NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletin for NHS Primary Care in North Staffordshire

Issue No: 73 February 2013

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, NHS and Public Health staff in Stoke and North Staffordshire 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: 01782 679564 or 0300 123 1535 ext/FeatureNet 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:
Asthma...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Cardiovascular Diseases .......................................................................................................... 4 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 5 Dementia .................................................................................................................................. 6 Dental Health ............................................................................................................................ 6 End of Life Care ........................................................................................................................ 6 Eye Health ................................................................................................................................ 6 General Practice ....................................................................................................................... 6 Guidance .................................................................................................................................. 6 Health Reforms ......................................................................................................................... 8 Health Visitors ........................................................................................................................... 8 HIV ............................................................................................................................................ 9 Infection Control ........................................................................................................................ 9 Kidney Disease ......................................................................................................................... 9 Liver Disease ............................................................................................................................ 9 Maternal Health ...................................................................................................................... 10 Mental Health.......................................................................................................................... 10 Nursing ................................................................................................................................... 10 Obesity.................................................................................................................................... 10 Offender Health ...................................................................................................................... 10 Pain......................................................................................................................................... 10 Patient Care and Safety .......................................................................................................... 11 Pharmacy and Prescribing ...................................................................................................... 11 Physical Activity ...................................................................................................................... 12 Public Health ........................................................................................................................... 12 Safeguarding Children and Vulnerable Adults ........................................................................ 13 Screening................................................................................................................................ 14 Service Management .............................................................................................................. 14 Sexual Health ......................................................................................................................... 15 Social Care ............................................................................................................................. 15 Substance Misuse .................................................................................................................. 16 Tobacco .................................................................................................................................. 16 Vaccination and Immunisation ................................................................................................ 16 Workforce ............................................................................................................................... 17

NHS Library and Information Service North Staffordshire Asthma

Nurse versus physician-led care for the management of asthma Kuethe, MC et al. This Cochrane review assessed differences in the number of asthma exacerbations, asthma severity, costs, and quality of life, between patients receiving nurse or doctor led care. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009296.pub2/abstract Vaccines for preventing influenza in people with asthma Cates, CJ et al. This Cochrane review assesses the benefits and risks of flu vaccines for people with asthma. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000364.pub4/abstract
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Cancer
Facing the fight alone: Isolation among cancer patients Macmillan Cancer Support This report looks at the support networks available to patients, including by age, gender and geographic region. It considers the impact social isolation has on cancer patients, and their ability to look after themselves and manage their condition. http://www.macmillan.org.uk/Aboutus/OurNotAlonecampaign/Ournotalonecampaign.aspx
Items in the Screening section may be of interest. [back to topics]

Cardiovascular Diseases
Cardiovascular Disease Profiles South East Public Health Observatory These profiles provide a snapshot of key issues relating to heart disease and stroke, including prevention, incidence, and mortality. They have been designed to help health and well-being boards and local health services to assess the impact of these elements of cardiovascular disease on their local populations and the services provided to meet those needs. http://www.sepho.org.uk/CVDprofiles.aspx Deaths from cardiovascular diseases: Implications for end of life care in England National End of Life Care Intelligence Network This report describes the patterns in mortality from cardiovascular diseases in England, highlighting variation in place and cause of death by age, sex, socioeconomic deprivation and disease group. http://www.endoflifecareintelligence.org.uk/resources/publications/deaths_from_cardiovascular_diseases.aspx
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NHS Library and Information Service North Staffordshire Children and Young People
Better health outcomes for children and young people Department of Health The pledge is part of the governments response to the Children and Young Peoples Health Outcomes Forum. It outlines ambitions for different aspects of services for children and young people, including providing high quality, evidence based, integrated services, and including children and young people in decision making. http://www.dh.gov.uk/health/2013/02/national-pledge-cyp/ Changes in childrens BMI between 2006/07 and 2011/12 National Obesity Observatory Prevalence of obesity and mean BMI (adjusted for age) have been used to summarise the BMI of the child population by school year and sex. Analysis has also been conducted to examine changes by level of socioeconomic deprivation, by ethnic group, and across the BMI distribution. http://www.noo.org.uk/NCMP/National_report Family Nurse workforce: A study for the FNP national unit; study into the local costs of the FNP programme in England Department of Health These two reports look at the Family Nurse workforce, including career plans, recruitment and retention, and the cost of the Family Nurse Partnership programme. http://www.dh.gov.uk/health/2013/02/evaluation-fnp/
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Commissioning
2013/14 NHS Standard Contract NHS Commissioning Board The contract is for use by commissioners when commissioning healthcare services (other than those commissioned under primary care contracts) and is adaptable for use for a broad range of services and delivery models. http://www.commissioningboard.nhs.uk/nhs-standard-contract/ Securing the best value for patients: consultation response document Department of Health This document outlines the approach taken by the government in the regulations on procurement, patient choice and competition. http://www.dh.gov.uk/health/2013/02/consultation-responses-commissioners/ The regulations are available at http://www.dh.gov.uk/health/2013/02/ppcc-regulations-2013/ Primary Care Commissioning has produced a summary of the regulations available at http://www.pcc-cic.org.uk/article/procurement-choice-and-competition-regulations-0
Items in the Dental Health, Eye Health and Sexual Health sections may be of interest.

NHS Library and Information Service North Staffordshire Dementia

Items in the Offender Health section may be of interest.

Dental Health
Securing Excellence in Commissioning NHS Dental Services NHS Commissioning Board This new national single operating model takes a care pathway approach to dental services. http://www.commissioningboard.nhs.uk/2013/02/13/dental/
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End of Life Care

Items in the Cardiovascular Diseases section may be of interest.

Eye Health
Better data, better care: ophthalmic public health data report College of Optometrists This report has been compiled through a process of research and engagement within the ophthalmic public health sector. It looks at how IT systems and data can be used to improve understanding of the quality of optometry services. http://www.college-optometrists.org/en/utilities/document-summary.cfm?docid=BEA30498BFEC-4CEF-8F2DBD6985E0617E Commissioning better eye care: Clinical commissioning guidance - glaucoma College of Optometrists, and Royal College of Ophthalmologists This resource aims to help those designing and commissioning eye care improve the value of their services. http://www.rcophth.ac.uk/page.asp?section=631&sectionTitle=Commissioning+and+Valu e+for+Money+in+Ophthalmology
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General Practice
Items in the Substance Misuse section may be of interest. [back to topics]

Guidance
NICE Guidance Fertility: assessment and treatment for people with fertility problems CG156 http://guidance.nice.org.uk/CG156 6

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NICE Technology Assessments Macular oedema (diabetic) - ranibizumab TA274 http://guidance.nice.org.uk/TA274 Stroke and systemic embolism (prevention, non-valvular atrial fibrillation) - apixaban TA275 http://guidance.nice.org.uk/TA275 NICE Quality Standards Asthma QS25 http://guidance.nice.org.uk/QS25 The epilepsies in adults QS26 http://guidance.nice.org.uk/QS26 The epilepsies in children and young people QS27 http://guidance.nice.org.uk/QS27
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NICE Consultation Documents Urinary incontinence (update): guideline consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 26 March http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62657 Varicose veins: guideline consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 26 March http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62742 Attention deficit hyperactivity disorder: quality standard consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 21 March http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62824 Psoriasis: quality standard consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 26 March http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62880 7

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Familial hypercholesterolaemia: quality standard consultation To comment, register as a stakeholder, or contact the registered stakeholder organisation that most closely represents your interests. Closing date for comments: 28 March http://www.nice.org.uk/guidance/index.jsp?action=folder&o=62916
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Other Guidance Guidance for the Investigation Committee and case examiners when considering allegations about a doctor's involvement in encouraging or assisting suicide GMC http://www.gmcuk.org/Guidance_for_FTP_decision_makers_on_assisting_suicide.pdf_51024815.pdf When a patient seeks advice or information about assistance to die GMC http://www.gmcuk.org/When_a_patient_seeks_advice_or_information_about_assistance_to_die.pdf_510013 56.pdf

Health Reforms
Introducing Health Education England: Our Strategic Intent Health Education England This document sets out the purpose of HEE and the role it will play in leading education, training and development across the system to deliver improvements in the quality of care for patients. It also includes high level guidance for workforce planners. http://hee.nhs.uk/2013/01/31/our-strategic-intent/ Local Authorities: Health and Wellbeing Boards and Health Scrutiny Regulations Department of Health The publication of these regulations provide a step forward in enabling local authorities to finalise local preparations for health and wellbeing boards and health scrutiny arrangements. http://healthandcare.dh.gov.uk/hwbs-health-scrutiny-regulations-2013/
Items in the Public Health section may also be of interest. [back to topics]

Health Visitors
Why Health Visiting? A review of the literature about key health visitor interventions, processes and outcomes for children and families. Kings College London. National Nursing Research Unit This literature review is based on a broad search of the literature on health visiting, and was commissioned to support the Health Visitor Implementation Plan 2011-2015. http://www.kcl.ac.uk/nursing/research/nnru/publications/Reports/Why-Health-Visiting-NNRUreport-12-02-2013.pdf 8

NHS Library and Information Service North Staffordshire HIV

HIV outpatient pathway updated guidance Department of Health This guidance supports the implementation of the mandatory adult HIV outpatient and Payment by Results currency. http://www.dh.gov.uk/health/2013/02/hiv-pbr-update/

Infection Control
Gonoccocal resistance to antimicrobials surveillance programme (GRASP) action plan for England and Wales: informing the Public Health Response HPA The GRASP Action plan aims to raise awareness and provide advice on the international problem of antimicrobial resistant gonorrhoea. http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1317137983229
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Kidney Disease
Antiplatelet agents for chronic kidney disease Palmer, SC et al. This Cochrane review assessed the impact of antiplatelet agents on a number of outcomes, including cardiovascular and all cause mortality, stroke, and bleeding. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008834.pub2/abstract Kidney Disease CCG Profiles NHS Kidney Care The profiles are intended to help CCGs and other stakeholders, such as GPs and service providers, assess local kidney care need and current service levels in order to inform planning. http://www.kidneycare.nhs.uk/our_work_programmes/preventing_ill_health/kidney_disease_c cg_profiles/west_midlands/

Liver Disease
Caring for people with liver disease: a competence framework for nursing RCN This framework describes the knowledge, skills and attitudes that are required to deliver patient centred liver care. The work has been supported by a range of key stakeholders. http://www.rcn.org.uk/__data/assets/pdf_file/0017/503540/004_376.pdf
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NHS Library and Information Service North Staffordshire Maternal Health

Psychosocial and psychological interventions for preventing postpartum depression Dennis, C et al. This Cochrane review compares a number of different interventions, including those delivered by health professionals and lay people, group and individual interventions, and interventions for at-risk patient groups r all patients. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001134.pub3/abstract
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Mental Health
Items in the Maternal Health section may be of interest.

Nursing
Items in the Children and Young People and Liver Disease sections may be of interest.

Obesity
Items in the Children and Young People and Public Health sections may be of interest.

Offender Health
Losing track of time: Dementia and the ageing prison population: treatment challenges and examples of good practice Mental Health Foundation This report aims to scope existing research on treating and managing male offenders with cognitive impairment to identify and share examples of good practice employed by prisons around the globe. http://www.mentalhealth.org.uk/publications/losing-track-of-time/
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Pain
Topical capsaicin (high concentration) for chronic neuropathic pain in adults Derry, S et al. This Cochrane review assesses the benefits of topical capsaicin, and the circumstances in which it should not be used. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007393.pub3/abstract

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NHS Library and Information Service North Staffordshire Patient Care and Safety
Final Report: The Mid Staffordshire NHS Foundation Trust Public Inquiry Francis, R The final report is now available. It outlines the causes of the failings at Stafford Hospital, in both the Mid Staffordshire NHS Foundation Trust and in regulatory bodies. It makes recommendations for improvement. http://www.midstaffspublicinquiry.com/report Related documents: Department of Health response: http://www.dh.gov.uk/health/2013/02/dh-responds-midstaffs/ GMC response: http://www.gmc-uk.org/news/14380.asp RCN response: http://www.rcn.org.uk/newsevents/news/article/uk/rcn_responds_to_francis_inquiry NHS Confederation report Making it better? Assuring high-quality care in the NHS http://www.nhsconfed.org/Publications/discussion-paper/Pages/making-it-better.aspx Centre for Workforce Intelligence Workforce planning implications and learning points from Francis 2013 http://www.cfwi.org.uk/workforce-planning-news-and-review/publications/workforce-planningimplications-and-learning-points-from-francis-2013/ NHS Employers The Francis Report: using your staff survey data http://www.nhsemployers.org/EmploymentPolicyAndPractice/staffengagement/StaffEngagementLatestNews/Pages/TheFrancisReportusingyourstaffsurveydata.aspx The NHS Friends and Family Test Publication Guidance Department of Health This guidance details how the National Friends and Family Test results and data will be published to the public and NHS. http://www.dh.gov.uk/health/2013/02/nhs-fft-guidance/ State of Care report 2011/12 Care Quality Commission This report looks at the shape of care services in England and the quality of care that they provide to people. http://www.cqc.org.uk/public/reports-surveys-and-reviews/reports/state-care-report-2011/12
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Pharmacy and Prescribing

The Controlled Drugs (Supervision of Management and Use) Regulations 2013 Information about the Regulations Department of Health This document provides additional information about the changes made to the Regulations which come into effect on 1st April 2013 and which continue to promote good governance concerning the safe management and use of Controlled Drugs (CDs) in England and Scotland. http://www.dh.gov.uk/health/2013/02/cd-regulations/ 11

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Good practice in prescribing and managing medicines and devices GMC This guidance gives detailed information on good practice in prescribing. It also considers specific circumstances, including remote prescribing and sports medicine. http://www.gmc-uk.org/guidance/ethical_guidance/14316.asp Key therapeutic topics: Medicines management options for local implementation NICE This document summarises the evidence-base on topics identified to support the QIPP medicines use and procurement work stream, but is not formal NICE guidance. http://www.nice.org.uk/mpc/keytherapeutictopics/KeyTherapeuticTopics.jsp
Items in the Infection Control section may be of interest. [back to topics]

Physical Activity
NHS Sport and Health: a winning team NHS Confederation This briefing outlines how the NHS can work in partnership with local sporting bodies to reach greater numbers of people and promote sport as a way to improve peoples health. http://www.nhsconfed.org/Publications/briefings/Pages/sport-and-health.aspx
Items in the Public Health section may be of interest. [back to topics]

Public Health
2011 Census, Key Statistics and Quick Statistics for health areas and post code sectors in England and Wales Office for National Statistics The statistics in this release are a new presentation of the data published on 30 January 2013. They provide new best fit aggregations of these statistics for health administration areas and postcode sectors in England and Wales http://www.ons.gov.uk/ons/rel/census/2011-census/key-statistics-and-quick-statistics-forhealth-areas-and-post-code-sectors-in-england-and-wales/index.html Guidance for local authority charging on public health activity Department of Health This guidance contains information on what health improvement activity local authorities can charge for and what services must be free at the point of use, just as they were when provided by the NHS. http://www.dh.gov.uk/health/2013/02/la-ph-charging/

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Public Health England People Transition Policy: FAQs for Module 2 Department of Health This document looks at terms and conditions for staff on transfer into Public Health England, and for staff joining after 1 April 2013. http://healthandcare.dh.gov.uk/phe-faqs-mod2 Public Health Englands organisational structure and National Executive Department of Health http://healthandcare.dh.gov.uk/phe-organisational-structure Public Health Outcomes Framework Data Tool Public Health England New data for baselines and trends is now available for some indicators. http://www.phoutcomes.info/ Public health services non mandatory contracts and guidance Department of Health This contract is designed for use by local authorities in commissioning services to meet their new public health functions. It is adaptable for use for a broad range of public health services and delivery models. http://www.dh.gov.uk/health/2013/01/phs-contract/ Statistics on Obesity, Physical Activity and Diet: England, 2013 NHS Information Centre for Health and Social Care http://www.ic.nhs.uk/catalogue/PUB10364
Items in the Eye Health section may also be of interest. [back to topics]

Safeguarding Children and Vulnerable Adults

Information Sharing to tackle violence: Audit of progress on delivering the Coalition Commitment 2012 Centre for Public Innovation This audit looks at whether A&E departments are sharing information with Community Safety Partnerships to help reduce violence in their local areas. http://www.publicinnovation.org.uk/wp-content/uploads/2013/01/AE-Data-Sharing-Audit2012.pdf
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NHS Library and Information Service North Staffordshire Screening

Personalised risk communication for informed decision making about taking screening tests Edwards, AGK et al. This review looked at the impact of personalised risk communication, compared to standard information, on decision making. The evidence relates mainly to breast and colorectal cancer. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001865.pub3/abstract
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Service Management
15 Steps Challenge NHS Institute These toolkits have been co-produced with patients, carers, relatives, volunteers, staff, and senior leaders, to look at care in a variety of settings through the eyes of patients and service users, to help capture what good quality care looks, sounds and feels like. 15 Steps Challenge for clinic and outpatient settings http://www.institute.nhs.uk/option,com_joomcart/main_page,document_product_info/products _id,945/cPath,106.html 15 Steps Challenge for community settings http://www.institute.nhs.uk/option,com_joomcart/Itemid,194/main_page,document_product_inf o/cPath,83/products_id,941.html Approved Costing Guidance Monitor This guide sets out costing principles, costing standards, and guidance for both reference costs and Patient-Level Information and Costing Systems collections for 2012-13. http://www.monitor-nhsft.gov.uk/costingguidance Confirmation of Payment by Results arrangements for 2013-14 Department of Health http://www.dh.gov.uk/health/2013/02/2013-14-pbr/ How is the health and social care system performing? February 2013 Quarterly monitoring report Kings Fund This is the seventh quarterly monitoring report produced by the Kings Fund. http://www.kingsfund.org.uk/publications/how-health-and-social-care-system-performingfebruary-2013 The new NHS provider licence Monitor This licence is the new main tool with which Monitor will regulate providers of NHS services. http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/ourpublications/monitors-new-role/the-new-nhs-provider-licence

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Reference costs guidance for 2012-13 Department of Health This final guidance sets out requirements for the collection of 2012-13 reference costs from NHS trusts and NHS foundation trusts between 24 June and 26 July 2013. http://www.dh.gov.uk/health/2013/02/ref-costs-guidance/ Sustainable Development Strategy for the Health and Care System 2014 - 2020: Consultation NHS Sustainable Development Unit The new strategy embraces the whole health, public health and social care system. It will define where we need to be on the path to sustainable health care by 2020 and the measures and targets against which progress will be measured. Closing date for comments: 31st May 2013 http://www.sdu.nhs.uk/sustainable-health/engagement-resources.aspx
Items in the Commissioning and Workforce sections may also be of interest. [back to topics]

Sexual Health
Sexual health commissioning FAQs Local Government Association These FAQs address a number of transitional issues relating to the transfer of responsibility for commissioning sexual health services to local government. http://www.local.gov.uk/web/guest/publications//journal_content/56/10171/3880628/PUBLICATION-TEMPLATE
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Social Care
Not just a number: Home care inspection programme national overview Care Quality Commission The review looked at whether people receiving care at home are treated with dignity and respect, and whether they have a choice about the care they receive and benefit from effective systems to keep them safe. http://www.cqc.org.uk/public/news/issues-affecting-delivery-good-home-care-services Policy statement on care and support funding reform and legislative requirements Department of Health These measures are based on the Dilnot recommendations. http://www.dh.gov.uk/health/2013/02/funding-socialcare/

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Topics for new NICE quality standards and guidance to improve the quality of social care Department of Health This consultation seeks views on topics for NICE quality standards and guidance to help improve the quality of social care and the interface with health services. Closing date for comments: 26 April http://consultations.dh.gov.uk/quality-and-safety/nice-future-quality-standards-2
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Substance Misuse
Primary care drug and alcohol treatment: commissioning and provision against a backdrop of localism RCGP This paper considers the future impact of the changing commissioning environment on primary care drug and alcohol treatment, and the specific challenges and opportunities for primary care. http://www.rcgp.org.uk/policy/rcgp-policy-areas/substance-misuse-recovery.aspx Using TOP to enhance keyworking and improve outcomes National Treatment Agency for Substance Misuse The Treatment Outcomes Profile (TOP) measures change and progress in key areas of the lives of people being treated in drug and alcohol services. TOP consists of 20 simple questions focusing on the areas that can make a real difference to clients' lives - substance use, injecting risk behaviour, crime and health and quality of life. http://www.nta.nhs.uk/uploads/clinicalutilitytoollayout.v1.2.pdf Additional information about the Treatment Outcomes Profile is available at http://www.nta.nhs.uk/news-2013-TOP.aspx
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Tobacco
Local Tobacco Control Profiles for England Public Health England The profiles have been updated with new data. http://www.tobaccoprofiles.info/ Efficacy of cytisine in helping smokers quit: systematic review and meta-analysis Hajek, P et al. This review is based on 8 trials. It looks at the effectiveness and side-effects of cytosine, and makes recommendations on licensing it for use in the UK. Thorax doi:10.1136/thoraxjnl-2012-203035

Vaccination and Immunisation

Items in the Asthma section may also be of interest.

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NHS Library and Information Service North Staffordshire Workforce

Big picture challenges for health and social care: Implications for workforce planning, education, training and development Centre for Workforce Intelligence This report aims to encourage readers to consider how Health Education England and partners could help to address the challenges facing health and social care. http://www.cfwi.org.uk/workforce-planning-news-and-review/publications/big-picturechallenges-for-health-and-social-care-implications-for-workforce-planning Government Response to the House of Commons Health Committee Report of Session 2012-13: 2012 accountability hearing with the General Medical Council Department of Health This report explains new checks on the English language skills of doctors from outside the UK coming to work for the NHS, and also outlines a national performers list that will be set up. http://www.dh.gov.uk/health/2013/02/hsc-response/ How to: source temporary staff NHS Employers This guide looks at different options for sourcing temporary staff. It also considers how to make the best use of the organisations substantive workforce. http://www.nhsemployers.org/PlanningYourWorkforce/Flexibleworkforce/AgencyWorkers/ReducingAgencySpend/HowToGuides/How_to_source_temporary _staff/Pages/HowToProcureAnAgencyMemberOfStaff.aspx The Impact of the Working Time Regulations on Medical Education and Training GMC This research is based on case studies and a literature review. http://www.gmc-uk.org/about/research/14413.asp Results of the 2012 NHS staff survey Department of Health The results are primarily intended for use by NHS organisations to help them review and improve staff experience so that staff can provide better patient care. http://www.dh.gov.uk/health/2013/02/staff-survey-2012/
Items in the Health Reforms sections may be of interest. [back to topics]

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