is available, including a summary factsheet andmore detailed information on Public Health in Local Government; Public Health EnglandsOperating Model; and Workforce and the new Public Health system.http://healthandcare.dh.gov.uk/public-health-system/

Public health transition planning support for primary care trusts and local authoritiesDepartment of HealthThis guide aims to help primary care trusts (PCTs) and local authorities as they developtransition plans for the transformation of the local public health system, including how transferof accountability from the NHS to local government will be enacted during the transition year.It also aims to help SHAs and the NHS Commissioning Board.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132178

Public health workforce issues: Local government transition guidanceLocal Government Associationhttp://www.dh.gov.uk/health/2012/01/public-health-workforce/
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358http://www.ic.nhs.uk/work-with-us/consultations/lifestyles-surveys-consultation-reviewhttp://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-the-united-kingdom/mortality-in-the-united-kingdom--2010/mortality-in-the-uk-2010.htmlhttp://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-the-united-kingdom/mortality-in-the-united-kingdom--2010/mortality-in-the-uk-2010.htmlhttp://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-the-united-kingdom/mortality-in-the-united-kingdom--2010/mortality-in-the-uk-2010.htmlhttp://healthandcare.dh.gov.uk/public-health-system/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132178http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132178http://www.dh.gov.uk/health/2012/01/public-health-workforce/http://www.dh.gov.uk/health/2012/01/public-health-workforce/http://www.dh.gov.uk/health/2012/01/public-health-workforce/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132178http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132178http://healthandcare.dh.gov.uk/public-health-system/http://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-the-united-kingdom/mortality-in-the-united-kingdom--2010/mortality-in-the-uk-2010.htmlhttp://www.ons.gov.uk/ons/rel/mortality-ageing/mortality-in-the-united-kingdom/mortality-in-the-united-kingdom--2010/mortality-in-the-uk-2010.htmlhttp://www.ic.nhs.uk/work-with-us/consultations/lifestyles-surveys-consultation-reviewhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358


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Suicides in the United Kingdom, 2010Office for National Statisticshttp://www.ons.gov.uk/ons/rel/subnational-health4/suicides-in-the-united-kingdom/2010/index.html

Items in the Cancer section may also be of interest.

[back to topics]

Safeguarding Children and Vulnerable Adults

Childrens Safeguarding Performance Information ConsultationDepartment for EducationThis consultation asks for views on the proposed children's safeguarding nationalperformance information dataset, how the data is published and how the locally heldinformation (published December 2011) is used.Closing date for comments: 16 April

http://www.education.gov.uk/consultations/index.cfm?action=consultationDetails&consultationId=1803&external=no&menu=1

Framework for the inspection of local authority arrangements for the protection ofchildrenOfstedThis document outlines the framework for the inspection of local authority arrangements toprotect children, including the effectiveness of early identification and help for children, youngpeople, their families and carers.Framework and related documents:http://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-children

Good practice resource - Non-executive scrutiny panel: Southend SafeguardingChildren BoardOfstedThis case study describes how the panel was set up and the impact it has had.http://www.ofsted.gov.uk/resources/good-practice-resource-non-executive-scrutiny-panel-southend-safeguarding-children-board

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Service Management

Board governance assurance framework for aspirant foundation trusts: DevelopmentModulesDepartment of HealthModules are available on Financial governance, Organisational strategy and values, andQuality governance.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547
http://www.ons.gov.uk/ons/publications/rss.xml?edition=tcm:77-245453http://www.ons.gov.uk/ons/rel/subnational-health4/suicides-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health4/suicides-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health4/suicides-in-the-united-kingdom/2010/index.htmlhttp://www.education.gov.uk/consultations/index.cfm?action=consultationDetails&consultationId=1803&external=no&menu=1http://www.education.gov.uk/consultations/index.cfm?action=consultationDetails&consultationId=1803&external=no&menu=1http://www.education.gov.uk/consultations/index.cfm?action=consultationDetails&consultationId=1803&external=no&menu=1http://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-childrenhttp://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-childrenhttp://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-childrenhttp://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-childrenhttp://www.ofsted.gov.uk/resources/good-practice-resource-non-executive-scrutiny-panel-southend-safeguarding-children-boardhttp://www.ofsted.gov.uk/resources/good-practice-resource-non-executive-scrutiny-panel-southend-safeguarding-children-boardhttp://www.ofsted.gov.uk/resources/good-practice-resource-non-executive-scrutiny-panel-southend-safeguarding-children-boardhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.ofsted.gov.uk/resources/good-practice-resource-non-executive-scrutiny-panel-southend-safeguarding-children-boardhttp://www.ofsted.gov.uk/resources/good-practice-resource-non-executive-scrutiny-panel-southend-safeguarding-children-boardhttp://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-childrenhttp://www.ofsted.gov.uk/resources/framework-for-inspection-of-local-authority-arrangements-for-protection-of-childrenhttp://www.education.gov.uk/consultations/index.cfm?action=consultationDetails&consultationId=1803&external=no&menu=1http://www.education.gov.uk/consultations/index.cfm?action=consultationDetails&consultationId=1803&external=no&menu=1http://www.ons.gov.uk/ons/rel/subnational-health4/suicides-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health4/suicides-in-the-united-kingdom/2010/index.htmlhttp://www.ons.gov.uk/ons/publications/rss.xml?edition=tcm:77-245453


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Can NHS hospitals do more with less?Nuffield TrustThe report identifies the key determinants of technical efficiency in hospitals, which include:leadership, management and staff engagement; technology adoption; hospital operationalprocesses; staff productivity; and the external policy environment. It also looks at the possibleimpact of Equity and excellence: liberating the NHS on the efficiency agenda.

http://www.nuffieldtrust.org.uk/publications/can-nhs-hospitals-do-more-less

Defining Risk Appetite and Managing Risk by Clinical Commissioning Groups and NHSTrustsGood Governance InstituteThis briefing includes a high-level outline of risk and risk appetite, and is accompanied by amatrix, by which boards can develop their own generic risk appetite and which can also beapplied to specific risk. It also looks at how existing risk management systems including riskregisters and Board Assurance Frameworks can be refreshed and made relevant to boardagendas and decision taking. A case study scenario is also included.http://www.good-governance.org.uk/services/risk-appetite.htm

Delivering sustainable cost improvement programmesAudit CommissionThis briefing summarises how successful organisations approach the delivery of costimprovement programmes. Supporting questions are included to enable organisations toreview their own performance and identify areas for improvement.http://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspx

Good governance handbookGood Governance Institute and Healthcare Quality Improvement Partnership

This handbook identifies nine foundation principles of good governance, relevant to new andemerging organisations in healthcare, and to working through partnership and hostingarrangements. This report explains how to apply these within health and social care.http://ggi.multi3.sitekit.net/Product%20Menus/good-governance-guide.htm

Integrated care for patients and populations: Improving outcomes by working together:A report to the Department of Health and the NHS Future ForumKings FundThis report examines: the case for integrated care; what current barriers to integrated careneed to be overcome and how; what the Department of Health can do to enable integratedcare to flourish; and options for practical and technical support to those implementing

integrated care. It asserts that developing integrated care should assume the same priorityover the next decade as reducing waiting times had during the last.http://www.kingsfund.org.uk/publications/future_forum_report.html
http://www.nuffieldtrust.org.uk/publications/can-nhs-hospitals-do-more-lesshttp://www.nuffieldtrust.org.uk/publications/can-nhs-hospitals-do-more-lesshttp://www.good-governance.org.uk/services/risk-appetite.htmhttp://www.good-governance.org.uk/services/risk-appetite.htmhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspxhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspxhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspxhttp://ggi.multi3.sitekit.net/Product%20Menus/good-governance-guide.htmhttp://ggi.multi3.sitekit.net/Product%20Menus/good-governance-guide.htmhttp://www.kingsfund.org.uk/publications/future_forum_report.htmlhttp://www.kingsfund.org.uk/publications/future_forum_report.htmlhttp://www.kingsfund.org.uk/publications/future_forum_report.htmlhttp://ggi.multi3.sitekit.net/Product%20Menus/good-governance-guide.htmhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspxhttp://www.audit-commission.gov.uk/health/nationalstudies/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspxhttp://www.good-governance.org.uk/services/risk-appetite.htmhttp://www.nuffieldtrust.org.uk/publications/can-nhs-hospitals-do-more-less


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NHS Costing ManualDepartment of HealthThis Manual sets out mandatory and minimum principles and practices that must be appliedto costing in the NHS. They are designed to support the calculation of reference costs, andthrough these, the national tariff, but can also be applied to other costing models.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc

e/DH_132395Related document: Reference costs guidance for 2011-12http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132390

The NHS Mobile Working Knowledge CentreNHS Connecting for HealthThe Department of Health Informatics Directorate (DHID) has developed an online resourceto support mobile working programmes in the NHS. Primarily focused on community services,the Knowledge Centre presents good practice guidance, tools and case studies on theimplementation of mobile working.

www.connectingforhealth.nhs.uk/mobileworking

Public Expenditure: thirteenth report of sessionHouse of Commons Health Select CommitteeThis report examined the plans being made by NHS bodies to enable them to meet efficiencytargets, and whether the NHS is succeeding in making efficiency gains rather than cuts. Italso investigates the cost of the continuing reorganisation of NHS structures, progress onmaking efficiencies through the integration of health and social care services, and progresson changing the tariff structure. The role of local authorities, and the impact on the provisionof adult social care of the 2010 Spending Review settlement, is also considered.http://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/1499/149902.htm

Service-line management: can it improve quality and efficiency?Kings FundThis paper presents the findings from a series of interviews with staff at seven NHS trusts thatare using Service Line Management or Service Line Reporting, showing how they areimplementing this approach and identifying what helps and what hinders this way of working.http://www.kingsfund.org.uk/publications/slm_paper.html

Standards for members of NHS boards and governing bodies in England: Draft forconsultationCouncil for Healthcare Regulatory Excellence

The Standards cover three domains: technical competence and ability to carry out the job;personal behaviours and accountability; and business practices including financial probity.Closing date for comments: 10 April 2012http://www.chre.org.uk/satellite/413/

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

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132395http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132395http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132395http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132390http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132390http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132390http://www.connectingforhealth.nhs.uk/mobileworkinghttp://www.connectingforhealth.nhs.uk/mobileworkinghttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/1499/149902.htmhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/1499/149902.htmhttp://www.kingsfund.org.uk/publications/slm_paper.htmlhttp://www.kingsfund.org.uk/publications/slm_paper.htmlhttp://www.chre.org.uk/satellite/413/http://www.chre.org.uk/satellite/413/http://www.chre.org.uk/satellite/413/http://www.kingsfund.org.uk/publications/slm_paper.htmlhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmhealth/1499/149902.htmhttp://www.connectingforhealth.nhs.uk/mobileworkinghttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132390http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132390http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132395http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132395


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Sexual Health

Alcohol and sex: a cocktail for poor sexual healthRoyal College of Physicians. Alcohol and Sexual Health Working Party.This report highlights links between alcohol consumption and poor sexual health outcomes. It

makes recommendations for population level initiatives, sexual health services,commissioning, training and research.http://www.bashh.org/documents/4075

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Telehealth

What can the NHS learn from experience at the US Veterans Health Administration?2020healthThis paper explores lessons learnt at the world's largest user of telehealth services: the USVeterans Health Administration (VHA). The VHA aims to support patients with long termconditions through care at a distance and self-management skills. This has led to significantreduction in acute care facilities and the commensurate expansion of outpatient clinics.http://www.2020health.org/2020health/Publication/NHSit/Telehealth.html

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Tobacco

Local Tobacco Control Profiles for EnglandLondon Health ObservatoryThese profiles provide a snapshot of the extent of tobacco use, tobacco related harm, and

measures being taken to reduce this harm at a local level. The indicators relating to quittingsmoking have been revised to reflect quitting as a proportion of the smoking population,rather than the total population. Also new in the final version is data on:

the cost per capita of smoking attributable hospital admissions in 2009/10,

smoking prevalence overall (until March 2011) and smoking prevalence in the routine

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