Professional Documents
Culture Documents
About this Bulletin: It aims to draw attention to some of the key documents and reviews on clinical effectiveness that have been published in the previous month. Where possible, links to the full text documents are included. If the article is in a journal, you can contact the Health Library for a copy. Link to request form: http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/interlibraryloans/#d.en.27437 [Please note - a charge of 2 per request is payable for most copies] If you need further assistance, please contact the Health Library or the NHS Outreach Librarians, details below. The bulletin can be e-mailed to colleagues who may also find it useful. A list of websites checked in the production of this bulletin is on the first page. Please suggest further useful sites. Feedback is always welcomed to inform future issues of the bulletin.
Contact information
Bulletin produced by NHS Outreach Librarians Tel: FeatureNet 8429 (External calls 0300 123 1535 ext 8429) E-mail: lindsay.snell@northstaffs.nhs.uk clareh.powell@northstaffs.nhs.uk
North Staffs Health Library Tel: 01782 679500 Fax: 01782 679582 E-mail: health.library@keele.ac.uk
NHS Library and Information Service North Staffordshire Contents in this issue:
Alcohol ...................................................................................................................................... 4 Amputees.................................................................................................................................. 4 Arthritis...................................................................................................................................... 4 Cancer ...................................................................................................................................... 4 Cardiovascular Diseases .......................................................................................................... 5 Carers ....................................................................................................................................... 5 Children and Young People ...................................................................................................... 5 Commissioning ......................................................................................................................... 6 Dentists ..................................................................................................................................... 7 Diabetes.................................................................................................................................... 7 General Practice ....................................................................................................................... 7 Guidance .................................................................................................................................. 8 Health Reforms ....................................................................................................................... 10 Health Visitors ......................................................................................................................... 12 Infections ................................................................................................................................ 12 Information and Information Governance................................................................................ 12 Long Term Conditions............................................................................................................. 12 Maternal and Infant Health...................................................................................................... 13 Mental Health.......................................................................................................................... 13 Multiple Sclerosis .................................................................................................................... 14 Nursing ................................................................................................................................... 15 Obesity.................................................................................................................................... 15 Occupational Therapy ............................................................................................................. 15 Offender Health ...................................................................................................................... 15 Older People ........................................................................................................................... 16 Palliative and End of Life Care ................................................................................................ 16 Patient Care and Safety .......................................................................................................... 17 Pharmacy and Prescribing ...................................................................................................... 18 Physiotherapy ......................................................................................................................... 19 Public Health ........................................................................................................................... 19 Safeguarding Children and Vulnerable Adults ........................................................................ 21 Service Management .............................................................................................................. 21 Sexual Health ......................................................................................................................... 23 Smoking .................................................................................................................................. 23 Substance Misuse .................................................................................................................. 24 Vaccination and Immunisation ................................................................................................ 24 Womens Health ..................................................................................................................... 25 Workforce ............................................................................................................................... 25
Amputees
A better deal for military amputees Department of Health This review of prosthetic services currently offered to veterans by the NHS follows concerns that the NHS may not be equipped to provide prosthetic services to the same standard as the Defence Medical Service at Headley Court. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_130824
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Arthritis
RA and Physiotherapy: a national survey National Rheumatoid Arthritis Society (NRAS) This survey of NRAS members explores the value of physiotherapy and its availability to people with rheumatoid arthritis. It also compares the findings with national guidelines. http://www.nras.org.uk/includes/documents/cm_docs/2011/r/ra_and_physiotherapy_report_12 _october_2011.pdf
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Cancer
Items in the Carers section may also be of interest.
Carers
Improving support for older people looking after someone with advanced cancer University of Nottingham This project studied the experiences and support needs of older carers looking after someone with advanced cancer. It also facilitated carers active involvement in the research process. http://www.endoflifecareforadults.nhs.uk/publications/improving-support-for-older-peoplelooking-after-someone-with-advanced-cancer When a person dies: guidance for professionals on developing bereavement services National End of Life Care Programme The publication covers the principles of bereavement services, along with bereavement care at the time of death and in the days preceding and following death. It also includes guidance on workforce and education, commissioning, and quality outcomes. http://www.endoflifecareforadults.nhs.uk/publications/when-a-person-dies
Items in the General Practice section may also be of interest. [back to topics]
Diabetes
Diabetes Care for Emerging Adults: Recommendations for Transition From Pediatric to Adult Diabetes Care Systems: a position statement American Diabetes Association Diabetes Care November 2011 vol. 34(11) p.2477-2485. doi: 10.2337/dc11-1723 Dipeptidyl Peptidase-4 Inhibitors and Bone Fractures: A meta-analysis of randomized clinical trials Monami, M The authors concluded that this meta-analysis suggests treatment with DPP-4 inhibitors could be associated with a reduced risk of bone fractures. Diabetes Care November 2011 vol. 34(11) p.2474-2476. doi: 10.2337/dc11-1099
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General Practice
Investment in General Practice 2006/07 to 2010/11 England, Wales, Northern Ireland and Scotland NHS Information Centre The report draws on information obtained from country level financial monitoring reports. http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/general-practice/investmentin-general-practice-2006-07-to-2010-11-england-wales-northern-ireland-and-scotland Guiding patients through complexity: modern medical generalism RCGP The Commission aimed to define, and describe the role of, medical generalism and explore its intrinsic values. It also aimed to define what patients and the public should be able to expect, and to clarify how the medical generalist interfaces with other health care professionals. The report also makes recommendations about the future development of medical generalism. http://www.rcgp.org.uk/policy/commissn_on_generalsm.aspx
Guidance
NICE Clinical Guidelines Management of hyperglycaemia in people with acute coronary syndromes CG130 http://guidance.nice.org.uk/CG130 NICE Technology Appraisals Mifamurtide for the treatment of osteosarcoma TA235 http://guidance.nice.org.uk/TA235 Ticagrelor for the treatment of acute coronary syndromes (ACS) TA236 http://guidance.nice.org.uk/TA236 NICE Diagnostics Guidance EOS ultra low dose 2D3D system: biplanar X-ray system for postural assessment (EOS low dose) DTG1 http://guidance.nice.org.uk/DTG1
Other Guidance Evidence-based guideline update: Treatment of essential tremor Quality Standards Subcommittee of the American Academy of Neurology Neurology. Published online before print October 19, 2011, doi: 10.1212/WNL.0b013e318236f0fd Guidance on the management of the public health risks from fish pedicures Health Protection Agency http://www.hpa.org.uk/webw/HPAweb&Page&HPAwebAutoListName/Page/1317130999316
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Other Health Technology Assessments Adaptive e-learning to improve dietary behaviour: a systematic review and costeffectiveness analysis Harris, J et al. This study found that e-learning devices designed to promote dietary behaviour change will not produce clinically significant changes in dietary behaviour and are at least as expensive as other individual behaviour change interventions. Health Technol Assess 2011:15(37)
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Health Reforms
Building a successful NHS Commissioning Board: a perspective from the NHS NHS Confederation This paper includes an analysis of the main issues facing the Board and makes 20 recommendations for improving chances of success. http://www.nhsconfed.org/Documents/NHS%20Commissioning%20Board%20briefing%20FIN AL.pdf Developing the NHS Commissioning Board: update Department of Health In July, 'Developing the NHS Commissioning Board' set out initial thinking for the role of the NHS Commissioning Board, subject to the passage of the Health and Social Care Bill. This short update provides further information on the Boards development. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_130725
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Infections
Safe Supplies: Focusing on Epidemiology NHS Blood and Transplant This report looks at levels of infection in blood donors, risks of transmitting infections through transfusions, and reasons why donors do not report risk information. http://www.hpa.org.uk/Publications/InfectiousDiseases/BloodBorneInfections/1109Safesupplie sfocusonepidemiology2010/
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Mental Health
2010/11 working age adult and older adult National Survey of investment in Mental Health Services Department of Health http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_117488 Enhancing Recovery Rates: IAPT Year One Report NHS Improving Access to Psychological Therapies This report looks into the reasons for the variability in performance between sites and presents lessons learnt' that IAPT service managers can draw on to further improve prospects for patient recovery. http://www.iapt.nhs.uk/services/measuring-outcomes/enhancing-recovery-rates--iapt-yearone-report/
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Multiple Sclerosis
The national audit of services for people with multiple sclerosis 2011 Royal College of Physicians The audit measures the NHS against the standards embedded in the NICE clinical guideline Management of multiple sclerosis in primary and secondary care (2003) and the National Service Framework for Long-term Conditions (2005). Data were collected from acute and community service providers, PCTs, SHAs, GPs and people with multiple sclerosis. http://www.rcplondon.ac.uk/resources/audits/MS
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Obesity
Does skipping breakfast help with weight loss? National Obesity Observatory This one page evidence summary looks at the evidence on skipping breakfast. http://www.noo.org.uk/uploads/doc/vid_12928_Eating-breakfast.PDF Healthy lives, healthy people: a call to action on obesity in England Department of Health This document sets out how the new approach to public health will enable effective action on obesity and encourages a wide range of partners to play their part. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_130401
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Occupational Therapy
Reablement: a key role for occupational therapists Social Care Institute for Excellence This briefing summarises research and practice evidence about reablement and explains the contribution that occupational therapists make to reablement services. It provides four case studies. http://www.scie.org.uk/publications/ataglance/ataglance46.asp
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Offender Health
Early years of Dangerous and severe personality disorder programme Ministry of Justice This summary is based on two studies. The first focused on treatment delivered to dangerous and severe personality disorder (DSPD) prisoners/patients. The second was concerned with management and staffing of the four high-secure DSPD units for men. http://www.justice.gov.uk/publications/research-and-analysis/moj/dangerous-severepersonality-disorder.htm
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Older People
Dignity and nutrition inspection programme: National overview Care Quality Commission This report summarises the findings from individual reports from the programme of unannounced inspections between March and June 2011. http://www.cqc.org.uk/publications.cfm?fde_id=18815 International Comparisons in Health Economics: Evidence from Aging Studies Rand Corporation The authors provide an overview of the growing literature that uses micro-level data from multiple countries to investigate health outcomes, and their link to socioeconomic factors, at older ages. Analysis for the US and England is the most common. http://www.rand.org/pubs/working_papers/WR880.html Regulatory activity in hospital settings: A critical analysis of the Care Quality Commissions Dignity and Nutrition Inspection of 100 English hospitals Action on Elder Abuse This report makes extensive recommendations: to the Department of Health, to the Care Quality Commission, to NHS Trusts, and to the Public. http://www.elderabuse.org.uk/Mainpages/CQC%20DANI.htm
Items in the Carers section may be of interest. [back to topics]
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Physiotherapy
Stretched to the limit: An audit of physiotherapy services in England Chartered Society of Physiotherapy This audit argues that early access to physiotherapy services is highly cost effective and clinically effective for a wide range of patients including stroke survivors, those with musculoskeletal disorders and patients with long term conditions. http://www.csp.org.uk/documents/stretched-limit
Items in the Arthritis sections may also be of interest. [back to topics]
Public Health
Change4Life three year social marketing strategy Department of Health This companion document to Healthy Lives, Healthy People: A call to action on obesity in England describes how the social marketing programme will support the achievement of the new national obesity ambitions, as well as promoting other lifestyle changes. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc e/DH_130475 Joint statement on the future of public health in England Local Government Association, British Medical Association, Faculty of Public Health, Association of Directors of Public Health, NHS Confederation and Royal College of Midwives This joint statement sets out the conclusions of these organisations joint work to date to prepare for the reform of public health in England and areas of agreement. It is intended to shape future national discussion on legislation, guidance and implementation of the reforms. http://www.local.gov.uk/c/document_library/get_file?uuid=fea12f9d-bf8f-4e84-8cf3dbd754ad9677&groupId=10161 19
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NHS Library and Information Service North Staffordshire Safeguarding Children and Vulnerable Adults
The protection of children online: a brief scoping review to identify vulnerable groups Department for Education This review explores levels of intended and unintended exposure to specific risks, the impact of harm suffered by children, and the characteristics of children who may be at highest risk. https://www.education.gov.uk/publications/RSG/AllPublications/Page1/CWRC-00085-2011 Safeguarding Children Across Services: Messages from Research Department for Education The Safeguarding Children Research Initiative is an important element in the government response to the Inquiry following the death of Victoria Climbi. Its purpose is to provide a stronger evidence base for the development of policy and practice to improve the protection of children in England. This Overview focuses on the findings from this initiative, but also refers extensively to a further four important research studies that also reported during the same time period. https://www.education.gov.uk/publications/RSG/AllPublications/Page1/DFE-RR164 Briefs, including one for Health Professionals, are available at https://www.education.gov.uk/publications/RSG/AllPublications/Page1/DFE-RB164 Safeguarding children who may have been trafficked: Practice guidance Department for Education This guidance has been updated to reflect developments such as the introduction in April 2009 of the National Referral Mechanism and the duty on the UK Border Agency to safeguard and promote the welfare of children, which came into force in November 2009. https://www.education.gov.uk/publications/standard/publicationDetail/Page1/DFE-00084-2011 Safeguarding vulnerable adults: a toolkit for general practitioners BMA The toolkit highlights the obligation doctors have to protect vulnerable adults, including identifying abusers, identifying systemic healthcare failures and reporting poor performance by health professionals. It includes examples of good practice and signposts key guidance, relevant legislation and useful names and addresses. http://www.bma.org.uk/ethics/doctor_relationships/safeguardvulnerableadults.jsp
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Service Management
Does Hospital Competition Harm Equity? Evidence from the English National Health Service University of York. Centre for Health Economics This report looks at whether competition undermines socio-economic equity in the utilisation of care, in the context of the pro-competition reforms introduced from 2004 to 2006. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP66_does_hospita l_competition_harm_equity.pdf
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Sexual Health
Items in the Offender Health section may also be of interest.
Smoking
Smoking statistics: Illness and death Action on Smoking and Health http://ash.org.uk/files/documents/ASH_107.pdf 23
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Womens Health
Life Course Approach to Womens Health Care, Why Should we Consider a Royal College of Obstetricians and Gynaecologists This paper considers the rationale for a life course approach to womens health care and the implications for health service delivery. http://www.rcog.org.uk/womens-health/clinical-guidance/life-course-approachwomen%E2%80%99s-health-care-why-should-we-consider-sacWomens health in prison: Action guidance and checklists to review current policies and practices WHO Regional Office for Europe The checklists in this document are an important tool in ensuring greater safety and better quality medical care for women in prison, and are designed to assist a review of current policies and practices. http://www.euro.who.int/en/what-we-do/health-topics/health-determinants/prisons-andhealth/publications/womens-health-in-prison-action-guidance-and-checklists-to-reviewcurrent-policies-and-practices yoUr First choicE: A Review of the provision of, and access to, Uterine Artery/Fibroid Embolisation, a less invasive treatment for Fibroids for women in England The Medical Technology Group An FOI Survey shows significant variation across some PCT areas in the number of women undergoing Uterine artery / fibroid embolisation. A set of recommendations for the Government, healthcare professionals, NHS commissioners has been developed in order to address the challenges that have been identified. http://www.mtg.org.uk/go.cfm?do=Page.Show&pid=8
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Workforce
Consultant physicians working with patients: the duties, responsibilities and practice of physicians in medicine - 5th edition Royal College of Physicians This publication provides comprehensive information on commissioning, service organisation and standards, workforce requirements and job plans for 28 medical specialties. It is a 25
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