Clinical Effectiveness Bulletin no. 63 Apr 12

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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: 63 April 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.htm Kings 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 ...................................................................................................................................... 4Appendicitis .............................................................................................................................. 4Asthma ...................................................................................................................................... 4Cancer ...................................................................................................................................... 4Cardiovascular Diseases .......................................................................................................... 5Children and Young People ...................................................................................................... 5Commissioning ......................................................................................................................... 6Dementia .................................................................................................................................. 7Dental Health ............................................................................................................................ 7Diabetes .................................................................................................................................... 7Emergencies ............................................................................................................................. 7Foot Care .................................................................................................................................. 8Gay and Bisexual Men .............................................................................................................. 8General Practice ....................................................................................................................... 8

Guidance .................................................................................................................................. 9Health Reforms ....................................................................................................................... 12Infections ................................................................................................................................ 13Information and data ............................................................................................................... 13Irritable Bowel Syndrome ........................................................................................................ 13Kidney Disease ....................................................................................................................... 14Learning Disabilities ................................................................................................................ 14Long Term Conditions............................................................................................................. 14Maternal and Infant Health ...................................................................................................... 15Medical Workforce .................................................................................................................. 15Mental Health .......................................................................................................................... 16Nursing and Midwifery ............................................................................................................ 16Nutrition .................................................................................................................................. 17Obesity .................................................................................................................................... 17Patient Care and Safety .......................................................................................................... 17Pharmacy and Prescribing ...................................................................................................... 18Public Health ........................................................................................................................... 19Safeguarding Children and Vulnerable Adults ........................................................................ 20Service Management .............................................................................................................. 20Sexual Health ......................................................................................................................... 21Social Care ............................................................................................................................. 22Substance Misuse .................................................................................................................. 23Tobacco .................................................................................................................................. 23Vaccination and Immunisation ................................................................................................ 23Workforce ............................................................................................................................... 23


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Alcohol

Items in the Substance Misuse section may also be of interest.

Appendicitis

Safety and efficacy of antibiotics compared with appendicectomy for treatment ofuncomplicated acute appendicitis: meta-analysis of randomised controlled trialsVaradhan, K et al.BMJ 2012; 344 doi: 10.1136/bmj.e2156 (Published 5 April 2012)

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Asthma

Improving adult asthma care: Emerging learning from the national improvement

projectsNHS Improvement: LungThis document includes case studies from acute and community care in four key areas of theasthma pathway: improving asthma diagnosis and medicines optimisation; transforming acutecare; chronic disease management; and integrated care.http://www.improvement.nhs.uk/lung/NationalImprovementProjects/Asthma/Casestudies.aspx

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Cancer

Cancer registrations in England, 2010Office for National StatisticsThis bulletin highlights an increase in cancer registrations, and the types of cancer which aremost common. It also reports on a lower age-standardised incidence of malignancies.http://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/2010-cancer-registrations-in-england-statistical-bulletin-2.html

Carboplatin- or Cisplatin-Based Chemotherapy in First-Line Treatment of Small-CellLung Cancer: The COCIS Meta-Analysis of Individual Patient DataRossi, A et al.This meta-analysis compares the effectiveness and toxicity profiles of these two drugs using

data from 4 trials.Journal of Clinical Oncology. Published online before print April 2, 2012, doi:10.1200/JCO.2011.40.4905

Improving care for lung cancer patients: a collaborative approachRoyal College of PhysiciansThis booklet gives an overview of the Improving Lung Cancer Outcomes Project (ILCOP).ILCOP aimed to identify the reasons for variations in lung cancer outcomes across England;apply proven quality improvement methods to target specific problems; develop an
http://www.bmj.com/content/344/bmj.e2156http://www.bmj.com/content/344/bmj.e2156http://www.improvement.nhs.uk/lung/NationalImprovementProjects/Asthma/Casestudies.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/Asthma/Casestudies.aspxhttp://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/2010-cancer-registrations-in-england-statistical-bulletin-2.htmlhttp://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/2010-cancer-registrations-in-england-statistical-bulletin-2.htmlhttp://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/2010-cancer-registrations-in-england-statistical-bulletin-2.htmlhttp://jco.ascopubs.org/content/early/2012/03/27/JCO.2011.40.4905.abstracthttp://jco.ascopubs.org/content/early/2012/03/27/JCO.2011.40.4905.abstracthttp://jco.ascopubs.org/content/early/2012/03/27/JCO.2011.40.4905.abstracthttp://jco.ascopubs.org/content/early/2012/03/27/JCO.2011.40.4905.abstracthttp://jco.ascopubs.org/content/early/2012/03/27/JCO.2011.40.4905.abstracthttp://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/2010-cancer-registrations-in-england-statistical-bulletin-2.htmlhttp://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/2010-cancer-registrations-in-england-statistical-bulletin-2.htmlhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/Asthma/Casestudies.aspxhttp://www.bmj.com/content/344/bmj.e2156


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educational programme to spread the learning; and to develop and collect patient reportedexperience from lung cancer patients.http://www.rcplondon.ac.uk/projects/improving-lung-cancer-outcomes-project-ilcop

Trastuzumab containing regimens for early breast cancerMoja, L et al.

The authors of this Cochrane review considered the effectiveness of trastuzumab comparedto other treatments. They also looked at the risks associated with trastuzumab, particularlythe increased risk of heart conditions.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006243.pub2/abstract

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

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Cardiovascular Diseases

Angiotensin receptor blockers for heart failureHeran, BS et al.This Cochrane review aimed to assess the benefit and harm of angiotensin receptor blockerscompared with ACE inhibitors or placebo on mortality, morbidity and withdrawals due toadverse effects in patients with symptomatic heart failure and left ventricular systolicdysfunction or preserved systolic function.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003040.pub2/abstract

Current Trial-Associated Outcomes With Warfarin in Prevention of Stroke in PatientsWith Nonvalvular Atrial FibrillationAgarwal, S et al.This review of 8 trials looks at the effectiveness of warfarin in preventing stroke, and assesseswhich patients may have a higher risk of stroke when taking warfarin.Arch Intern Med. 2012;172(8):623-631. doi:10.1001/archinternmed.2012.121

Meta-analysis: Angiotensin-converting enzyme inhibitors superior to angiotensinreceptor antagonists at reducing mortality in hypertensionVan Vark, LC et al.Eur Heart J (2012) doi: 10.1093/eurheartj/ehs075 First published online: April 17, 2012

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Children and Young People

Core competences for nursing children and young peopleRCNhttp://www.rcn.org.uk/__data/assets/pdf_file/0006/442887/004202.pdf
http://www.rcplondon.ac.uk/projects/improving-lung-cancer-outcomes-project-ilcophttp://www.rcplondon.ac.uk/projects/improving-lung-cancer-outcomes-project-ilcophttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006243.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003040.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003040.pub2/abstracthttp://archinte.ama-assn.org/cgi/content/short/172/8/623http://archinte.ama-assn.org/cgi/content/short/172/8/623http://eurheartj.oxfordjournals.org/content/early/2012/04/16/eurheartj.ehs075.abstracthttp://eurheartj.oxfordjournals.org/content/early/2012/04/16/eurheartj.ehs075.abstracthttp://www.rcn.org.uk/__data/assets/pdf_file/0006/442887/004202.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0006/442887/004202.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0006/442887/004202.pdfhttp://eurheartj.oxfordjournals.org/content/early/2012/04/16/eurheartj.ehs075.abstracthttp://archinte.ama-assn.org/cgi/content/short/172/8/623http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003040.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006243.pub2/abstracthttp://www.rcplondon.ac.uk/projects/improving-lung-cancer-outcomes-project-ilcop


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National Child Measurement Programme: Operational guidance for the 2012/13 schoolyearDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133671

Items in the Diabetes, Sexual Health, Social Care and Vaccination and Immunisation sections may alsobe of interest.

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Commissioning

The Art of Exit: in search of creative decommissioningNESTA (National Endowment for Science, Technology and the Arts)The research is based on a survey of over 200 public leaders from local government andhealth organisations, qualitative analysis of over 60 cases of decommissioning in publicservices, and interviews with informants with a range of perspectives.http://www.nesta.org.uk/home1/assets/features/the_art_of_exit

Clinical commissioning group (CCG) authorisation: draft guide for applicantsNHS Commissioning BoardThis document is designed to help CCGs develop clear plans to progress through theauthorisation process. It provides a detailed description of the criteria for authorizationtogether with the timetable for applications, and the possible outcomes.http://www.commissioningboard.nhs.uk/resources/resources-for-ccgs/auth/

Coverage with evidence development, only in research, risk sharing or patient accessscheme? A framework for coverage decisionsUniversity of York. Centre for Health EconomicsThis framework looks at issues to be considered when paying for new medical technologieswhere there is not substantial evidence of effectiveness and cost effectiveness.http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP77_a_framework

_for_coverage_decisions_only_in_research_evidence_development.pdf

A methodology for approving local modifications to the national tariffMonitorThis report was commissioned by Monitor to inform its approach to this issue.http://www.monitor-nhsft.gov.uk/about-monitor/monitors-new-role/-methodology-approving-local-modifications-the-national-tariff

Smart guides to engagementThese guides aim to help CCGs undertake PPE well and maximise benefits. The first 4 of 10guides are available: Get smart about engagement, Working with lay members and patientrepresentatives, Working with LINks and Local HealthWatch, and Engagement forcommissioning success.http://www.networks.nhs.uk/nhs-networks/smart-guides

Items in the Infections sections may also be of interest.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133671http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133671http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133671http://www.nesta.org.uk/home1/assets/features/the_art_of_exithttp://www.nesta.org.uk/home1/assets/features/the_art_of_exithttp://www.commissioningboard.nhs.uk/resources/resources-for-ccgs/auth/http://www.commissioningboard.nhs.uk/resources/resources-for-ccgs/auth/http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP77_a_framework_for_coverage_decisions_only_in_research_evidence_development.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP77_a_framework_for_coverage_decisions_only_in_research_evidence_development.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP77_a_framework_for_coverage_decisions_only_in_research_evidence_development.pdfhttp://www.monitor-nhsft.gov.uk/about-monitor/monitors-new-role/-methodology-approving-local-modifications-the-national-tariffhttp://www.monitor-nhsft.gov.uk/about-monitor/monitors-new-role/-methodology-approving-local-modifications-the-national-tariffhttp://www.monitor-nhsft.gov.uk/about-monitor/monitors-new-role/-methodology-approving-local-modifications-the-national-tariffhttp://www.networks.nhs.uk/nhs-networks/smart-guideshttp://www.networks.nhs.uk/nhs-networks/smart-guideshttp://www.networks.nhs.uk/nhs-networks/smart-guideshttp://www.monitor-nhsft.gov.uk/about-monitor/monitors-new-role/-methodology-approving-local-modifications-the-national-tariffhttp://www.monitor-nhsft.gov.uk/about-monitor/monitors-new-role/-methodology-approving-local-modifications-the-national-tariffhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP77_a_framework_for_coverage_decisions_only_in_research_evidence_development.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP77_a_framework_for_coverage_decisions_only_in_research_evidence_development.pdfhttp://www.commissioningboard.nhs.uk/resources/resources-for-ccgs/auth/http://www.nesta.org.uk/home1/assets/features/the_art_of_exithttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133671http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133671


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Dementia

Dementia: a public health priorityWorld Health OrganisationThis report includes information on the epidemiology of dementia, and the policy implications

for health and social care systems, carers, and public understanding of dementia.http://www.who.int/mental_health/publications/dementia_report_2012/en/index.html

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Dental Health

Leaflet and poster on NHS dental services and chargesDepartment of HealthThe leaflet describes how NHS dental services in England work, including how to find an NHSdentist, what treatment to expect and how much it will cost. The poster shows the charges to

pay from April 2012 depending on the treatment needed.http://www.dh.gov.uk/health/2012/04/dental-leaflet-poster/

Prescribing by Dentists, England 2011NHS Information CentreThis bulletin provides an overview of NHS prescriptions written by dentists and dispensed inthe community.http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/prescribing-by-dentists-england-2011

Diabetes

Best Practice Tariff for Paediatric Diabetes (diabetes in children and young peopleaged 18 and under)NHS DiabetesThis page describes how the tariff will work for healthcare staff, patients and families.http://www.diabetes.nhs.uk/networks/paediatric_network/best_practice_tariff_for_paediatric_diabetes/

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Emergencies

Arrangements for health emergency preparedness, resilience and response from April2013Department of HealthThis paper describes how Emergency Planning will work following the Health and Social CareAct. This will ensure the Health Sector can respond effectively to incidents and outbreaks.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133353

Items in the Infections section may also be of interest.
http://www.who.int/mental_health/publications/dementia_report_2012/en/index.htmlhttp://www.who.int/mental_health/publications/dementia_report_2012/en/index.htmlhttp://www.dh.gov.uk/health/2012/04/dental-leaflet-poster/http://www.dh.gov.uk/health/2012/04/dental-leaflet-poster/http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/prescribing-by-dentists-england-2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/prescribing-by-dentists-england-2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/prescribing-by-dentists-england-2011http://www.diabetes.nhs.uk/networks/paediatric_network/best_practice_tariff_for_paediatric_diabetes/http://www.diabetes.nhs.uk/networks/paediatric_network/best_practice_tariff_for_paediatric_diabetes/http://www.diabetes.nhs.uk/networks/paediatric_network/best_practice_tariff_for_paediatric_diabetes/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133353http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133353http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133353http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133353http://www.diabetes.nhs.uk/networks/paediatric_network/best_practice_tariff_for_paediatric_diabetes/http://www.diabetes.nhs.uk/networks/paediatric_network/best_practice_tariff_for_paediatric_diabetes/http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/prescribing-by-dentists-england-2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/prescribing-by-dentists-england-2011http://www.dh.gov.uk/health/2012/04/dental-leaflet-poster/http://www.who.int/mental_health/publications/dementia_report_2012/en/index.html


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Foot Care

Interventions for ingrowing toenailsEekhof, JAHThe authors of this Cochrane review looked at the effectiveness of surgical and non-surgicalinterventions in preventing recurrence of ingrowing toenails.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001541.pub3/abstract

Gay and Bisexual Men

Gay and Bisexual Men's Health SurveyStonewallThis survey of 6,861 gay and bisexual men concludes there are areas of significant concern -particularly in mental health and drug use - that have been overlooked by health serviceswhich too often focus solely on gay men's sexual health.http://www.stonewall.org.uk/what_we_do/research_and_policy/health_and_healthcare/4922.asp

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General Practice

Evaluation of the Statement of Fitness for Work: qualitative research with employersand employeesNational institute of Economic and Social ResearchThis study explores the outcomes of the fit note from the perspectives of employers andemployees. It looks at the role of GPs in employees return to work.http://www.niesr.ac.uk/pubs/searchdetail.php?PublicationID=3232

Choice of GP Practice: Patient Choice SchemeDepartment of HealthThis document provides PCTs and GP practices participating in the Patient Choice Schemedetailed guidance on how it will operate as a pilot for one year.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133410

Choice of GP practice: Guidance for all PCTs - covering Outer Boundaries, Open andClosed Lists and Aspects of the Patient Choice SchemeDepartment of Health

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133706

Direct access to diagnostic tests for cancer: best practice referral pathways for generalpractitionersDepartment of HealthThe four pathways covered in this document are: non-obstetric ultrasound to support thediagnosis of ovarian cancer; chest X-ray to support the diagnosis of lung cancer; flexible
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001541.pub3/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001541.pub3/abstracthttp://www.stonewall.org.uk/what_we_do/research_and_policy/health_and_healthcare/4922.asphttp://www.stonewall.org.uk/what_we_do/research_and_policy/health_and_healthcare/4922.asphttp://www.stonewall.org.uk/what_we_do/research_and_policy/health_and_healthcare/4922.asphttp://www.niesr.ac.uk/pubs/searchdetail.php?PublicationID=3232http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133410http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133410http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133410http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133706http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133706http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133706http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133706http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133706http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133410http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133410http://www.niesr.ac.uk/pubs/searchdetail.php?PublicationID=3232http://www.stonewall.org.uk/what_we_do/research_and_policy/health_and_healthcare/4922.asphttp://www.stonewall.org.uk/what_we_do/research_and_policy/health_and_healthcare/4922.asphttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001541.pub3/abstract


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sigmoidoscopy to support the diagnosis of colorectal cancer; and brain MRI to support thediagnosis of brain cancer.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133510

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Guidance

NICE Interventional Procedure GuidelinesFocal therapy using cryoablation for localised stage prostate cancerIPG423http://guidance.nice.org.uk/IPG423

Focal therapy using high-intensity focused ultrasound (HIFU) for localised prostatecancerIPG424

http://guidance.nice.org.uk/IPG424

Micropressure therapy for refractory Mnire's diseaseIPG426http://guidance.nice.org.uk/IPG426

NICE Technology AppraisalsBreast cancer (advanced) - eribulinTA250http://guidance.nice.org.uk/TA250

Leukaemia (chronic myeloid, first line) - dasatinib, nilotinib and standard-dose imatinibTA251http://guidance.nice.org.uk/TA251

Hepatitis C (genotype 1) - telaprevirTA252http://guidance.nice.org.uk/TA252

Hepatitis C (genotype 1) - boceprevirTA253http://guidance.nice.org.uk/TA253

Multiple sclerosis (relapsing-remitting) - fingolimodTA254http://guidance.nice.org.uk/TA254

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NICE Quality StandardsPatient experience in adult NHS serviceshttp://www.nice.org.uk/guidance/qualitystandards/patientexperience/home.jsp
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133510http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133510http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133510http://guidance.nice.org.uk/IPG423http://guidance.nice.org.uk/IPG423http://guidance.nice.org.uk/IPG424http://guidance.nice.org.uk/IPG424http://guidance.nice.org.uk/IPG426http://guidance.nice.org.uk/IPG426http://guidance.nice.org.uk/TA250http://guidance.nice.org.uk/TA250http://guidance.nice.org.uk/TA251http://guidance.nice.org.uk/TA251http://guidance.nice.org.uk/TA252http://guidance.nice.org.uk/TA252http://guidance.nice.org.uk/TA253http://guidance.nice.org.uk/TA253http://guidance.nice.org.uk/TA254http://guidance.nice.org.uk/TA254http://www.nice.org.uk/guidance/qualitystandards/patientexperience/home.jsphttp://www.nice.org.uk/guidance/qualitystandards/patientexperience/home.jsphttp://www.nice.org.uk/guidance/qualitystandards/patientexperience/home.jsphttp://guidance.nice.org.uk/TA254http://guidance.nice.org.uk/TA253http://guidance.nice.org.uk/TA252http://guidance.nice.org.uk/TA251http://guidance.nice.org.uk/TA250http://guidance.nice.org.uk/IPG426http://guidance.nice.org.uk/IPG424http://guidance.nice.org.uk/IPG423http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133510http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133510


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NICE Consultation DocumentsSocial and emotional wellbeing - early years: consultation on the draft guidanceTo comment, register as a stakeholder organisation.Closing date for comments: 18 June 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58878

Walking and cycling: local measures to promote walking and cycling as forms of travelor recreation: Consultation on the draft guidance and evidence reviewsTo comment, register as a stakeholder organisation.Closing date for comments: 19 June 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58966

Headaches: guideline consultationTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 7 June 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58968

Crohn's disease: guideline consultationTo comment, contact the registered stakeholder organisation that most closely representsyour interests.Closing date for comments: 14 June 2012http://www.nice.org.uk/guidance/index.jsp?action=folder&o=59095

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Other GuidanceEvidence-based guideline update: NSAIDs and other complementary treatments for

episodic migraine prevention in adultsQuality Standards Subcommittee of the American Academy of Neurology and the AmericanHeadache Societyhttp://www.neurology.org/content/78/17/1346.abstract

Evidence-based guideline update: Pharmacologic treatment for episodic migraineprevention in adultsQuality Standards Subcommittee of the American Academy of Neurology and the AmericanHeadache Societyhttp://www.neurology.org/content/78/17/1337.abstract

Guidance to support operation of the Cancer Drugs Fund in 2012-13Department of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133682

Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered ApproachAmerican Diabetes Association (ADA) and European Association for the Study of Diabetes(EASD)http://care.diabetesjournals.org/content/early/2012/04/19/dc12-0413.short
http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58878http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58878http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58966http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58966http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58968http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58968http://www.nice.org.uk/guidance/index.jsp?action=folder&o=59095http://www.nice.org.uk/guidance/index.jsp?action=folder&o=59095http://www.neurology.org/content/78/17/1346.abstracthttp://www.neurology.org/content/78/17/1346.abstracthttp://www.neurology.org/content/78/17/1337.abstracthttp://www.neurology.org/content/78/17/1337.abstracthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133682http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133682http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133682http://care.diabetesjournals.org/content/early/2012/04/19/dc12-0413.shorthttp://care.diabetesjournals.org/content/early/2012/04/19/dc12-0413.shorthttp://care.diabetesjournals.org/content/early/2012/04/19/dc12-0413.shorthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133682http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133682http://www.neurology.org/content/78/17/1337.abstracthttp://www.neurology.org/content/78/17/1346.abstracthttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=59095http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58968http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58966http://www.nice.org.uk/guidance/index.jsp?action=folder&o=58878


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The following Prodigy (formerly Clinical Knowledge Summaries) topics have beenupdated:

Adverse drug reactions

Antenatal care - uncomplicated pregnancy

Breastfeeding problems

Diabetes - type 1

Diabetes - type 2

Hypertension - not diabetic

Insulin therapy in type 1 diabetes

Insulin therapy in type 2 diabetes

[back to topics]

Other Health Technology AssessmentsOutcomes of social care for adults: developing a preference weighted measureNetten, A et al.This report details the development of the Adult Social Care Outcome Toolkit (ASCOT)measure of social care outcome that reflects the value of social care interventions for serviceusers and provides the basis for a social care equivalent to the quality-adjusted life year.Health Technol Assess 2012;16(16).Elucigene FH20 and LIPOchip for the diagnosis of familial hypercholesterolaemia: asystematic review and economic evaluation.Sharma, P et al.This study found that comprehensive genetic analysis is the most effective test for detectingfamilial hypercholesterolaemia in terms of sensitivity and quality-adjusted life-year (QALY)gain, and is also highly cost-effective, with Elucigene FH20 and LIPOchip also cost-effectivebut at the expense of large QALY losses because of inferior sensitivity compared withcomprehensive genetic analysis.Health Technol Assess 2012;16(17).The clinical effectiveness and cost-effectiveness of home-based, nurse-led healthpromotion for older people: a systematic reviewTappenden et al.This study finds that home-based health promotion may offer clinical benefits across anumber of health dimensions for older people but it is unclear which components of theintervention are beneficial and whether this service offers good value for money.Health Technol Assess 2012:16(20)
http://prodigy.clarity.co.uk/adverse_drug_reactionshttp://prodigy.clarity.co.uk/adverse_drug_reactionshttp://prodigy.clarity.co.uk/antenatal_care_uncomplicated_pregnancyhttp://prodigy.clarity.co.uk/antenatal_care_uncomplicated_pregnancyhttp://prodigy.clarity.co.uk/breastfeeding_problemshttp://prodigy.clarity.co.uk/breastfeeding_problemshttp://prodigy.clarity.co.uk/diabetes_type_1http://prodigy.clarity.co.uk/diabetes_type_1http://prodigy.clarity.co.uk/diabetes_type_2http://prodigy.clarity.co.uk/diabetes_type_2http://prodigy.clarity.co.uk/hypertension_not_diabetichttp://prodigy.clarity.co.uk/hypertension_not_diabetichttp://prodigy.clarity.co.uk/insulin_therapy_in_type_1_diabeteshttp://prodigy.clarity.co.uk/insulin_therapy_in_type_1_diabeteshttp://prodigy.clarity.co.uk/insulin_therapy_in_type_2_diabeteshttp://prodigy.clarity.co.uk/insulin_therapy_in_type_2_diabeteshttp://www.hta.ac.uk/project/1741.asphttp://www.hta.ac.uk/project/1741.asphttp://www.hta.ac.uk/project/2450.asphttp://www.hta.ac.uk/project/2450.asphttp://www.hta.ac.uk/project/2456.asphttp://www.hta.ac.uk/project/2456.asphttp://www.hta.ac.uk/project/2450.asphttp://www.hta.ac.uk/project/1741.asphttp://prodigy.clarity.co.uk/insulin_therapy_in_type_2_diabeteshttp://prodigy.clarity.co.uk/insulin_therapy_in_type_1_diabeteshttp://prodigy.clarity.co.uk/hypertension_not_diabetichttp://prodigy.clarity.co.uk/diabetes_type_2http://prodigy.clarity.co.uk/diabetes_type_1http://prodigy.clarity.co.uk/breastfeeding_problemshttp://prodigy.clarity.co.uk/antenatal_care_uncomplicated_pregnancyhttp://prodigy.clarity.co.uk/adverse_drug_reactions


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The effectiveness and cost-effectiveness of donepezil, galantamine, rivastigmine andmemantine for the treatment of Alzheimers disease (review of TA111): a systematicreview and economic model.Bond, M et al.This review concluded that new evidence supported existing evidence of some benefit fromAchEIs for Alzheimer's disease. There was weaker evidence for benefit from memantine.

Cost-effectiveness estimates are highly uncertain and very sensitive to change.Health Technol Assess 2012;16(21).

[back to topics]

Health Reforms

Ambitions for a clinically-led NHSThese 4 letters from the Secretary of State for Health outline what the Health and Social CareAct will mean for: CCGs; NHS trusts; NHS foundation trusts; and Local authoritieshttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/D

H_133419

Health Education EnglandApril bulletinThis transition news bulletin aims to keep you up to date with all the latest information aboutdevelopment of the new organisation.http://healtheducationengland.dh.gov.uk/2012/04/03/april-bulletin-3/Websitehttp://healtheducationengland.dh.gov.uk/

Case study: Wandsworth CCG patient and public involvement resource centre

Department of HealthThis model website aims to provide support for health professionals in involving patients andthe public. It also aims to help patients and the public find out more about getting involved.http://healthandcare.dh.gov.uk/case-study-wandsworth-ppi/

Health and wellbeing boards: system leaders or talking shops?Kings FundThis report is based on a survey and two case studies, and aims to assess whether Healthand Wellbeing Boards are likely to achieve their aim of encouraging integrated working acrosshealth and social care. It highlights some of the problems the Boards are likely to face, andways of achieving their aims.

http://www.kingsfund.org.uk/publications/hwbs.html

Items in the Public Health sections may also be of interest.

[back to topics]
http://www.hta.ac.uk/project/2177.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133419http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133419http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133419http://healtheducationengland.dh.gov.uk/2012/04/03/april-bulletin-3/http://healtheducationengland.dh.gov.uk/2012/04/03/april-bulletin-3/http://healtheducationengland.dh.gov.uk/http://healtheducationengland.dh.gov.uk/http://healthandcare.dh.gov.uk/case-study-wandsworth-ppi/http://healthandcare.dh.gov.uk/case-study-wandsworth-ppi/http://www.kingsfund.org.uk/publications/hwbs.htmlhttp://www.kingsfund.org.uk/publications/hwbs.htmlhttp://www.kingsfund.org.uk/publications/hwbs.htmlhttp://healthandcare.dh.gov.uk/case-study-wandsworth-ppi/http://healtheducationengland.dh.gov.uk/http://healtheducationengland.dh.gov.uk/2012/04/03/april-bulletin-3/http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133419http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133419http://www.hta.ac.uk/project/2177.asp


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Infections

Evidence and resources to commission expanded HIV testing in priority medicalservices in high prevalence areasHealth Protection AgencyThis document aims to provide current and future commissioners with a concise overview ofthe evidence of acceptability, feasibility, clinical benefit and cost-effectiveness of expandingHIV testing in general medical admissions and new registrants in general practice.http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1204ExpandedHIVtestinginhiprevareasApril2012/

Health and Social Care Influenza Pandemic Preparedness and ResponseDepartment of HealthThis operational guidance on the implementation of the UK Influenza PandemicPreparedness Strategy 2011 is intended to support local preparedness and responseplanning in England during the transition period through to 2013.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc

e/DH_133655

Legionnaires' disease: a brief guide for dutyholdersHealth and Safety ExecutiveThis leaflet is aimed at employers and people in control of premises, eg landlords, whereman-made water systems are used that could be a potential source for legionella bacteriagrowth. It explains the health risks associated with legionella.http://www.hse.gov.uk/pubns/indg458.htm

Information and data

By definition: Improving data definitions and their use by the NHSAudit CommissionThe briefing highlights that differences in the recording of details for a patient who stays inhospital for less than 24 hours are a major cause of dispute between NHS commissionersand providers. The same treatment may be recorded as an inpatient service at one hospital,or as an outpatient at another, which can significantly increase charges. The Commissionreviewed and updated existing guidance around data definitions in conjunction with keystakeholders.http://www.audit-commission.gov.uk/health/paymentbyresults/Pages/datadefinitions.aspx

Items in the Safeguarding Children and Vulnerable Adults section may be of interest.

[back to topics]

Irritable Bowel Syndrome

Evaluation of Harm in the Pharmacotherapy of Irritable Bowel SyndromeShah, E at al.The authors of this systematic review and meta-analysis give number needed to harm for arange of different drugs used to treat Irritable Bowel Syndrome.The American Journal of Medicine Vol 125(4) p.381-393, April 2012
http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1204ExpandedHIVtestinginhiprevareasApril2012/http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1204ExpandedHIVtestinginhiprevareasApril2012/http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1204ExpandedHIVtestinginhiprevareasApril2012/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133655http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133655http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133655http://www.hse.gov.uk/pubns/indg458.htmhttp://www.hse.gov.uk/pubns/indg458.htmhttp://www.audit-commission.gov.uk/health/paymentbyresults/Pages/datadefinitions.aspxhttp://www.audit-commission.gov.uk/health/paymentbyresults/Pages/datadefinitions.aspxhttp://www.amjmed.com/article/S0002-9343%2811%2900792-3/abstracthttp://www.amjmed.com/article/S0002-9343%2811%2900792-3/abstracthttp://www.amjmed.com/article/S0002-9343%2811%2900792-3/abstracthttp://www.audit-commission.gov.uk/health/paymentbyresults/Pages/datadefinitions.aspxhttp://www.hse.gov.uk/pubns/indg458.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133655http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133655http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1204ExpandedHIVtestinginhiprevareasApril2012/http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1204ExpandedHIVtestinginhiprevareasApril2012/


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Kidney Disease

Screening for, Monitoring, and Treatment of Chronic Kidney Disease Stages 1 to 3: ASystematic Review for the U.S. Preventive Services Task Force and for an AmericanCollege of Physicians Clinical Practice Guideline

Fink, HA et al.This systematic review assesses the level of evidence for screening, monitoring, and treatingkidney disease, and compares the effectiveness of different treatments.Annals of Internal Medicine vol. 156(8) p.570-81 April 17, 2012

Learning Disabilities

Learning Disabilities websiteGMCThis site aims to help doctors provide better care for people with learning disabilities by:identifying the issues; highlighting patient perspectives; and showing how to put GMC

guidance into practice.http://www.gmc-uk.org/learningdisabilities/default.aspx

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Long Term Conditions

Interventions for improving outcomes in patients with multimorbidity in primary careand community settingsSmith, SM et al.This Cochrane review looks at several different studies of interventions in management anddelivery of services and direct patient care. Most of the studies focused on older people. The

review highlights limitations in the evidence and makes recommendations for future research.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006560.pub2/abstract

Long-term health gains: Investing in emotional and psychological wellbeing forpatients with long-term conditions and medically unexplained symptoms.NHS ConfederationThis Briefing summarises the Mental Health Network report 'Investing in emotional andpsychological wellbeing for patients with long-term conditions', which presents a businesscase for investing in psychological services for patients with long term conditions. This NHSConfederation briefing also describes how primary health services can improve patientoutcomes, while reducing the overall costs of care.

http://www.nhsconfed.org/Publications/briefings/Pages/Investing-in-emotional-psychological-wellbeing.aspxA related guide to service design and productivity improvement for commissioners, cliniciansand managers in primary care and other areas is available athttp://www.nhsconfed.org/Publications/reports/Pages/InvestinginEmotionalandPsychologicalWellbeingLongTermPatients.aspx
http://www.annals.org/content/156/8/570.abstracthttp://www.annals.org/content/156/8/570.abstracthttp://www.gmc-uk.org/learningdisabilities/default.aspxhttp://www.gmc-uk.org/learningdisabilities/default.aspxhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006560.pub2/abstracthttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006560.pub2/abstracthttp://www.nhsconfed.org/Publications/briefings/Pages/Investing-in-emotional-psychological-wellbeing.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Investing-in-emotional-psychological-wellbeing.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Investing-in-emotional-psychological-wellbeing.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/InvestinginEmotionalandPsychologicalWellbeingLongTermPatients.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/InvestinginEmotionalandPsychologicalWellbeingLongTermPatients.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/InvestinginEmotionalandPsychologicalWellbeingLongTermPatients.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/InvestinginEmotionalandPsychologicalWellbeingLongTermPatients.aspxhttp://www.nhsconfed.org/Publications/reports/Pages/InvestinginEmotionalandPsychologicalWellbeingLongTermPatients.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Investing-in-emotional-psychological-wellbeing.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Investing-in-emotional-psychological-wellbeing.aspxhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006560.pub2/abstracthttp://www.gmc-uk.org/learningdisabilities/default.aspxhttp://www.annals.org/content/156/8/570.abstract


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QIPP Long Term Conditions Year of Care Funding Model: Early ImplementersDepartment of HealthThis guidance aims to support organisations wishing to be Early Implementer sites. It alsoaims to support Early Implementer sites in understanding and testing this funding model.Closing date: 25 May 2012http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc

e/DH_133650

Maternal and Infant Health

Maternity Services Pathway Payment System: A Simple Guide 2012-13Department of HealthThis guide provides a summary of the proposed 2013/14 Payment by Results pathwayfunding system for maternity services. It also identifies what the NHS needs to do during2012/13 to prepare for its implementation.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133466

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Medical Workforce

Quality Assurance of Medical AppraisersNHS Revalidation Support TeamThis document provides a practical framework for assuring the quality of the medicalappraiser workforce. It outlines processes for the recruitment, training and support of medicalappraisers and methods by which their performance can be reviewed.http://www.revalidationsupport.nhs.uk/Appraiser/appraiser_training_support.php

Responsible officers in the new health architecture: A Public Consultation on theAmendments to the Medical Profession (Responsible Officers) 2010 RegulationsDepartment of HealthThis consultation focuses on the role of Responsible Officers in the new NHS, and askswhether Responsible Officers should assess doctors levels of competence in using theEnglish language.Consultation closing date: 25 Julyhttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_133601

Return to practice guidance

Academy of Medical Royal CollegesThis report aims to highlight the importance of a good procedure for doctors returning topractice and to provide practical advice. It is intended for all doctors returning to the samearea of clinical practice as previously following an absence for any reason (including workingin a different area of clinical practice). It is also intended for all doctors who are absent forthree months or longer, including all cases where the licence to practice has beensurrendered and is then restored by the GMC.http://aomrc.org.uk/component/docman/doc_download/9471-return-to-practice-guidance.html Background evidence:http://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.html
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133650http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133650http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133650http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133466http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133466http://www.revalidationsupport.nhs.uk/Appraiser/appraiser_training_support.phphttp://www.revalidationsupport.nhs.uk/Appraiser/appraiser_training_support.phphttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_133601http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_133601http://aomrc.org.uk/component/docman/doc_download/9471-return-to-practice-guidance.htmlhttp://aomrc.org.uk/component/docman/doc_download/9471-return-to-practice-guidance.htmlhttp://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.htmlhttp://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.htmlhttp://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.htmlhttp://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.htmlhttp://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.htmlhttp://aomrc.org.uk/component/docman/doc_download/9472-return-to-practice-background-document.htmlhttp://aomrc.org.uk/component/docman/doc_download/9471-return-to-practice-guidance.htmlhttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_133601http://www.revalidationsupport.nhs.uk/Appraiser/appraiser_training_support.phphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133466http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133466http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133650http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133650


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Supporting Doctors to Provide Safer Healthcare: responding to concerns about adoctors practiceNHS Revalidation Support TeamThis guidance outlines the process for responsible officers to follow when they have concernsabout a doctors practice. It includes examples of suitable interventions and support for thedoctor and the responsible officer.

http://www.revalidationsupport.nhs.uk/responsible_officer/responsible_officer_concerns.php

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Mental Health

Mental health and homelessness: planning and delivering mental health services forhomeless peopleNHS ConfederationThis Briefing sets out the policy context around tackling homelessness and addressing themental health needs of homeless people. It also examines what considerations need to be

made when planning, designing and delivering mental health services for homeless peopleand highlights examples of good practice.http://www.nhsconfed.org/Publications/briefings/Pages/mental_health_homelessness.aspx

Items in the Long Term Conditions sections may also be of interest.

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Nursing and Midwifery

Care in the balance: a survey into staff/patient ratios on our wardsUnison

This report is based on a survey of 1550 nurses working days on 6 March 2012. It makesrecommendations for improving the quality of care patients receive.http://www.unison.org.uk/file/A5881.pdf

Health Visitor Implementation Plan Quarterly Progress Report: April 2012Department of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133447

Improving the quality of nursing careNursing and Care Quality Forum

The Forums aim is to help all those involved in providing nursing and care to: deliver thefundamental elements of good care compassion, dignity, respect and safety first time,every time and to everyone; and to achieve their ambition of providing the very highest qualityof care through supporting the adoption of best practice and promoting innovation. Thisconsultation is looking for views to help shape their messages and to influence what theForum focuses on over the coming months.Closing date for comments: 11 May 2012http://www.dh.gov.uk/health/nursing-form/
http://www.revalidationsupport.nhs.uk/responsible_officer/responsible_officer_concerns.phphttp://www.revalidationsupport.nhs.uk/responsible_officer/responsible_officer_concerns.phphttp://www.nhsconfed.org/Publications/briefings/Pages/mental_health_homelessness.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/mental_health_homelessness.aspxhttp://www.unison.org.uk/file/A5881.pdfhttp://www.unison.org.uk/file/A5881.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133447http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133447http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133447http://www.dh.gov.uk/health/nursing-form/http://www.dh.gov.uk/health/nursing-form/http://www.dh.gov.uk/health/nursing-form/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133447http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133447http://www.unison.org.uk/file/A5881.pdfhttp://www.nhsconfed.org/Publications/briefings/Pages/mental_health_homelessness.aspxhttp://www.revalidationsupport.nhs.uk/responsible_officer/responsible_officer_concerns.php


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Interim report on the NMC strategic reviewCouncil for Healthcare Regulatory ExcellenceThe interim report focusses on regulatory purpose, leadership, governance, decision makingand operational management.http://www.chre.org.uk/media/18/465/

Items in the Children and Young People and Sexual Health section may also be of interest.

[back to topics]

Nutrition

Nutrition screening survey in the UK and Republic of Ireland in 2011: hospitals, carehomes and mental health units nutrition screening week survey and auditBritish Association for Parenteral and Enteral Nutrition (BAPEN)This survey screened adults for malnutrition on entry to a hospital, care home or mentalhealth unit. It gives levels of malnutrition in these different settings, and makes

recommendations for screening and nutritional support.http://www.bapen.org.uk/res_press_rel_nsw_report_2011.html

[back to topics]

Obesity

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

[back to topics]

Patient Care and Safety

Record keeping audit toolsHealthcare Quality Improvement PartnershipThese tools are for auditing patient records against generic record-keeping standards,standards for admission clerking and discharge summaries. They were tested in hospitalpilots. The nursing, midwifery and allied health professionals' organisations and the NHSLitigation Authority contributed to the development and evaluation of the generic standards.http://www.hqip.org.uk/record-keeping-audit-tools/

Benchmark of out of hours: An overview across the servicesPrimary Care Foundation

This benchmark aims to show how all out of hours services are performing on a wide range ofheadline indicators, and to enable services to make helpful comparisons and learn from eachother. The benchmark covers more than two thirds of the 151 PCTs across EnglandIndex and Summary:http://www.primarycarefoundation.co.uk/benchmark.html Report:http://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Benchmark4reports/Benchmarkoverview.pdf
http://www.chre.org.uk/media/18/465/http://www.chre.org.uk/media/18/465/http://www.bapen.org.uk/res_press_rel_nsw_report_2011.htmlhttp://www.bapen.org.uk/res_press_rel_nsw_report_2011.htmlhttp://www.hqip.org.uk/record-keeping-audit-tools/http://www.hqip.org.uk/record-keeping-audit-tools/http://www.primarycarefoundation.co.uk/benchmark.htmlhttp://www.primarycarefoundation.co.uk/benchmark.htmlhttp://www.primarycarefoundation.co.uk/benchmark.htmlhttp://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Benchmark4reports/Benchmarkoverview.pdfhttp://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Benchmark4reports/Benchmarkoverview.pdfhttp://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Benchmark4reports/Benchmarkoverview.pdfhttp://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Benchmark4reports/Benchmarkoverview.pdfhttp://www.primarycarefoundation.co.uk/files/PrimaryCareFoundation/Benchmark4reports/Benchmarkoverview.pdfhttp://www.primarycarefoundation.co.uk/benchmark.htmlhttp://www.hqip.org.uk/record-keeping-audit-tools/http://www.bapen.org.uk/res_press_rel_nsw_report_2011.htmlhttp://www.chre.org.uk/media/18/465/


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Inpatient survey 2011Care Quality CommissionThis survey looked at the experiences of over 70,000 people who were admitted to hospital.http://www.cqc.org.uk/public/reports-surveys-and-reviews/surveys/inpatient-survey-2011

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

Pharmacy and Prescribing

Changes to the professional use of controlled drugs by Pharmacists and Nurses(including independent pharmacist prescribing of controlled drugs)Royal Pharmaceutical SocietyThis web page summarises the key changes and links to SI 2012 No 973 The Misuse ofDrugs (Amendment 2)( England, Wales, and Scotland) Regulations 2012.http://www.rpharms.com/support-alerts/support-alert-article.asp?id=505

Consultation on draft amendments to rules

General Pharmaceutical CouncilThis consultation asks for views on changes to some of the rules that set out how the GeneralPharmaceutical Council (GPhC) has to carry out its functions as a regulator.Closing date for comments: 12 July 2012http://www.pharmacyregulation.org/get-involved/consultations/our-current-consultations/draft-amendments-rules-consultation-2012

Efficacy and safety of topical antifungals in the treatment of dermatomycosis: asystematic reviewRotta, I et al.This review of 104 trials compares several topical antifungals, and makes recommendations

for future research.British Journal of Dermatology vol. 166(5) p.927-33. DOI: 10.1111/j.1365-2133.2012.10815.x

Local decision-making competency framework for groups involved in making localdecisions about the funding of medicines and treatments in the NHSNational Prescribing CentreThe framework builds upon the principles for reducing variation in local decision-makingsystems and processes, a principle established in the NHS Constitution.http://www.npc.nhs.uk/local_decision_making/resources/LDM_comp_framework.pdf

Prescription Cost Analysis, England - 2011

NHS Information CentreThese statistics provide details of the number of items and the net ingredient cost of allprescriptions dispensed in the community in England. The drugs dispensed are listed byBritish National Formulary (BNF) therapeutic class.http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-england--2011

Items in the Commissioning, Dental Health and Irritable Bowel Syndrome section may also be of interest.

[back to topics]
http://www.cqc.org.uk/public/reports-surveys-and-reviews/surveys/inpatient-survey-2011http://www.cqc.org.uk/public/reports-surveys-and-reviews/surveys/inpatient-survey-2011http://www.rpharms.com/support-alerts/support-alert-article.asp?id=505http://www.rpharms.com/support-alerts/support-alert-article.asp?id=505http://www.pharmacyregulation.org/get-involved/consultations/our-current-consultations/draft-amendments-rules-consultation-2012http://www.pharmacyregulation.org/get-involved/consultations/our-current-consultations/draft-amendments-rules-consultation-2012http://www.pharmacyregulation.org/get-involved/consultations/our-current-consultations/draft-amendments-rules-consultation-2012http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.2012.10815.x/abstracthttp://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.2012.10815.x/abstracthttp://www.npc.nhs.uk/local_decision_making/resources/LDM_comp_framework.pdfhttp://www.npc.nhs.uk/local_decision_making/resources/LDM_comp_framework.pdfhttp://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-england--2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-england--2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-england--2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-england--2011http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-england--2011http://www.npc.nhs.uk/local_decision_making/resources/LDM_comp_framework.pdfhttp://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.2012.10815.x/abstracthttp://www.pharmacyregulation.org/get-involved/consultations/our-current-consultations/draft-amendments-rules-consultation-2012http://www.pharmacyregulation.org/get-involved/consultations/our-current-consultations/draft-amendments-rules-consultation-2012http://www.rpharms.com/support-alerts/support-alert-article.asp?id=505http://www.cqc.org.uk/public/reports-surveys-and-reviews/surveys/inpatient-survey-2011


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Public Health

Developing the new Public health systemDepartment of HealthThis letter looks at the impact of the Health and Social Care Act on public health.

http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133446

Health Effects from Radiofrequency Electromagnetic FieldsHealth Protection AgencyThis report considers the scientific evidence on exposure to radiofrequency electromagneticfields, which are produced by mobile phone technologies and other wireless devices, such asWi-Fi, as well as television and radio transmitters.http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1317133826368

Intercensal Mortality Rates by NS-SEC, 2001-2010Office for National StatisticsThis bulletin presents trends in estimates of mortality rates for men and women of workingage over the decade 2001 to 2010, using the seven class reduced National Statistics Socio-economic Classification (NS-SEC), calculated based on an individual's occupation andemployment status.http://www.ons.gov.uk/ons/rel/health-ineq/health-inequalities/intercensal-mortality-rates-by-ns-sec-2001-2010/stb-mortality-ns-sec-2001-2010.html

Investigating the potential health benefits of increasing cycling in the Cycling City andTownsDepartment for TransportThe analysis investigates the potential for delivering public health benefits through increasingcycling amongst different population groups. It then explores the size and characteristics ofthose groups to inform the targeting of cycling interventions.http://www.dft.gov.uk/publications/health-benefits-cycling-city/

Levels and predictors of exercise referral scheme uptake and adherence: a systematicreviewPavey, T et al.This review is based on 6 randomised controlled trials and 14 observational studies.Journal of Epidemiology and Community Health, online first, 6 April 2012. doi:10.1136/jech-2011-200354

School for Public Health ResearchThe School was launched in April 2012 and aims to undertake research into public health withan emphasis on what works practically, can be applied across the country and better meetsthe needs of policy makers, practitioners and the public.http://www.nihr.ac.uk/research/Pages/SchoolforPublicHealthResearch.aspx

Items in the Dementia section may also be of interest.

[back to topics]
http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133446http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133446http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133446http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1317133826368http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1317133826368http://www.ons.gov.uk/ons/rel/health-ineq/health-inequalities/intercensal-mortality-rates-by-ns-sec-2001-2010/stb-mortality-ns-sec-2001-2010.htmlhttp://www.ons.gov.uk/ons/rel/health-ineq/health-inequalities/intercensal-mortality-rates-by-ns-sec-2001-2010/stb-mortality-ns-sec-2001-2010.htmlhttp://www.ons.gov.uk/ons/rel/health-ineq/health-inequalities/intercensal-mortality-rates-by-ns-sec-2001-2010/stb-mortality-ns-sec-2001-2010.htmlhttp://www.dft.gov.uk/publications/health-benefits-cycling-city/http://www.dft.gov.uk/publications/health-benefits-cycling-city/http://jech.bmj.com/content/early/2012/04/05/jech-2011-200354.abstracthttp://jech.bmj.com/content/early/2012/04/05/jech-2011-200354.abstracthttp://jech.bmj.com/content/early/2012/04/05/jech-2011-200354.abstracthttp://www.nihr.ac.uk/research/Pages/SchoolforPublicHealthResearch.aspxhttp://www.nihr.ac.uk/research/Pages/SchoolforPublicHealthResearch.aspxhttp://www.nihr.ac.uk/research/Pages/SchoolforPublicHealthResearch.aspxhttp://jech.bmj.com/content/early/2012/04/05/jech-2011-200354.abstracthttp://jech.bmj.com/content/early/2012/04/05/jech-2011-200354.abstracthttp://www.dft.gov.uk/publications/health-benefits-cycling-city/http://www.ons.gov.uk/ons/rel/health-ineq/health-inequalities/intercensal-mortality-rates-by-ns-sec-2001-2010/stb-mortality-ns-sec-2001-2010.htmlhttp://www.ons.gov.uk/ons/rel/health-ineq/health-inequalities/intercensal-mortality-rates-by-ns-sec-2001-2010/stb-mortality-ns-sec-2001-2010.htmlhttp://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1317133826368http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133446http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_133446


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Safeguarding Children and Vulnerable Adults

'Striking the Balance': Practical Guidance on the application of Caldicott GuardianPrinciples to Domestic Violence and MARACs (Multi Agency Risk AssessmentConferences)

Department of HealthThis guidance is intended to assist those involved in information sharing between agenciesabout Domestic Violence to make decisions. It identifies the underlying ethical considerationsso that tensions between confidentiality and information sharing may be resolved.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133589

Safeguarding in 2012: views from the frontlineRoyal College of Paediatrics and Child HealthThis report is based on a survey which aimed establish how those responsible forsafeguarding (named and designated doctors) feel national changes will affect them in theirrole of protecting the countrys most vulnerable children. It highlights doctors concerns abouttheir abilities to fulfil their duties, and makes recommendations for improvement.http://www.rcpch.ac.uk/sites/default/files/020412%20Safeguarding%202012.pdf

Items in the Medical Workforce sections may be of interest.

[back to topics]

Service Management

2012/13 fees and work programmeAudit Commission

http://www.audit-commission.gov.uk/audit-regime/audit-fees/201213fees/pages/201213feesandworkprogramme.aspx

Emergency hospital admissions for ambulatory care-sensitive conditions: Identifyingthe potential for reductionsKings FundThis data briefing considers patterns of admissions for ACSCs in terms of age, sex, condition,socioeconomic group and local authority area. The authors analyse these patterns andhighlight the disease areas and patient groups where the greatest reduction can be achieved.http://www.kingsfund.org.uk/publications/data_briefing.html

NHS carbon reductionNottingham Energy PartnershipThe Partnership has been working with NHS trusts to support carbon reporting. It haspublished a table where Trusts are ranked from 1 to 5 on the basis of available published dataon their use of natural resources, and an analysis of the information.Data:http://www.nottenergy.com/consultancy/energy_carbon_intelligence/nhs_carbon_reduction
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133589http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133589http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133589http://www.rcpch.ac.uk/sites/default/files/020412%20Safeguarding%202012.pdfhttp://www.rcpch.ac.uk/sites/default/files/020412%20Safeguarding%202012.pdfhttp://www.audit-commission.gov.uk/audit-regime/audit-fees/201213fees/pages/201213feesandworkprogramme.aspxhttp://www.audit-commission.gov.uk/audit-regime/audit-fees/201213fees/pages/201213feesandworkprogramme.aspxhttp://www.audit-commission.gov.uk/audit-regime/audit-fees/201213fees/pages/201213feesandworkprogramme.aspxhttp://www.kingsfund.org.uk/publications/data_briefing.htmlhttp://www.kingsfund.org.uk/publications/data_briefing.htmlhttp://www.nottenergy.com/consultancy/energy_carbon_intelligence/nhs_carbon_reductionhttp://www.nottenergy.com/consultancy/energy_carbon_intelligence/nhs_carbon_reductionhttp://www.nottenergy.com/consultancy/energy_carbon_intelligence/nhs_carbon_reductionhttp://www.kingsfund.org.uk/publications/data_briefing.htmlhttp://www.audit-commission.gov.uk/audit-regime/audit-fees/201213fees/pages/201213feesandworkprogramme.aspxhttp://www.audit-commission.gov.uk/audit-regime/audit-fees/201213fees/pages/201213feesandworkprogramme.aspxhttp://www.rcpch.ac.uk/sites/default/files/020412%20Safeguarding%202012.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133589http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133589


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Analysis of the information:http://www.nottenergy.com/images/uploads/pdfs/Analysis_on_NHS_Trust_carbon_footprint_reporting_final.pdf

NHS Outcomes Framework indicators - April 2012 release, EnglandNHS Information Centre

This release includes two indicators new to the NHS Outcomes Framework publication:1.4.vii, Under 75 mortality rate from cancer and 4.7, Patient experience of community mentalhealth services .http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomes-framework-indicators/nhs-outcomes-framework-indicators--april-2012-release-england

The NHS Performance Framework 2012/13Department of HealthThis guidance aims to support the application of the NHS Performance Framework, and toinform NHS organisations of the criteria against which performance will be assessed.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc

e/DH_133373

Quality Accounts: 2011/12 audit guidanceDepartment of HealthThis guidance for NHS trusts covers additional reporting requirements to support externalaudit of Quality Accounts for the year 2011/12.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133418

Overcoming challenges to improving quality: Lessons from the Health Foundation'simprovement programme evaluations and relevant literature

Health FoundationThis analysis of 14 evaluations of improvement programmes is in three broad themes: designand planning; organisational and institutional contexts, professions and leadership;sustainability, spread and unintended consequences.http://www.health.org.uk/publications/overcoming-challenges-to-improving-quality/

Items in the Commissioning, General Practice, Long Term Conditions, Maternal and Infant Health, andSexual Health sections may also be of interest.

[back to topics]

Sexual Health

Developing Payment by Results for sexual healthDepartment of HealthThese documents include pathways, datasets and information about applying the newcurrency in 2012-13.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133365
http://www.nottenergy.com/images/uploads/pdfs/Analysis_on_NHS_Trust_carbon_footprint_reporting_final.pdfhttp://www.nottenergy.com/images/uploads/pdfs/Analysis_on_NHS_Trust_carbon_footprint_reporting_final.pdfhttp://www.nottenergy.com/images/uploads/pdfs/Analysis_on_NHS_Trust_carbon_footprint_reporting_final.pdfhttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomes-framework-indicators/nhs-outcomes-framework-indicators--april-2012-release-englandhttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomes-framework-indicators/nhs-outcomes-framework-indicators--april-2012-release-englandhttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomes-framework-indicators/nhs-outcomes-framework-indicators--april-2012-release-englandhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133373http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133373http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133373http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133418http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133418http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133418http://www.health.org.uk/publications/overcoming-challenges-to-improving-quality/http://www.health.org.uk/publications/overcoming-challenges-to-improving-quality/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133365http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133365http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133365http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133365http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133365http://www.health.org.uk/publications/overcoming-challenges-to-improving-quality/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133418http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133418http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133373http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133373http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomes-framework-indicators/nhs-outcomes-framework-indicators--april-2012-release-englandhttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/nhs-outcomes-framework-indicators/nhs-outcomes-framework-indicators--april-2012-release-englandhttp://www.nottenergy.com/images/uploads/pdfs/Analysis_on_NHS_Trust_carbon_footprint_reporting_final.pdfhttp://www.nottenergy.com/images/uploads/pdfs/Analysis_on_NHS_Trust_carbon_footprint_reporting_final.pdf


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The role of school nurses in providing emergency contraception services in educationsettingsRCNThis document outlines the role of school nurses, and covers the law, confidentiality andproviding emergency contraception to under-16s. It includes references and further reading.http://www.rcn.org.uk/__data/assets/pdf_file/0005/78665/Emergency_contraception_position_

statement_Final.pdf

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

[back to topics]

Social Care

Adult Social Care Outcomes Framework 2012-13Department of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133334

Children's social care registration: introduction to children's homesOfstedThis guide explains in more detail what the law says anyone intending to open a childrenshome must do to in order to apply for registration.http://www.ofsted.gov.uk/resources/childrens-social-care-registration-introduction-childrens-homes

Leading for outcomes: children and young people: an outcomes-focused approachInstitute for Research and Innovation in Social ServicesLeading for Outcomes is a series of guides to help lead the social services workforce to focuson the outcomes important to people. This guide can be used as a practical tool for leaders topromote understanding of an outcomes-focused approach with children and young people. Ithighlights relevant evidence and implications for practice.http://www.iriss.org.uk/resources/leading-outcomes-children-and-young-people

Personalisation: lessons from social careRSA (Royal Society for the encouragement of Arts, Manufactures and Commerce)This report looks at the implementation of personalisation so far. It outlines the benefits anddisadvantages for the wider community and the individual, and makes recommendations forthe future implementation of personalisation.http://www.thersa.org/projects/2020-public-services/personalisation-lessons-from-social-care-report

Items in the Infections sections may also be of interest.

[back to topics]
http://www.rcn.org.uk/__data/assets/pdf_file/0005/78665/Emergency_contraception_position_statement_Final.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0005/78665/Emergency_contraception_position_statement_Final.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0005/78665/Emergency_contraception_position_statement_Final.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133334http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133334http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133334http://www.ofsted.gov.uk/resources/childrens-social-care-registration-introduction-childrens-homeshttp://www.ofsted.gov.uk/resources/childrens-social-care-registration-introduction-childrens-homeshttp://www.ofsted.gov.uk/resources/childrens-social-care-registration-introduction-childrens-homeshttp://www.iriss.org.uk/resources/leading-outcomes-children-and-young-peoplehttp://www.iriss.org.uk/resources/leading-outcomes-children-and-young-peoplehttp://www.thersa.org/projects/2020-public-services/personalisation-lessons-from-social-care-reporthttp://www.thersa.org/projects/2020-public-services/personalisation-lessons-from-social-care-reporthttp://www.thersa.org/projects/2020-public-services/personalisation-lessons-from-social-care-reporthttp://www.thersa.org/projects/2020-public-services/personalisation-lessons-from-social-care-reporthttp://www.thersa.org/projects/2020-public-services/personalisation-lessons-from-social-care-reporthttp://www.iriss.org.uk/resources/leading-outcomes-children-and-young-peoplehttp://www.ofsted.gov.uk/resources/childrens-social-care-registration-introduction-childrens-homeshttp://www.ofsted.gov.uk/resources/childrens-social-care-registration-introduction-childrens-homeshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133334http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133334http://www.rcn.org.uk/__data/assets/pdf_file/0005/78665/Emergency_contraception_position_statement_Final.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0005/78665/Emergency_contraception_position_statement_Final.pdf


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Substance Misuse

Delivering drugs and alcohol recovery bulletinDepartment of HealthThis is the online bulletin for the Payment by Results for Recovery Pilot Programme. It

contains all the latest news about the programme, events to promote payment by results andinformation from pilot sites on how implementation is progressing.http://recoverypbr.dh.gov.uk/

Tobacco

Nicotine receptor partial agonists for smoking cessationCahill, K et al.This Cochrane review looks at the effectiveness of cytisine, dianicline and varenicline insmoking cessation. It also considers adverse effects and whether these can be reduced byusing lower dose regimens.

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006103.pub6/abstract

Standardised packaging of tobacco productsDepartment of HealthThe government is seeking feedback on whether there might be public health benefits fromintroducing standardised tobacco packaging in addition to current policies. They also wish tounderstand what other effects there may be if standardised tobacco packaging is introduced.Consultation closing date: 20 July 2012http://consultations.dh.gov.uk/tobacco/standardised-packaging-of-tobacco-products/consult_view

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Vaccination and Immunisation

Your guide to the HPV vaccination from September 2012Department of HealthThese documents include a factsheet, poster and Q&A leaflet.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133345

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Workforce

Guidance to assist local staff sides facing proposals to change pay terms andconditionsRCNhttp://www.rcn.org.uk/__data/assets/pdf_file/0020/444800/Joint_Unions_National_Bargaining

_Advice_April_2012.pdf
http://recoverypbr.dh.gov.uk/http://recoverypbr.dh.gov.uk/http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006103.pub6/abstracthttp://consultations.dh.gov.uk/tobacco/standardised-packaging-of-tobacco-products/consult_viewhttp://consultations.dh.gov.uk/tobacco/standardised-packaging-of-tobacco-products/consult_viewhttp://consultations.dh.gov.uk/tobacco/standardised-packaging-of-tobacco-products/consult_viewhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133345http://www.dh.gov.uk/en/Publicationsandsta

Clinical Effectiveness Bulletin no. 63 Apr 12

Documents

Transcript of Clinical Effectiveness Bulletin no. 63 Apr 12