NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire

Issue No: 68 September 2012

About this Bulletin: It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Where possible, links to the full text documents are included. If the article is in a journal, you can contact the Health Library for a copy. Link to request form: http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/interlibraryloans/#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 Outreach Librarians, 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 suggest further useful sites. Feedback is always welcomed to inform future issues of the bulletin.

Contact information

Bulletin produced by NHS Outreach Librarians Tel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429) E-mail: lindsay.snell@northstaffs.nhs.uk clareh.powell@northstaffs.nhs.uk

North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: health.library@keele.ac.uk

NHS Library and Information Service North Staffordshire

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.uk Daily Health Bulletin http://www.sheffield.nhs.uk/healthbulletin/ Department of Health http://www.dh.gov.uk/en/index.htm Kings Fund http://www.kingsfund.org.uk/ NeLM (National Electronic Library for Medicines) news bulletin http://www.nelm.nhs.uk/en/ NICE http://www.nice.org.uk/ SIGN http://www.sign.ac.uk/new.html

NHS Library and Information Service North Staffordshire Contents in this issue:
Arthritis...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Cardiovascular Diseases .......................................................................................................... 4 Carers ....................................................................................................................................... 5 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 5 Dementia .................................................................................................................................. 6 Diabetes.................................................................................................................................... 7 Diet ........................................................................................................................................... 7 End of Life Care ........................................................................................................................ 7 Epilepsy .................................................................................................................................... 7 Falls .......................................................................................................................................... 8 Funding and Finances .............................................................................................................. 8 General Practice ....................................................................................................................... 9 Guidance .................................................................................................................................. 9 Health Reforms ....................................................................................................................... 10 Health Technology .................................................................................................................. 10 Infections ................................................................................................................................ 11 Intermediate care .................................................................................................................... 11 Long Term Conditions............................................................................................................. 11 Mental Health.......................................................................................................................... 11 Nursing ................................................................................................................................... 12 Older People ........................................................................................................................... 12 Pain......................................................................................................................................... 13 Patient Care and Safety .......................................................................................................... 13 Pharmacy and Prescribing ...................................................................................................... 14 Physical Activity ...................................................................................................................... 14 Public Health ........................................................................................................................... 14 Respiratory Disease................................................................................................................ 14 Safeguarding Children and Vulnerable Adults ........................................................................ 15 Service Management .............................................................................................................. 16 Social Care ............................................................................................................................. 16 Substance Misuse .................................................................................................................. 16 Vaccination and Immunisation ................................................................................................ 17 Womens Health ..................................................................................................................... 17 Workforce ............................................................................................................................... 17

NHS Library and Information Service North Staffordshire Arthritis

Risk of Malignancies in Patients With Rheumatoid Arthritis Treated With Biologic Therapy: A Meta-analysis Lopez, MA et al. This meta-analysis looked at the risk of malignancies for patients treated with a range of biologic therapies for up to one year. JAMA. 2012;308(9) p.898-908. doi:10.1001/2012.jama.10857
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Cancer
Cancer mortality projections Cancer Research UK These projections use data from 1971-2010 to project cancer mortality rates to 2030. http://www.cancerresearchuk.org/cancer-info/cancerstats/mortality/mortality-projections/
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Cardiovascular Diseases
Cardiovascular disease risk in healthy children and its association with body mass index: systematic review and meta-analysis Friedemann, C et al. This study looked at a range of indicators of cardiovascular risk in children from developed countries, to assess whether there is a link between cardiovascular risk and body mass index in children. BMJ 2012; 345 doi: 10.1136/bmj.e4759 (Published 25 September 2012) Clinical service organisation for heart failure Takeda, A et al. This Cochrane review assessed the impact of a range of different services, including case management and multidisciplinary teams, on mortality and readmissions to hospital. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002752.pub3/abstract Effect of Statins on Venous Thromboembolic Events: A Meta-analysis of Published and Unpublished Evidence from Randomised Controlled Trials Rahimi, K et al. This article looks at the impact of different doses of statins on the risk of deep vein thrombosis and pulmonary embolism. PLoS Med 9(9): e1001310. doi:10.1371/journal.pmed.1001310 European Cardiovascular Disease Statistics 2012 European Heart Network These statistics cover issues such as lifestyles, mortality, and costs of cardiovascular disease. http://www.ehnheart.org/cvd-statistics/cvd-statistics-2012.html 4

NHS Library and Information Service North Staffordshire Carers

Items in the Health Technology section may be of interest.

Children and Young People

Antibiotics for otitis media with effusion in children Van Zon, A et al. This Cochrane review looked at the effectiveness of antibiotics, and also considered antibiotic resistance in drawing its conclusions. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009163.pub2/abstract The assistant practitioner role in children and young peoples services: working party report and recommendations for practice RCN This report looks at a range of issues related to assistant practitioners in childrens services, including training, workforce planning and the definition of an assistant practitioner. http://www.rcn.org.uk/__data/assets/pdf_file/0003/474276/004225.pdf Using the views of children and young people to influence change: Durham County Council Ofsted Children and young people contribute through the Investing in Children (IiC) service to highprofile issues such as obesity, emotional health and sexual health. http://www.ofsted.gov.uk/resources/good-practice-resource-using-views-of-children-andyoung-people-influence-change-durham-county-counc
Items in the Diabetes and Public Health sections may be of interest.

Commissioning
A Clinical Commissioners Guide to the Voluntary Sector NHS Alliance This guide is intended to support closer and more effective working between clinical commissioners and voluntary organisations. It explores models for successful collaboration between commissioners and sector organisations in the new landscape of clinical commissioning and developing provider markets. http://www.acevo.org.uk/document.doc?id=2206 The Engagement Cycle NHS Institute for Improvement and Innovation This resource sets out what is required of commissioners when engaging patients, carers and the public in decisions about health service provision. It provides practical advice, case-study examples and links to other information. http://www.institute.nhs.uk/tools/the_engagement_cycle/the_engagement_cycle_introduction. html

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Evaluation of the NHS Atlas of Variation NHS RightCare This evaluation gives a number of case studies of how the atlas has been used by CCGs. http://bit.ly/lseatlasstudy From Insights to Action: identifying opportunities to improve value in NHS Derby and Derbyshire Countys CCG populations NHS RightCare This case study looks at the implementation of NHS RightCares Commissioning for Value packs to identify savings across a PCT cluster. http://www.rightcare.nhs.uk/downloads/Right_Care_Casebook_CfV_20092012.pdf Identifying Value Opportunities in local commissioning: Service Reviews and Business Process Engineering NHS RightCare This case study reports how CCGs used a range of tools to identify where to look for savings. http://www.rightcare.nhs.uk/downloads/Casebook_Service_Reviews_and_BPE_final.pdf Procurement of healthcare (clinical) services: Briefings for CCGs NHS Commissioning Board These briefings outline some of the key considerations when undertaking a procurement process. The briefings are: Introduction: Why do CCGs need to understand procurement? How does procurement fit with the different stages of commissioning? What are the procurement options? Which rules apply to a procurement process? How should a procurement process be conducted? Summary of the decision-making process. http://www.commissioningboard.nhs.uk/2012/09/14/procure-ccgs/ Spend and Outcome Tool (SPOT) NHS Right Care This quadrant analysis tool graphically illustrates where you stand, compared to similar CCG populations, on the health outcomes achieved for health spend. Clinical Commissioners can use this, with other tools, to identify priority programmes for improvement or innovation. http://www.rightcare.nhs.uk/index.php/2012/09/ccgs-do-you-know-how-much-you-spend-onyour-population-for-diabetes-care-and-the-health-outcomes-you-get-for-that-spend/
Items in the Nursing, Older People and Respiratory Disease sections may also be of interest. [back to topics]

Dementia
Cholinesterase inhibitors for mild cognitive impairment Russ, T et al. This review looked at the efficacy and safety of cholinesterase inhibitors. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009132.pub2/abstract 6

NHS Library and Information Service North Staffordshire Diabetes

National Paediatric Diabetes Audit Report 2010-11 Healthcare Quality Improvement Partnership This report looks at demographics of children with diabetes, care processes and outcomes. http://www.hqip.org.uk/national-paediatric-diabetes-audit-report-2012/
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Diet
Standard Evaluation Framework for dietary interventions National Obesity Observatory The Framework aims to describe and explain the information that should be collected in any evaluation of an intervention that aims to improve dietary intake or associated behaviour. It is aimed at interventions that work at individual or group level, not at population level. http://www.noo.org.uk/core/frameworks/SEF_Diet

End of Life Care

End of life care in extra care housing: Learning resource pack for housing, care and support staff NHS National End of Life Care Programme This pack provides practical information and advice for managers and support staff working in extra care housing schemes. It covers a range of issues relating to the care of residents with a life-limiting or progressive condition. http://www.endoflifecareforadults.nhs.uk/publications/eolclearningresourcehousing21 Reviewing end of life care costing information to inform the QIPP End of Life Care Workstream NHS National End of Life Care Programme This review analyses 57 documents to seek the answers to 8 questions relating to end of life care costs in acute hospital settings and in community settings and to consider the potential cost savings of shifting the place of care. It also draws conclusions about the quality of data available. http://www.endoflifecareforadults.nhs.uk/publications/qipp-costings-report
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Epilepsy
Epilepsy12: United Kingdom collaborative clinical audit of health care for children and young people with suspected epileptic seizures Healthcare Quality Improvement Partnership This report highlights where services are doing and well and where improvements are needed on 12 standard measures. http://www.hqip.org.uk/epilepsy12-uk-wide-audit-report-2012/

NHS Library and Information Service North Staffordshire Falls

Interventions for preventing falls in older people living in the community Gillespie, LD et al. This Cochrane review looked at a wide range of interventions for reducing falls. Economic evaluations were included in the review. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007146.pub3/abstract
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Funding and Finances

NHS financial year 2011/12: a summary of auditors' work Audit Commission This report summarises the findings from the 2011/12 audit of primary care trust (PCT), NHS trust and strategic health authority (SHA) accounts. It also examines some of the productivity challenges in the NHS. http://www.auditcommission.gov.uk/nationalstudies/health/financialmanagement/pages/nhsfinancialyear1112. aspx Papering over the cracks: the impact of social care funding on the NHS NHS Confederation This Briefing outlines the current demographic and financial realities of social care and how these impact upon the NHS. http://www.nhsconfed.org/Publications/briefings/Pages/papering-over-cracks.aspx Patient-level costing: can it yield efficiency savings? Nuffield Trust This report looks at the benefits and possible challenges of patient-level costing. http://www.nuffieldtrust.org.uk/publications/patient-level-costing-can-it-yield-efficiency-savings Personal health budgets for continuing healthcare: the 10 features of an effective process In Control This report is based on the experiences of PCT clusters in the North West of England. http://www.incontrol.org.uk/media/119345/10%20features%20of%20an%20effective%20process%20final.p df Supporting the North West on personal budgets In Control This report looks at areas of implementation of personal budgets which caused particular problems for councils in the North West, and how these were overcome. http://www.incontrol.org.uk/media/119020/incontrol%20personal%20budget%20full%20report%20final.pdf Summary: http://www.incontrol.org.uk/media/119154/incontrol%20personal%20budget%20summ%20pdf%20final.pdf
Items in the End of Life Care section may be of interest.

NHS Library and Information Service North Staffordshire General Practice

GP Earnings and Expenses 2010/11 Information Centre for Health and Social Care These statistics cover both contractor and salaried GPs in the UK in 2010/11. Results are based on data from HM Revenue and Customs' tax self assessment database. http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/general-practice/gp-earningsand-expenses-2010-11 Investment in General Practice 2007/08 to 2011/12 England, Wales, Northern Ireland and Scotland Information Centre for Health and Social Care The report draws on information obtained from country level financial monitoring reports. http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/general-practice/investmentin-general-practice-2007-08-to-2011-12-england-wales-northern-ireland-and-scotland
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Guidance
NICE Clinical Guidelines Headaches CG150 http://guidance.nice.org.uk/CG150 Smokeless tobacco cessation - South Asian communities PH39 http://guidance.nice.org.uk/PH39 NICE Quality Standards Antenatal care quality standard QS22 http://guidance.nice.org.uk/QS22
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NICE Consultation Documents Drug allergy: consultation on the draft scope To comment, contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 31 October 2012 http://www.nice.org.uk/guidance/index.jsp?action=folder&o=60966 Hypertension draft quality standard To comment, register as a stakeholder organisation, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 2 November 2012 http://www.nice.org.uk/guidance/qualitystandards/indevelopment/Hypertension.jsp 9

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Management of venous thromboembolic diseases: quality standard To comment, register as a stakeholder organisation, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 31 October 2012 http://www.nice.org.uk/guidance/qualitystandards/indevelopment/ManagementVenousThromb oembolicDiseases.jsp Other Guidelines European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice Eur Heart J 2012;33 p.16351701, doi: 10.1093/eurheartj/ehs092

Health Reforms
Primary care for the 21st century: learning from New Zealand's independent practitioner associations Nuffield Trust This report makes recommendations for effective implementation of GP Commissioning Consortia, based on the experiences of Independent Practitioner Associations in New Zealand. http://www.nuffieldtrust.org.uk/publications/primary-care-21st-century-learning-new-zealandsindependent-practitioner-associations Stronger together: a UNISON guide to influencing the new NHS Unison This guide provides information on how to get involved in the work of foundation trusts and clinical commissioning groups, as well as through local authorities and patient and public involvement structures. http://www.unison.org.uk/ournhs/news_view.asp?did=14796
Items in the Nursing sections may also be of interest. [back to topics]

Health Technology
Carers and telecare Carers UK This report is based on a survey of over 4000 carers, and looks at their experiences of the benefits and drawbacks of using telehealth. http://www.carersuk.org/professionals/resources/research-library/item/2748-carers-andtelecare
Items in the Patient Care and Safety sections may also be of interest. [back to topics]

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NHS Library and Information Service North Staffordshire Infections

GRASP 2011 Report: The Gonococcal Resistance to Antimicrobials Surveillance Programme Health Protection Agency This report considers current trends in antimicrobial resistance, and how this affects different patient groups. http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/GRASPReports/1209GR ASP2011/
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Intermediate care
National Audit of Intermediate Care Report: 2012 NHS Benchmarking Network The Audit aims to measure intermediate care service provision and performance against standards derived from Department of Health guidance, and to provide national comparative data for bed and home based intermediate care services. http://www.nhsbenchmarking.nhs.uk/docs/NAIC_report_20120912.pdf
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Long Term Conditions

Peer Support in Long Term Conditions: The Basics Mental Health Foundation This document brings together good practice and guidance, based on research evidence as well as the experiences of experts in delivering peer support and those who have received peer support. http://www.mentalhealth.org.uk/publications/187654/
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Mental Health
Community mental health survey 2012 Care Quality Commission This survey looked at the experiences of people receiving community mental health services. http://www.cqc.org.uk/public/reports-surveys-and-reviews/surveys/community-mental-healthsurvey-2012 Guardianship under the Mental Health Act 1983 - England 2012 Information Centre for Health and Social Care This report contains information at national, regional and local authority level. http://www.ic.nhs.uk/statistics-and-data-collections/mental-health/mental-healthact/guardianship-under-the-mental-health-act-1983--england-2012 11

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How we support the rights and interests of people on community treatment orders (CTOs) Care Quality Commission This information leaflet is written for patients. http://www.cqc.org.uk/public/news/your-rights-under-mental-health-act
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Nursing
Developing the culture of compassionate care: Creating a new vision and strategy for Nurses, Midwives and Care-Givers NHS Commissioning Board This consultation aims to inform the strategy for the development of the nursing, midwifery and care-giving professions. Closing date for comments: 16 November 2012 http://www.commissioningboard.nhs.uk/2012/09/21/nursingvision/ Fact sheet: Health and wellbeing boards RCN This briefing outlines what is known so far about Health and Wellbeing Boards. http://www.rcn.org.uk/__data/assets/pdf_file/0008/473822/25._Health_and_wellbeing_board_f actsheet_final_September_2012.pdf Safe staffing for older peoples wards: summary guidance and recommendations RCN This guidance looks at numbers of staff and skill mix required fr safe staffing, and the impact of current economic pressures. http://www.rcn.org.uk/__data/assets/pdf_file/0010/439399/Safe_staffing_for_older_people_V3 .pdf
Items in the Children and Young People sections may also be of interest. [back to topics]

Older People
Implementing a ban on age discrimination in the NHS making effective, appropriate decisions Department of Health This document looks at the ban on age discrimination. It also covers circumstances where it is appropriate to take age into account when commissioning or providing services. http://www.dh.gov.uk/health/2012/09/briefing-age-discrimination/

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Understanding and improving transitions of older people: a user and carer centred approach National Institute for Health Research This project focuses on older people and their transition between different services and agencies in health and social care. Following interviews with older people, the researchers looked at projects which aimed to implement improvements based on those interviews. http://www.netscc.ac.uk/hsdr/projdetails.php?ref=08-1809-228 Working with older lesbian, gay and bisexual people: a guide for care and support services Stonewall The guide provides information on the law. supporting older LGB people. tips and case studies for care homes, domiciliary services, health care services, housing providers and councils, and involving LGB people in service provision. http://www.stonewall.org.uk/what_we_do/research_and_policy/sexual_orientation__equality_ strands/8025.asp
Items in the Nursing section may also be of interest. [back to topics]

Pain
Topical NSAIDs for chronic musculoskeletal pain in adults Derry, S et al. This review compared a range of topical NSAIDs used in 34 studies with 7688 participants. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007400.pub2/abstract
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Patient Care and Safety

British Social Attitudes Survey National Centre for Social Research This survey looks at attitudes on a range of issues. The chapter on Health looks at subjects such as public satisfaction with the NHS. http://bsa-29.natcen.ac.uk/read-the-report/health/introduction.aspx Improving Patient Handovers From Hospital to Primary Care: A Systematic Review Hesselink, G et al. This review looked at the impact of a range of interventions on reducing hospital use, and improving patient care. Ann Intern Med. 18 September 2012;157(6) p. 417-428 Personal Health Records - Putting patients in control? 202Health This report looks at national and international experience of personal health records, and considers what will be needed for patients to use personal health records effectively. http://www.2020health.org/2020health/Publication/NHSit/Public-Health-Records.html 13

NHS Library and Information Service North Staffordshire Pharmacy and Prescribing
Consultation on proposed changes to the governance arrangements for controlled drugs Department of Health This consultation is on proposed changes to the governance arrangements for controlled drugs in England and Scotland, including the role and functions of Controlled Drugs Accountable Officers (CDAOs). Closing date for comments: 27 September 2012 http://www.dh.gov.uk/health/2012/09/controlled-drugs/

Physical Activity
Standard Evaluation Framework for physical activity interventions National Obesity Observatory The Framework aims to describe and explain the information that should be collected in any evaluation of an intervention that aims to increase participation in physical activity. It is aimed at interventions that work at individual or group level, not at population level. http://www.noo.org.uk/core/frameworks/SEF_PA
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Public Health
Home safety education and provision of safety equipment for injury prevention Kendrick, D et al. This Cochrane review assessed the effectiveness of interventions on reducing injury and increasing safety. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005014.pub3/abstract Preventing suicide in England: a cross-government outcomes strategy to save lives Department of Health The strategy supports action by bringing together knowledge about groups at higher risk of suicide, applying evidence of effective interventions and highlighting resources available. http://www.dh.gov.uk/health/2012/09/suicide-prevention/
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Respiratory Disease
Atlas of Variation in Healthcare for People with Respiratory Disease NHS RightCare This atlas looks at variations in diagnosis, emergency admissions and treatment between different areas, and makes recommendations for improving care. http://www.rightcare.nhs.uk/index.php/atlas/respiratorydisease/

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NHS Library and Information Service North Staffordshire

Designing and commissioning services for adults with asthma: A good practice guide NHS Primary Care Commissioning This good practice guide outlines the case for improving outcomes for people with asthma and what the elements of a good service look like. http://www.pcc.nhs.uk/uploads/Publications/2012/09/asthma_e-guide.pdf
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Safeguarding Children and Vulnerable Adults

Arrangements to secure childrens and adult safeguarding in the future NHS: the new accountability and assurance framework interim advice NHS Commissioning Board This advice focuses primarily on the new NHS commissioning system. It provides additional information to emerging CCGs linked to authorisation and beyond, and sets out how the NHS CB intends to fulfil its duties and responsibilities, both as the commissioner of some healthcare services and in its oversight role. http://www.commissioningboard.nhs.uk/files/2012/09/interim-safeguarding.pdf Deprivation of Liberty Safeguards (DOLS): Funding Fact-Sheet for 2013/14 Department of Health This factsheet announces funding for new local authority responsibilities for assessing and authorising a Deprivation of Liberty in a hospital setting. http://www.dh.gov.uk/health/2012/09/dolsfactsheet/ Information Sharing to Tackle Violence Guidance for Community Safety Partnerships on engaging with the NHS Department of Health This Guidance highlights how Community Safety Partnerships can reduce violence in their community by encouraging A&Es to collect and share information on assaults. http://www.dh.gov.uk/health/2012/09/information-sharing/ Safeguarding adults: Mediation and family group conferences Social Care Institute for Excellence This report looks at the evidence for how mediation and family group conferences can be used to empower people to resolve their own problems. http://www.scie.org.uk/publications/mediation/index.asp Silent voices: supporting children and young people affected by parental alcohol misuse Childrens Commissioner This rapid review summarises what is known about children affected by parental alcohol misuse. http://www.childrenscommissioner.gov.uk/content/publications/content_619 Related briefing: http://www.childrenscommissioner.gov.uk/content/publications/content_620
Items in the Workforce section may also be of interest.

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NHS Library and Information Service North Staffordshire Service Management

NHS Outcomes Framework indicators - September 2012 Release Information Centre for Health and Social Care This release includes nine indicators published as part of the NHS Outcomes Framework for the first time. http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomesframework-indicators/nhs-outcomes-framework-indicators--september-2012-release QIPP Initiatives Map NHS Connecting for Health This map shows where different QIPP projects are taking place. Click on the icons for further details about the projects, including contact details. http://www.connectingforhealth.nhs.uk/systemsandservices/qipp/initiatives/map Transforming the delivery of health and social care: the case for fundamental change Kings Fund This report makes recommendations for sweeping changes to service delivery and models of care, to keep pace with growing demand and demographic changes. http://www.kingsfund.org.uk/publications/case_for_change.html
Items in the Cardiovascular Diseases, Children and Young People, End of Life Care, Funding and Finances, Health Reforms and Workforce sections may also be of interest. [back to topics]

Social Care
Care Skillsbase Social Care Institute for Excellence This resource is for employers and managers of care and support staff to help them address communication and number skills in the workplace. Use Care Skillsbase with staff to help identify areas for improvement and build confidence in their skills and knowledge. http://www.scie.org.uk/workforce/careskillsbase/
Items in the Safeguarding Children and Vulnerable Adults and Funding and Finances sections may be of interest.

Substance Misuse
Delivering Quality Care for Drug and Alcohol Users: the Roles and Competencies of Doctors Royal College of Psychiatrists This guidance looks at the role and competencies needed by generalists and specialists working with patients who use drugs and alcohol, in the light of current patterns of drug use, the emphasis on recovery, and current health reforms. http://www.rcpsych.ac.uk/publications/collegereports/cr/cr173.aspx
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NHS Library and Information Service North Staffordshire Vaccination and Immunisation
Green Book Chapter Updates Department of Health The following chapters have been updated: Chapter 25: Pneumococcal http://immunisation.dh.gov.uk/green-book-chapters/chapter-25/ Chapter 31: Tick-borne encephalitis (updated 28 September 2012) http://immunisation.dh.gov.uk/green-book-chapters/chapter-31/ Chapter 27: Rabies (updated 28 September 2012) http://immunisation.dh.gov.uk/green-book-chapters/chapter-27/ Chapter 8: Vaccine safety and adverse events following immunisation (updated 21 September 2012) http://immunisation.dh.gov.uk/green-book-chapters/chapter-8/ Chapter 34: Varicella (updated: 21 September 2012) http://immunisation.dh.gov.uk/green-book-chapters/chapter-34/
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Womens Health
Inhaled analgesia for pain management in labour Klomp, T et al. This Cochrane review compared different types of analgesia, and also compared inhaed analgesia with no intervention or placebo. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009351.pub2/abstract Tomorrows Specialist: Working Party Report to describe how tomorrows specialists will work in teams delivering high quality womens health care, and to propose innovative and rewarding ways of working for tomorrows specialists, embracing training, lifelong learning and professional challenge Royal College of Obstetricians and Gynaecologists This report includes suggestions for how specialists might provide services in the community as well as in hospitals in future. http://www.rcog.org.uk/womens-health/clinical-guidance/tomorrowsspecialist?utm_source=fp&utm_medium=banner&utm_campaign=tomspec
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Workforce
Criminal record and barring checks: new decision tree tool NHS Employers This tool has been produced to support employers in making decisions about whether posts are eligible for criminal record checks under the terms of the Safeguarding Vulnerable Groups Act (as amended by the Protection of Freedoms Act 2012). http://www.nhsemployers.org/RecruitmentAndRetention/Employment-checks/employmentcheck-news/Pages/Whatpositionsareeligibleforcriminalrecordandbarringchecks.aspx 17

NHS Library and Information Service North Staffordshire

NHS Revalidation Support Team These five reports summarise the work of the RSTs testing and piloting project in 2011-12. The project aimed to inform the implementation of revalidation and to provide information to inform the Department of Health (England)s business case for revalidation. The five reports are: Testing and Piloting 2011-12: a summary of findings and learning Medical Appraisal Guide Pilot: Pilot results Public and Patient Involvement in Revalidation Doctors in Training: a summary of findings Colleague and Patient Feedback Study: A summary of findings http://www.revalidationsupport.co.uk/events/news_media/news-article.php?id=20 The state of medical education and practice in the UK: 2012 GMC This report aims to examine variation in current practice, with a view to encouraging high quality patient care. http://www.gmc-uk.org/publications/somep2012.asp
Items in the Children and Young People, Older People, Substance Misuse and Womens Health sections may also be of interest. [back to topics]

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