Clinical Effectiveness Bulletin no. 55, August 2011

8/4/2019 Clinical Effectiveness Bulletin no. 55, August 2011

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NHS Library and Information Service North Staffordshire

Clinical Effectiveness Bulletinfor NHS Primary Care in North

StaffordshireIssue No: 55 August 2011

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 suggest

further 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]

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


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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) Database http://www.hta.ac.ukDaily Health Bulletinhttp://www.sheffield.nhs.uk/healthbulletin/Department of Health http://www.dh.gov.uk/en/index.htmKings Fundhttp://www.kingsfund.org.uk/NeLM (National Electronic Library for Medicines) news bulletinhttp://www.nelm.nhs.uk/en/NICE http://www.nice.org.uk/SIGN http://www.sign.ac.uk/new.html

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


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Contents in this issue:

Cancer .........................................................................................................................................4Cardiovascular Diseases ............................................................................................................ 5Children and Young People ........................................................................................................ 5

Commissioning ............................................................................................................................ 6Dementia ..................................................................................................................................... 7Dental health ............................................................................................................................... 7Diabetes ...................................................................................................................................... 8Emergencies ............................................................................................................................... 8End of Life Care .......................................................................................................................... 8General Practice ......................................................................................................................... 9Guidance ...................................................................................................................................10Health Reforms .........................................................................................................................12Health Visitors ...........................................................................................................................13Infections ...................................................................................................................................14

Information and Records ...........................................................................................................14Long Term Conditions ...............................................................................................................15Maternal and Infant Health ........................................................................................................16Mental Health ............................................................................................................................16Nursing ......................................................................................................................................17Nutrition .....................................................................................................................................17Offender Health .........................................................................................................................17Older People .............................................................................................................................18Patient Care and Safety ............................................................................................................18Pharmacy and Prescribing ........................................................................................................19Public Health .............................................................................................................................21

Service Management................................................................................................................ 22Sexual Health ............................................................................................................................23Smoking .................................................................................................................................... 23Stroke ........................................................................................................................................24Substance Misuse .....................................................................................................................24Vaccination and Immunisation ..................................................................................................25Workforce ..................................................................................................................................25

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Cancer

Adult cancers near overhead power lines: Interim ReportDepartment of Health

This study investigates the risk of adult cancers in relation to distance from high voltageoverhead power lines.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129159

Cancer Waiting Times: annual report 2010-11Department of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_128618

The future of cancer networks: policy recommendations as a result of a joint seminarheld at the Kings FundMacmillan Cancer Support, Kings Fundhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/FutureOfCancerNetworksJuly2011.pdfIncidence and risk of congestive heart failure in patients with renal and nonrenal cellcarcinoma treated with Sunitinib.Richards, CJ et al.The authors concluded that Sunitinib use is associated with increased risk of CongestiveHeart Failure in patients with cancer.Journal of Clinical Oncology, August 1, 2011. doi: 10.1200/JCO.2010.34.4309

Nations divided? An assessment of variations in access to cancer treatments forpatients in England, Scotland and WalesRarer Cancers FoundationThe report found that 23 cancer treatments are not routinely available in Scotland which maybe available in England through the Cancer Drugs Fund, and 24 cancer treatments are notroutinely available in Wales which may be available in England through the Cancer DrugsFund.http://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugs

Relevance of breast cancer hormone receptors and other factors to the efficacy ofadjuvant tamoxifen: patient-level meta-analysis of randomised trialsEarly Breast Cancer Trialists' Collaborative Group (EBCTCG)The authors concluded that 5 years of adjuvant tamoxifen safely reduces 15-year risks ofbreast cancer recurrence and death. Oestrogen receptor status was the only recorded factorimportantly predictive of the proportional reductions. The absolute risk reductions produced bytamoxifen depend on the absolute breast cancer risks (after any chemotherapy) withouttamoxifen.The Lancet, Early Online Publication, 29 July 2011. doi:10.1016/S0140-6736(11)60993-8

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129159http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129159http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_128618http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_128618http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/FutureOfCancerNetworksJuly2011.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/FutureOfCancerNetworksJuly2011.pdfhttp://jco.ascopubs.org/content/early/2011/08/01/JCO.2010.34.4309.abstracthttp://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugshttp://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugshttp://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugshttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60993-8/abstracthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129159http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129159http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_128618http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_128618http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/FutureOfCancerNetworksJuly2011.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/FutureOfCancerNetworksJuly2011.pdfhttp://jco.ascopubs.org/content/early/2011/08/01/JCO.2010.34.4309.abstracthttp://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugshttp://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugshttp://www.rarercancers.org/index.php?option=com_content&view=article&id=212:new-report-reveals-devastating-cross-border-divide-in-access-to-cancer-drugshttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60993-8/abstract


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Risk of Solid Cancers following Radiation Exposure: Estimates for the UK Population.Health Protection Agency, Independent Advisory Group on Ionising RadiationThis report gives information about risks of cancer following exposure to different sources ofradiation, including medical X-rays.http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE19SolidCancerRisk/

Sarcoma Measures for the Manual for Cancer ServicesDepartment of Healthhttp://www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_129315

Vision for the future of cancer services.Cancer Campaigning GroupThis set of 6 documents covers: Public health and prevention; Early diagnosis; Treatment andservices; Survivorship; Commissioning; Research.http://www.cancercampaigninggroup.org.uk/2011/08/25/ccg-publishes-vision-for-future-of-cancer-services/

[back to topics]

Cardiovascular Diseases

Heart Failure: CommissioningNHS ImprovementThis web page includes links to relevant guidelines and case studies.http://www.improvement.nhs.uk/heart/heartfailure/Home/Commissioning.aspx

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Children and Young People

Individual budgets for families with disabled childrenDepartment for EducationThis report presents a detailed assessment of the original two-year pilot. It focuses on howthe pilots were set up and delivered, and resource and infrastructure requirements. The mainreports are accompanied by: six case study reports; two thematic reports (on resourceallocation and safeguarding); and a technical report.https://www.education.gov.uk/publications/RSG/AllPublications/Page1/DFE-RR145

National Child Measurement Programme: guidance for small area analysisNational Obesity ObservatoryThis paper explains why caution must be exercised when using NCMP data to provideinformation about small populations or local areas. It discusses the reliability of estimates ofobesity prevalence at different levels of aggregation, and provides advice on approaches toensure that any analysis is as robust as possible. Alternative ways to identify areas of highobesity prevalence within LA and PCT boundaries are also suggested.http://www.noo.org.uk/uploads/doc/vid_11853_NCMP_Guidanceforsmallarea%20analysisFINAL.pdf

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http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE19SolidCancerRisk/http://www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_129315http://www.cancercampaigninggroup.org.uk/2011/08/25/ccg-publishes-vision-for-future-of-cancer-services/http://www.cancercampaigninggroup.org.uk/2011/08/25/ccg-publishes-vision-for-future-of-cancer-services/http://www.improvement.nhs.uk/heart/heartfailure/Home/Commissioning.aspxhttps://www.education.gov.uk/publications/RSG/AllPublications/Page1/DFE-RR145http://www.noo.org.uk/uploads/doc/vid_11853_NCMP_Guidanceforsmallarea%20analysisFINAL.pdfhttp://www.noo.org.uk/uploads/doc/vid_11853_NCMP_Guidanceforsmallarea%20analysisFINAL.pdfhttp://www.noo.org.uk/uploads/doc/vid_11853_NCMP_Guidanceforsmallarea%20analysisFINAL.pdfhttp://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE19SolidCancerRisk/http://www.dh.gov.uk/en/Consultations/Responsestoconsultations/DH_129315http://www.cancercampaigninggroup.org.uk/2011/08/25/ccg-publishes-vision-for-future-of-cancer-services/http://www.cancercampaigninggroup.org.uk/2011/08/25/ccg-publishes-vision-for-future-of-cancer-services/http://www.improvement.nhs.uk/heart/heartfailure/Home/Commissioning.aspxhttps://www.education.gov.uk/publications/RSG/AllPublications/Page1/DFE-RR145http://www.noo.org.uk/uploads/doc/vid_11853_NCMP_Guidanceforsmallarea%20analysisFINAL.pdfhttp://www.noo.org.uk/uploads/doc/vid_11853_NCMP_Guidanceforsmallarea%20analysisFINAL.pdf


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National Child Measurement Programme: Operational guidance for the 2011/12 schoolyearDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129001

Outcomes versus Expenditure ToolChild and Maternal Health ObservatoryThis tool enables comparison of expenditure and other aspects of services with a number ofoutcome measures at primary care trust (PCT) level.Registration with the Child and Maternal Health Observatory website required to access thistool. Registration is freehttp://atlas.chimat.org.uk/IAS/ovet

Q&A on Health Services in Secure Childrens Homes (Youth Justice Commissioned)and Secure Training Centres in EnglandDepartment of Health

These Q&As follow the Department of Health's announcement of a phased project to transfercommissioning responsibility for health services in Secure Childrens Homes and SecureTraining Centres in England to the NHS.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129356

A rapid review of the National Child Measurement ProgrammeDepartment of HealthThis review draws on existing research and evidence, and the views of local practitionersinvolved in the delivery of the NCMPhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc

e/DH_129373

Items in the Nutrition, Obesity, Offender health and Vaccination and Immunisation sections may also beof interest.

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Commissioning

Achieving Commissioning ExcellenceNHS AllianceThis website aims to support the development of NHS clinically-led commissioning.

http://www.nhsace.com/

Ask an ExpertPrimary Care CommissioningThis service offers commissioners free access to a one-stop shop for commissioningintelligence. It brings together expertise in commissioning, evidence searches, data analysisand health intelligence in an easy-to-access format online.www.pcc-cic.org.uk/ask-an-expert

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129001http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129001http://atlas.chimat.org.uk/IAS/ovethttp://atlas.chimat.org.uk/IAS/ovethttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129356http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129356http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129373http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129373http://www.nhsace.com/http://www.pcc-cic.org.uk/ask-an-experthttp://www.pcc-cic.org.uk/ask-an-experthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129001http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129001http://atlas.chimat.org.uk/IAS/ovethttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129356http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129356http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129373http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129373http://www.nhsace.com/http://www.pcc-cic.org.uk/ask-an-expert


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Decommissioning: How to decommission public services delivered by civil societyorganisations and maintain value for moneyNational Audit OfficeThis guide seeks to provide practical advice on how to plan for and manage thedecommissioning of public services delivered by civil society organisations and maintainvalue for money while doing so. It is designed for local commissioners.

http://www.nao.org.uk/sectors/civil_society/decommission/home.aspx

A simple guide to Payment by ResultsDepartment of HealthThis introduction for newcomers to PbR reflects changes to PbR arrangements in 2011-12.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128862

Valuation Techniques for Social Cost-Benefit Analysis: Stated Preference, RevealedPreference and Subjective Well-Being Approaches: A Discussion of the Current IssuesHM Treasury, Department of Work and Pensions

This paper has been written with three main objectives in mind:1. To demonstrate that the valuation of non-market goods, and specifically the measurementof well-being, is a live research issue2. To provide an introduction to how analysts should apply these techniques in practice3. To cover the strengths and weaknesses of the three methods in detail to enable analysts toappropriately use and interpret findings to provide decision makers with high quality advice.http://www.hm-treasury.gov.uk/data_greenbook_news.htm

Items in the Cancer, Health Reforms, Patient Care and Safety, Pharmacy and Service Managementsections may also be of interest.

[back to topics]

Dementia

Living well with dementiaDesign CouncilThe Council are challenging teams to help people with dementia and their carers live easier,better planned and more enjoyable lives. Participating teams can win a share of 360,000plus professional support to make their idea happen.http://www.designcouncil.org.uk/dementia

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Dental health

NHS Dental Statistics for England: 2010/11NHS Information Centrehttp://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-statistics-for-england-2010-11

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http://www.nao.org.uk/sectors/civil_society/decommission/home.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128862http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128862http://www.hm-treasury.gov.uk/data_greenbook_news.htmhttp://www.designcouncil.org.uk/dementiahttp://www.designcouncil.org.uk/dementiahttp://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-statistics-for-england-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-statistics-for-england-2010-11http://www.nao.org.uk/sectors/civil_society/decommission/home.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128862http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128862http://www.hm-treasury.gov.uk/data_greenbook_news.htmhttp://www.designcouncil.org.uk/dementiahttp://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-statistics-for-england-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-statistics-for-england-2010-11


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Diabetes

Magnesium Intake and Risk of Type 2 Diabetes: Meta-analysis of prospective cohortstudiesDong, J et al.The authors concluded that magnesium intake is significantly inversely associated with risk oftype 2 diabetes.Diabetes Care September 2011 vol. 34(9) p.2116-2122

Prescribing for Diabetes in England 2005/06 to 2010/11NHS Information CentreThis publication reports on prescribing trends for medicines prescribed in primary care for thetreatment of diabetes for the period April 2005 to March 2011.http://www.ic.nhs.uk/pubs/prescribingfordiabetes05-11

Prevention of Type 2 Diabetes: Knowledge & Information RepositoryNHS Diabetes

This document synthesises the latest key policy papers, national body statements, clinical orcare guidelines and the latest key research and evaluation papers.http://www.diabetes.nhs.uk/document.php?o=2684

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Emergencies

Hospital emergency response checklist: an all-hazards tool for hospital administratorsand emergency managersWorld Health Organisation Regional Office for Europe

This tool is comprised of current hospital-based emergency management principles and bestpractices, and action required for rapid, effective response to a critical event.http://www.euro.who.int/en/what-we-do/health-topics/emergencies/disaster-preparedness-and-response/publications/2011/hospital-emergency-response-checklist

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End of Life Care

Environments for care at the end of life: The King's Fund's Enhancing the HealingEnvironment Programme 2008-2010Kings FundThis publication describes projects in 19 NHS trusts and one HM prison to improve theenvironment of care at the end of life.http://www.kingsfund.org.uk/publications/ehe_care_environment.html

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http://care.diabetesjournals.org/content/34/9/2116.abstracthttp://www.ic.nhs.uk/pubs/prescribingfordiabetes05-11http://www.diabetes.nhs.uk/document.php?o=2684http://www.euro.who.int/en/what-we-do/health-topics/emergencies/disaster-preparedness-and-response/publications/2011/hospital-emergency-response-checklisthttp://www.euro.who.int/en/what-we-do/health-topics/emergencies/disaster-preparedness-and-response/publications/2011/hospital-emergency-response-checklisthttp://www.kingsfund.org.uk/publications/ehe_care_environment.htmlhttp://care.diabetesjournals.org/content/34/9/2116.abstracthttp://www.ic.nhs.uk/pubs/prescribingfordiabetes05-11http://www.diabetes.nhs.uk/document.php?o=2684http://www.euro.who.int/en/what-we-do/health-topics/emergencies/disaster-preparedness-and-response/publications/2011/hospital-emergency-response-checklisthttp://www.euro.who.int/en/what-we-do/health-topics/emergencies/disaster-preparedness-and-response/publications/2011/hospital-emergency-response-checklisthttp://www.kingsfund.org.uk/publications/ehe_care_environment.html


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Local preferences and place of death in regions within England 2010National End of Life Care Intelligence NetworkThis report compares people's preferences for place of death with actual place of death asrecorded by Office for National Statistics mortality data. A population based telephone surveywas also used to explore people's preferences.http://www.endoflifecare-intelligence.org.uk/view.aspx?rid=157

Routes to success: achieving quality environments for care at end of lifeNational End of Life Care ProgrammeThis guide identifies a number of key environmental principles to help improve privacy anddignity for patients and relatives. These principles can help to support the bereaved, whosememories live on once their loved one has died.http://www.endoflifecareforadults.nhs.uk/publications/routes-to-success-achieving-quality-environments-for-care-at-end-of-life

VOICES (Views of Informal Carers - Evaluation of Services) Redesign and testing toinform a National End of Life Care survey

Department of HealthThe NHS Outcomes Framework (2011/12) set out the intention to survey the bereaved tosupport the development of an end of life care indicator. The report sets out the learning froma pilot study to develop and test a revised VOICES questionnaire. The accompanying toolkitdescribes the principal processes and considerations for successfully undertaking a localsurvey of this type.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128787

Items in the mental health section may also be of interest.

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General Practice

Community Pharmacy Services: briefing for GP practicesPharmaceutical Services Negotiating Committee, BMA, NHS EmployersThis briefing covers changes to the NHS Community Pharmacy Contractual Framework.http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/GP_guide_to_contract_changes_Aug_2011.pdf

Its Your Practice: a patient guide to GP services

Royal College of General Practitionershttp://www.rcgp.org.uk/PDF/rcgp_iyp_full_booklet_web_version.pdf

The quality of GP prescribingKings FundThis paper examines what is known about the current quality of prescribing in generalpractice, including how quality varies from practice to practice.http://www.kingsfund.org.uk/document.rm?id=9215

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http://www.endoflifecare-intelligence.org.uk/view.aspx?rid=157http://www.endoflifecareforadults.nhs.uk/publications/routes-to-success-achieving-quality-environments-for-care-at-end-of-lifehttp://www.endoflifecareforadults.nhs.uk/publications/routes-to-success-achieving-quality-environments-for-care-at-end-of-lifehttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128787http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128787http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/GP_guide_to_contract_changes_Aug_2011.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/GP_guide_to_contract_changes_Aug_2011.pdfhttp://www.rcgp.org.uk/PDF/rcgp_iyp_full_booklet_web_version.pdfhttp://www.kingsfund.org.uk/document.rm?id=9215http://www.endoflifecare-intelligence.org.uk/view.aspx?rid=157http://www.endoflifecareforadults.nhs.uk/publications/routes-to-success-achieving-quality-environments-for-care-at-end-of-lifehttp://www.endoflifecareforadults.nhs.uk/publications/routes-to-success-achieving-quality-environments-for-care-at-end-of-lifehttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128787http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128787http://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/GP_guide_to_contract_changes_Aug_2011.pdfhttp://www.psnc.org.uk/data/files/PharmacyContract/Contract_changes_2011/GP_guide_to_contract_changes_Aug_2011.pdfhttp://www.rcgp.org.uk/PDF/rcgp_iyp_full_booklet_web_version.pdfhttp://www.kingsfund.org.uk/document.rm?id=9215


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Guidance

NICE Menu of IndicatorsNICEThis set of proposed indicators for 2012/13 Quality and Outcomes Framework will help target

resources where they are most needed and deliver the best patient outcomes. Each indicatorhas been piloted across a range of practices and is based on the most up-to-date evidence.NICE has also made recommendations on which existing QOF indicators should be retired oramended.http://www.nice.org.uk/aboutnice/qof/indicators.jsp

NICE Quality StandardsAlcohol dependence and harmful alcohol useQuality standardhttp://www.nice.org.uk/guidance/qualitystandards/alcoholdependence/home.jsp

Chronic obstructive pulmonary disease (COPD)Quality standardhttp://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/copdqualitystandard.jsp

National Quality Board engagement exercise on the library of NICE Quality StandardNHS healthcare topicsThis exercise is to allow those with an interest in Quality Standards to become involved inhelping to ensure the library of topics is genuinely fit for purpose.Closing date for comments: 14 October 2011http://www.nice.org.uk/getinvolved/currentniceconsultations/NQBEngagement.jsp

NICE Clinical GuidelinesHypertension: management of hypertension in adults in primary careCG127http://guidance.nice.org.uk/CG127

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NICE Technology AppraisalsAbatacept for the treatment of rheumatoid arthritis after the failure of conventionaldisease-modifying anti-rheumatic drugsTA234

http://guidance.nice.org.uk/TA234

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NICE Consultation DocumentsAtrial fibrillation - dabigatran etexilate: appraisal consultation documentClosing date for comments: 8 September 2011http://guidance.nice.org.uk/TA/Wave21/10/Consultation/DraftGuidance

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http://www.nice.org.uk/aboutnice/qof/indicators.jsphttp://www.nice.org.uk/guidance/qualitystandards/alcoholdependence/home.jsphttp://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/copdqualitystandard.jsphttp://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/copdqualitystandard.jsphttp://www.nice.org.uk/getinvolved/currentniceconsultations/NQBEngagement.jsphttp://guidance.nice.org.uk/CG127http://guidance.nice.org.uk/TA234http://guidance.nice.org.uk/TA/Wave21/10/Consultation/DraftGuidancehttp://www.nice.org.uk/aboutnice/qof/indicators.jsphttp://www.nice.org.uk/guidance/qualitystandards/alcoholdependence/home.jsphttp://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/copdqualitystandard.jsphttp://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/copdqualitystandard.jsphttp://www.nice.org.uk/getinvolved/currentniceconsultations/NQBEngagement.jsphttp://guidance.nice.org.uk/CG127http://guidance.nice.org.uk/TA234http://guidance.nice.org.uk/TA/Wave21/10/Consultation/DraftGuidance


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Attention deficit hyperactivity disorder (ADHD): review proposal consultationTo comment, contact the registered stakeholder organisation that most closely represents youinterests.Closing date for comments: 12 September 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56114

Breast cancer (metastatic) - fulvestrant: appraisal consultation documentClosing date for comments: 13 September 2011http://guidance.nice.org.uk/TA/Wave23/15/Consultation/DraftGuidance

Induction of labour: review proposal consultationTo comment, contact the registered stakeholder organisation that most closely represents youinterests.Closing date for comments: 12 September 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56107

Stroke rehabilitation: guideline consultation

To comment, contact the registered stakeholder organisation that most closely represents youinterests.Closing date for comments: 25 October 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56128

Smoking cessation - acute and obstetric services: consultation on the draft scopeTo comment, contact the registered stakeholder organisation that most closely represents youinterests.Closing date for comments: 29 September 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56137

Smoking cessation - mental health services: draft scope consultationTo comment, contact the registered stakeholder organisation that most closely represents youinterests.Closing date for comments: 29 September 2011http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56145

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Other GuidanceAtrial Fibrillation / Stroke Prevention GuidelinesYorkshire & Humber Strategic Health Authority

http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac%2fNational%2fWebsite%2fAF%20Website%2fResources%2fSHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdf

Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: AClinical Practice Guideline UpdateAmerican College of Physicians, American College of Chest Physicians, American ThoracicSociety, and European Respiratory SocietyAnnals of Internal Medicine. August 2, 2011 vol. 155(3) p.179-191

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http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56114http://guidance.nice.org.uk/TA/Wave23/15/Consultation/DraftGuidancehttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=56107http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56128http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56137http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56145http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac/National/Website/AF%20Website/Resources/SHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac/National/Website/AF%20Website/Resources/SHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac/National/Website/AF%20Website/Resources/SHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdfhttp://www.annals.org/content/155/3/179.abstracthttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=56114http://guidance.nice.org.uk/TA/Wave23/15/Consultation/DraftGuidancehttp://www.nice.org.uk/guidance/index.jsp?action=folder&o=56107http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56128http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56137http://www.nice.org.uk/guidance/index.jsp?action=folder&o=56145http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac/National/Website/AF%20Website/Resources/SHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac/National/Website/AF%20Website/Resources/SHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cardiac/National/Website/AF%20Website/Resources/SHA%20AF%20Stroke%20Guideline%202011%20V15%20FINAL.doc.pdfhttp://www.annals.org/content/155/3/179.abstract


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Position statement on the introduction of new oral anticoagulants for stroke preventionin atrial fibrillationUK Clinical Pharmacy Associationhttp://www.ukcpa.org/docs/FINAL%20UKCPA%20Position%20statement%20on%20NOACs%20for%20SPAF%20Aug%202011.pdf

Sickle Cell Disease in Pregnancy, Management ofRoyal College of Obstetricians and Gynaecologistshttp://www.rcog.org.uk/womens-health/clinical-guidance/sickle-cell-disease-pregnancy-management-green-top-61

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Other Health Technology AssessmentsDevelopment and evaluation by a cluster randomised trial of a psychosocialintervention in children and teenagers experiencing diabetes: the DEPICTED studyGregory J, et al.

This study found that training diabetes health-care professionals to improve their consultationskills did not achieve short-term impacts on HbA1c level and quality of life. Furthermodification of this training and reinforcement is required to produce a benefit on outcomes.Health Technol Assess 2011:15(29)

A study of the safety and harms of antidepressant drugs for older people: a cohortstudy using a large primary care databaseCoupland C et al.This study found associations between use of antidepressant drugs and a number of adverseevents in older people, but there was no evidence that selective serotonin reuptake inhibitorsor other antidepressant drugs were associated with a reduced risk of any of the adverse

outcomes compared with tricyclic and related antidepressants. They may, however, beassociated with increased risks for some adverse events.Health Technol Assess 2011:15(28)

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Health Reforms

A development tool to support emerging Clinical Commissioning Groups with theirgovernance arrangementsNHS National Leadership Council

This tool is designed to support all those with responsibility for shaping the development ofClinical Commissioning Groups. It aims to inform the debate about how to ensure theeffective governance of Clinical Commissioning Groups.http://www.nhsleadership.org/images/library/files/Commissioning/Development_Tool_to_support_Clinical_Commissioning_Groups_with_Governance_FINAL_v1_0.pdf

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http://www.ukcpa.org/docs/FINAL%20UKCPA%20Position%20statement%20on%20NOACs%20for%20SPAF%20Aug%202011.pdfhttp://www.ukcpa.org/docs/FINAL%20UKCPA%20Position%20statement%20on%20NOACs%20for%20SPAF%20Aug%202011.pdfhttp://www.ukcpa.org/docs/FINAL%20UKCPA%20Position%20statement%20on%20NOACs%20for%20SPAF%20Aug%202011.pdfhttp://www.rcog.org.uk/womens-health/clinical-guidance/sickle-cell-disease-pregnancy-management-green-top-61http://www.rcog.org.uk/womens-health/clinical-guidance/sickle-cell-disease-pregnancy-management-green-top-61http://www.hta.ac.uk/project/1450.asphttp://www.hta.ac.uk/project/1689.asphttp://www.nhsleadership.org/images/library/files/Commissioning/Development_Tool_to_support_Clinical_Commissioning_Groups_with_Governance_FINAL_v1_0.pdfhttp://www.nhsleadership.org/images/library/files/Commissioning/Development_Tool_to_support_Clinical_Commissioning_Groups_with_Governance_FINAL_v1_0.pdfhttp://www.ukcpa.org/docs/FINAL%20UKCPA%20Position%20statement%20on%20NOACs%20for%20SPAF%20Aug%202011.pdfhttp://www.ukcpa.org/docs/FINAL%20UKCPA%20Position%20statement%20on%20NOACs%20for%20SPAF%20Aug%202011.pdfhttp://www.rcog.org.uk/womens-health/clinical-guidance/sickle-cell-disease-pregnancy-management-green-top-61http://www.rcog.org.uk/womens-health/clinical-guidance/sickle-cell-disease-pregnancy-management-green-top-61http://www.hta.ac.uk/project/1450.asphttp://www.hta.ac.uk/project/1689.asphttp://www.nhsleadership.org/images/library/files/Commissioning/Development_Tool_to_support_Clinical_Commissioning_Groups_with_Governance_FINAL_v1_0.pdfhttp://www.nhsleadership.org/images/library/files/Commissioning/Development_Tool_to_support_Clinical_Commissioning_Groups_with_Governance_FINAL_v1_0.pdf


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Diagnostic tool for emerging clinical commissioning groupsDepartment of HealthThis tool is designed to enable emerging clinical commissioning groups (CCGs) to understandand reflect upon their values, culture, behaviours and wider organisational health.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129124

HealthWatch PathfindersStaffordshire is one of 75 Local HealthWatch Pathfinders. These new learning networks willchampion patients views and experiences, promote the integration of local services andimprove choice for patients through advice and access to information.http://www.dh.gov.uk/en/MediaCentre/Pressreleases/DH_128981

NHS Commissioning Board: Q & ADepartment of HealthThese brief Q&As look at the role of the Commissioning Board and how it will operate.http://healthandcare.dh.gov.uk/nhs-commissioning-board-qa/

Items in the Commissioning, Information and Records, and General Practice sections may also be ofinterest.

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Health Visitors

Educating health visitors for a transformed serviceDepartment of HealthA suggested approach, for education commissioners and higher education institutions andlecturers, to aligning education with the new service vision for health visiting.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129682

Health visitor implementation plan: summaryNHS Employershttp://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/LatestNews/Pages/Healthvisitorimplementationplan-ataglancesummary.aspx

Health visitor return to practice framework: a guide for education providersDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129697

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129124http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129124http://www.dh.gov.uk/en/MediaCentre/Pressreleases/DH_128981http://healthandcare.dh.gov.uk/nhs-commissioning-board-qa/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129682http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129682http://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/LatestNews/Pages/Healthvisitorimplementationplan-ataglancesummary.aspxhttp://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/LatestNews/Pages/Healthvisitorimplementationplan-ataglancesummary.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129697http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129697http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129124http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129124http://www.dh.gov.uk/en/MediaCentre/Pressreleases/DH_128981http://healthandcare.dh.gov.uk/nhs-commissioning-board-qa/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129682http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129682http://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/LatestNews/Pages/Healthvisitorimplementationplan-ataglancesummary.aspxhttp://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/LatestNews/Pages/Healthvisitorimplementationplan-ataglancesummary.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129697http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129697


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Infections

Antiretroviral therapy for prevention of HIV transmission in HIV-discordant couplesAnglemyer, A et al.The authors of this Cochrane Review conclude that ART is a potent intervention forprevention of HIV in discordant couples in which the index partner has 550 CD4 cells/L.They highlight additional issues to be considered when designing services.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009153.pub2/abstract

Deaths involving Clostridium difficile: England and Wales, 2006 to 2010Office for National Statisticshttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-clostridium-difficile/2006-to-2010/statistical-bulletin.html

Deaths involving MRSA: England and Wales, 2006 to 2010Office for National Statisticshttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-mrsa/2006-

to-2010/statistical-bulletin.html

Topical steroid for chronic rhinosinusitis without polypsSnidvongs, K et al.The authors of this Cochrane Review concluded that topical steroid is a beneficial treatmentfor chronic rhinosinusitis without polyps and the adverse effects are minor.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009274/abstract

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

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Information and Records

Access to person-level data in health care: Understanding information governanceNuffield TrustThis review and accompanying research summary explore the current informationgovernance regulations and reflect on the social values that underpin them.http://www.nuffieldtrust.org.uk/publications/access-person-level-data-health-care-understanding-information-governance

Guide to UK Health and Health Care StatisticsOffice of Health EconomicsThis publication provides both up-to-date statistics and a guide to finding and using healthstatistics from the UK and, to some extent, other OECD countries. Four areas are covered:demographics; health care expenditure; hospital services; and primary care services.http://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////ohe-guide-to-uk-health-and-health-care-statistics.html

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http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009153.pub2/abstracthttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-clostridium-difficile/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-clostridium-difficile/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-clostridium-difficile/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-mrsa/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-mrsa/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-mrsa/2006-to-2010/statistical-bulletin.htmlhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009274/abstracthttp://www.nuffieldtrust.org.uk/publications/access-person-level-data-health-care-understanding-information-governancehttp://www.nuffieldtrust.org.uk/publications/access-person-level-data-health-care-understanding-information-governancehttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////ohe-guide-to-uk-health-and-health-care-statistics.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////ohe-guide-to-uk-health-and-health-care-statistics.htmlhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009153.pub2/abstracthttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-clostridium-difficile/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-clostridium-difficile/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-mrsa/2006-to-2010/statistical-bulletin.htmlhttp://www.ons.gov.uk/ons/rel/subnational-health2/deaths-involving-mrsa/2006-to-2010/statistical-bulletin.htmlhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009274/abstracthttp://www.nuffieldtrust.org.uk/publications/access-person-level-data-health-care-understanding-information-governancehttp://www.nuffieldtrust.org.uk/publications/access-person-level-data-health-care-understanding-information-governancehttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////ohe-guide-to-uk-health-and-health-care-statistics.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////ohe-guide-to-uk-health-and-health-care-statistics.html


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Knowledge Management in TransitionNHS Connecting for HealthA key challenge at this time of transition is enabling business continuity. A key enabler will bethe transfer of the corporate memory of SHAs and PCTs to their successors. These pagesaim to support NHS organisations to preserve, transfer and acquire corporate memory.http://www.connectingforhealth.nhs.uk/systemsandservices/icd/knowledge/transition

The National Programme for IT in the NHS: an update on the delivery of detailed carerecords systemsHouse of Commons Public Accounts Select CommitteeThe Committee concluded that the Department of Healths intention to provide a nationalintegrated care records system has proved beyond its capacity to deliver. It argues that theDepartment could have avoided some of the pitfalls if they had consulted at the start of theprocess with health professionals, and outlines areas to consider to ensure the Departmentand NHS Trusts get the best value for money from the remainder of the project.http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1070/107002.htm

Items in the Commissioning section may also be of interest.

Long Term Conditions

Advice for employees on working with a long-term medical conditionNHS Choiceshttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_Employees_Factsheet_A4.pdf

Advice for line managers on supporting employees with long-term medical conditionsNHS Choices

http://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdf

Bulking agents, antispasmodics and antidepressants for the treatment of irritablebowel syndrome (IBS)Ruepert, L et al.The authors of this Cochrane Review found that bulking agents are not effective, butantidepressants and some antispasmodics are effective, for treating IBS. Side effects werenot evaluated.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003460.pub3/abstract

Managing COPD as a Long Term Condition: Emerging Learning from the NationalImprovement ProjectsNHS Improvement: LungThis report looks at practical issues around improving peoples ability to self-manage,managing COPD (e.g. through reviews and medication), and using data to make a difference.http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer%2fNational%2fNational%20Project%2fLung%20Publication%2fLungChronicManagement.pdf

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

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http://www.connectingforhealth.nhs.uk/systemsandservices/icd/knowledge/transitionhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1070/107002.htmhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_Employees_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_Employees_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_Employees_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdfhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003460.pub3/abstracthttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/National%20Project/Lung%20Publication/LungChronicManagement.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/National%20Project/Lung%20Publication/LungChronicManagement.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/National%20Project/Lung%20Publication/LungChronicManagement.pdfhttp://www.connectingforhealth.nhs.uk/systemsandservices/icd/knowledge/transitionhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1070/107002.htmhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_Employees_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_Employees_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdfhttp://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdfhttp://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003460.pub3/abstracthttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/National%20Project/Lung%20Publication/LungChronicManagement.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/National%20Project/Lung%20Publication/LungChronicManagement.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Cancer/National/National%20Project/Lung%20Publication/LungChronicManagement.pdf


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[back to topics]

Maternal and Infant Health

A step by step guide to making a powdered formula feedDepartment of Health

This has been developed to help Health Professionals working with new mums and sitsalongside the 'Guide to bottle feeding'.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129344

Unexplained deaths in infancy: England and Wales, 2009Office for National StatisticsProvisional data are given for both sexes and for neonatal, post-neonatal and infant deaths.http://www.statistics.gov.uk/StatBase/Product.asp?vlnk=14127&Pos=&ColRank=1&Rank=272

Items in the Nutrition section may also be of interest.

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Mental Health

Community mental health services survey 2011Care Quality CommissionThis survey asked over 17,000 service users about their experiences.http://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/communitymentalhealthservices.cfm

Personal health budgets: the views of service users and carers

NHS ConfederationThis report outlines the frustration people feel with the level of involvement that mental healthservices offer, but shows that their opinions of personal health budgets are mixed. There isscepticism over how national policy can effectively change current culture on the ground.http://www.nhsconfed.org/Publications/reports/Pages/Personal-health-budgets.aspx

Risk of bias from inclusion of patients who already have diagnosis of or areundergoing treatment for depression in diagnostic accuracy studies of screening toolsfor depression: systematic reviewThombs, BD et al.The authors concluded that studies of the accuracy of screening tools for depression rarely

exclude patients who already have a diagnosis of or are receiving treatment for depression, apotential bias that is not evaluated in systematic reviews and meta-analyses. This could resultin inflated estimates of accuracy on which clinical practice and preventive care guidelines areoften based.BMJ 2011; 343:d4825 doi: 10.1136/bmj.d4825 (Published 18 August 2011)

The truth about suicideDemosThis pamphlet investigates suicide and serious physical illness. It finds that at least 10 percent of suicides in the UK are by people who are chronically or terminally ill. It also finds wide

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129344http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129344http://www.statistics.gov.uk/StatBase/Product.asp?vlnk=14127&Pos=&ColRank=1&Rank=272http://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/communitymentalhealthservices.cfmhttp://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/communitymentalhealthservices.cfmhttp://www.nhsconfed.org/Publications/reports/Pages/Personal-health-budgets.aspxhttp://www.bmj.com/content/343/bmj.d4825.abstracthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129344http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129344http://www.statistics.gov.uk/StatBase/Product.asp?vlnk=14127&Pos=&ColRank=1&Rank=272http://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/communitymentalhealthservices.cfmhttp://www.cqc.org.uk/aboutcqc/howwedoit/involvingpeoplewhouseservices/patientsurveys/communitymentalhealthservices.cfmhttp://www.nhsconfed.org/Publications/reports/Pages/Personal-health-budgets.aspxhttp://www.bmj.com/content/343/bmj.d4825.abstract


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variation in how coroners record verdicts of suicide. It recommends that Government considermaking local suicide audits compulsory, and that coroners duty to share information beformalised.http://www.demos.co.uk/publications/thetruthaboutsuicide

Items in the Offender Health and Stroke sections may also be of interest.

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Nursing

Items in the Older People sections may also be of interest.

Nutrition

Consultation to seek views on European Commission's proposal for a regulation onfood intended for infants and young children and on food for special medical purposes

Department of HealthThe proposal is likely to have a significant impact on the way in which dietetic / PARNUTfoods are notified, labelled and regulated. It limits the definition of PARNUT foods to threecategories - infant and follow-on formula, foods intended for infants and young children agedup to 3 years and medical foods.Closing date for comments: 30 September 2011http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_129207

Quality Food for a Sustainable Healthcare ServiceNHS Sustainable Development UnitThis brief position paper summarises the Units views.

http://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdf

Items in the Patient Care and Safety section may also be of interest.

[back to topics]

Offender Health

Prevention of infection and communicable disease control in prisons and places ofdetentionHealth Protection Agency

This manual provides advice on specific infections and dealing with outbreaks; immunisationand vaccination; and guidance on infection prevention and control. It is intended tocomplement other resources, such as Department of Health guidance and local IPC policies.http://www.hpa.org.uk/Publications/InfectiousDiseases/InfectionControl/1108InfectioncontrolinprisonsforHCW/

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http://www.demos.co.uk/publications/thetruthaboutsuicidehttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_129207http://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdfhttp://www.hpa.org.uk/Publications/InfectiousDiseases/InfectionControl/1108InfectioncontrolinprisonsforHCW/http://www.hpa.org.uk/Publications/InfectiousDiseases/InfectionControl/1108InfectioncontrolinprisonsforHCW/http://www.demos.co.uk/publications/thetruthaboutsuicidehttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_129207http://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Quality_Food_for_a_Sustainable_Healthcare_Service.pdfhttp://www.hpa.org.uk/Publications/InfectiousDiseases/InfectionControl/1108InfectioncontrolinprisonsforHCW/http://www.hpa.org.uk/Publications/InfectiousDiseases/InfectionControl/1108InfectioncontrolinprisonsforHCW/


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Procedure for the transfer from custody of children and young people under the MentalHealth Act 1983 in EnglandDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128853

Re:Actions: A third review of healthcare in the community for young people whooffendCare Quality Commission and HMI ProbationThe report concluded that considerable progress has been made since the last review ofinspections to effectively identify and address health needs for children and young peoplewho have offended, or are likely to offend. The report also makes recommendations for PCTsand their successor organisations.http://www.justice.gov.uk/downloads/publications/inspectorate-reports/hmiprob/reactions-3rd-review-of-yot-healthcare.pdf

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

[back to topics]

Older People

Older people in care homes: sex, sexuality and intimate relationshipsRoyal College of NursingThis publication aims to facilitate learning, support best practice and help nurses and carestaff address older service users needs in a professional, sensitive, legal and practical way.http://www.rcn.org.uk/__data/assets/pdf_file/0011/399323/004136.pdf

[back to topics]

Patient Care and Safety

Data on Written Complaints in the NHS 2010-11NHS Information Centrehttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/complaints/data-on-written-complaints-in-the-nhs-2010-11

Dignity and nutrition reportsCare Quality CommissionThe final batch of reports in this programme of inspections has been published. They focus on

whether people are treated with dignity and respect and get food and drink that meets theirneeds. CQC will publish a national report detailing overall findings in September.http://www.cqc.org.uk/newsandevents/newsstories.cfm?widCall1=customWidgets.content_view_1&cit_id=37390

Equality and human rights scheme: Review of our progress in 2010/11Care Quality CommissionThis report includes an updated action plan.http://www.cqc.org.uk/publications.cfm?fde_id=18581Implementation of patient safety alerts

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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128853http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128853http://www.justice.gov.uk/downloads/publications/inspectorate-reports/hmiprob/reactions-3rd-review-of-yot-healthcare.pdfhttp://www.justice.gov.uk/downloads/publications/inspectorate-reports/hmiprob/reactions-3rd-review-of-yot-healthcare.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0011/399323/004136.pdfhttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/complaints/data-on-written-complaints-in-the-nhs-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/complaints/data-on-written-complaints-in-the-nhs-2010-11http://www.cqc.org.uk/newsandevents/newsstories.cfm?widCall1=customWidgets.content_view_1&cit_id=37390http://www.cqc.org.uk/newsandevents/newsstories.cfm?widCall1=customWidgets.content_view_1&cit_id=37390http://www.cqc.org.uk/publications.cfm?fde_id=18581http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128853http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128853http://www.justice.gov.uk/downloads/publications/inspectorate-reports/hmiprob/reactions-3rd-review-of-yot-healthcare.pdfhttp://www.justice.gov.uk/downloads/publications/inspectorate-reports/hmiprob/reactions-3rd-review-of-yot-healthcare.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0011/399323/004136.pdfhttp://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/complaints/data-on-written-complaints-in-the-nhs-2010-11http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/complaints/data-on-written-complaints-in-the-nhs-2010-11http://www.cqc.org.uk/newsandevents/newsstories.cfm?widCall1=customWidgets.content_view_1&cit_id=37390http://www.cqc.org.uk/newsandevents/newsstories.cfm?widCall1=customWidgets.content_view_1&cit_id=37390http://www.cqc.org.uk/publications.cfm?fde_id=18581


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Action against Medical Accidents (AvMA)This report is based on Patient Safety Alert information published on the National PatientSafety Agency website. AvMA analyse information on which NHS trusts declared that theyhad or had not completed the required actions in all relevant patient safety alerts by the givendeadline. This report pays particular attention to Rapid Response Report alerts.http://www.avma.org.uk/data/files/patient_safety_alerts_aug_11_full_report.pdf

NHS Equality Delivery System (EDS)NHS East MidlandsThe EDS has been designed to help NHS organisations to meet the requirements of thepublic sector Equality Duty, and equality aspects of the NHS Constitution; the NHS OutcomesFramework; CQC's Essential Standards; and the Human Resources Transition Framework.http://www.eastmidlands.nhs.uk/about-us/inclusion/eds/

The Patient-Centred Care project: Evaluation reportKings FundThis project aimed to use evidence-based co-design (EBCD) to improve the experience and

quality of care for patients receiving treatment for breast cancer and lung cancer.http://www.kingsfund.org.uk/current_projects/the_point_of_care/ebcd_evaluation.html

Patient Environment Action Team (PEAT) - results 2011, EnglandNHS Information CentreThese are the results from annual assessments undertaken by NHS and independenthealthcare providers in respect of hospitals with 10 or more in-patient beds. This assessmentfocusses on the environment in which care is provided and the quality of non-clinical servicessuch as food and privacy and dignity.http://www.ic.nhs.uk/statistics-and-data-collections/facilities/patient-environment-action-team-peat/patient-environment-action-team-peat--results-2011-england

Items in the Evidence and Information and Mental Health sections may also be of interest

[back to topics]

Pharmacy and Prescribing

Healthy Living Pharmacy Pathfinder SitesPharmaceutical Services Negotiating CommitteeNorth Staffordshire PCT, NHS Stoke-on-Trent and South Staffordshire PCT are some of the30 PCTs involved in Pathfinder Sites.http://www.psnc.org.uk/news.php/1104/twenty_healthy_living_pharmacy_pathfinder_sites_announced

NHS Community Pharmacy Contractual Framework 2011/12 Service Developments:Latest InformationNHS Employers, Pharmaceutical Services Negotiating Committeehttp://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/CPCFservicedevelopments2011/Pages/August-2011-implementation-update.aspx New Medicine Service - NMS

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http://www.avma.org.uk/data/files/patient_safety_alerts_aug_11_full_report.pdfhttp://www.eastmidlands.nhs.uk/about-us/inclusion/eds/http://www.kingsfund.org.uk/current_projects/the_point_of_care/ebcd_evaluation.htmlhttp://www.ic.nhs.uk/statistics-and-data-collections/facilities/patient-environment-action-team-peat/patient-environment-action-team-peat--results-2011-englandhttp://www.ic.nhs.uk/statistics-and-data-collections/facilities/patient-environment-action-team-peat/patient-environment-action-team-peat--results-2011-englandhttp://www.psnc.org.uk/news.php/1104/twenty_healthy_living_pharmacy_pathfinder_sites_announcedhttp://www.psnc.org.uk/news.php/1104/twenty_healthy_living_pharmacy_pathfinder_sites_announcedhttp://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/CPCFservicedevelopments2011/Pages/August-2011-implementation-update.aspxhttp://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/CPCFservicedevelopments2011/Pages/August-2011-implementation-update.aspxhttp://www.avma.org.uk/data/files/patient_safety_alerts_aug_11_full_report.pdfhttp://www.eastmidlands.nhs.uk/about-us/inclusion/eds/http://www.kingsfund.org.uk/current_projects/the_point_of_care/ebcd_evaluation.htmlhttp://www.ic.nhs.uk/statistics-and-data-collections/facilities/patient-environment-action-team-peat/patient-environment-action-team-peat--results-2011-englandhttp://www.ic.nhs.uk/statistics-and-data-collections/facilities/patient-environment-action-team-peat/patient-environment-action-team-peat--results-2011-englandhttp://www.psnc.org.uk/news.php/1104/twenty_healthy_living_pharmacy_pathfinder_sites_announcedhttp://www.psnc.org.uk/news.php/1104/twenty_healthy_living_pharmacy_pathfinder_sites_announcedhttp://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/CPCFservicedevelopments2011/Pages/August-2011-implementation-update.aspxhttp://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/CPCFservicedevelopments2011/Pages/August-2011-implementation-update.aspx


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National Pharmacy AssociationThis website contains resources and tools to help NPA members successfully implement theNew Medicine Service, including a comprehensive Standard Operating Procedure; miniguidance on each of the target conditions; tips on how to communicate with GPs/practitioners; a patient information leaflet and a summary of the NMS.www.npa.co.uk/NMS

Operationalising Value Based Pricing of Medicines: A Taxonomy of ApproachesOffice of Health EconomicsThe authors describe means by which value based pricing (VBP) might be operationalised,and provide an initial assessment of each method. They review how a medicines value mightbe assessed, and then linked to the maximum price the health service is willing to reimburse.Finally, they review means by which VBP is currently operationalised in several countries.http://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlRegistration required to access this document. Registration is free.

Procalcitonin algorithms for antibiotic therapy decisions: a systematic review ofrandomized controlled trials and recommendations for clinical algorithmsSchuetz, P et al.The authors conclude that procalcitonin algorithms can reduce use of antibiotics.Arch Intern Med. 2011 vol.171(15) p.1322-1331. doi:10.1001/archinternmed.2011.318

Safe custody of controlled drugs: new guidance on professional practiceRoyal Pharmaceutical SocietyThis guidance explains which Controlled Drugs (CDs) require safe custody, including patientreturns and out-of-date or obsolete CDs. It also contains information on which standards for

CD cabinets, safes and rooms and guidance on key responsibilities and a key log.http://www.rpharms.com/what-s-happening-/news_show.asp?id=235

The safer management of controlled drugs: Annual report 2010Care Quality CommissionThis report makes recommendations on how chief executives and accountable officers couldbetter aid the safer management of controlled drugs.http://www.cqc.org.uk/_db/_documents/Controlled_Drugs_Annual_Report__2010_FINAL_web.pdf

Standards for the design of hospital in-patient prescription chartsAcademy of Medical Royal Colleges, Royal College of NursingThis set of standards aim to guide the design of prescription charts. It is hoped they will beused by hospitals to benchmark local charts, and to inform the development of a national UKprescription chart.http://www.rcn.org.uk/__data/assets/pdf_file/0009/398700/Standards_for_the_design_of_hospital_in-patient_prescription_charts_-_Apr_2011_AoMRC,_RCN,_RC_Pharm.pdf

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

[back to topics]

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http://www.npa.co.uk/NMShttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlhttp://archinte.ama-assn.org/cgi/content/abstract/171/15/1322http://www.rpharms.com/what-s-happening-/news_show.asp?id=235http://www.cqc.org.uk/_db/_documents/Controlled_Drugs_Annual_Report__2010_FINAL_web.pdfhttp://www.cqc.org.uk/_db/_documents/Controlled_Drugs_Annual_Report__2010_FINAL_web.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0009/398700/Standards_for_the_design_of_hospital_in-patient_prescription_charts_-_Apr_2011_AoMRC,_RCN,_RC_Pharm.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0009/398700/Standards_for_the_design_of_hospital_in-patient_prescription_charts_-_Apr_2011_AoMRC,_RCN,_RC_Pharm.pdfhttp://www.npa.co.uk/NMShttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlhttp://www.ohe.org/publications/recent-publications/list-by-date-20/detail/date////operationalising-value-based-pricing-of-medicines-a-taxonomy-of-approaches.htmlhttp://archinte.ama-assn.org/cgi/content/abstract/171/15/1322http://www.rpharms.com/what-s-happening-/news_show.asp?id=235http://www.cqc.org.uk/_db/_documents/Controlled_Drugs_Annual_Report__2010_FINAL_web.pdfhttp://www.cqc.org.uk/_db/_documents/Controlled_Drugs_Annual_Report__2010_FINAL_web.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0009/398700/Standards_for_the_design_of_hospital_in-patient_prescription_charts_-_Apr_2011_AoMRC,_RCN,_RC_Pharm.pdfhttp://www.rcn.org.uk/__data/assets/pdf_file/0009/398700/Standards_for_the_design_of_hospital_in-patient_prescription_charts_-_Apr_2011_AoMRC,_RCN,_RC_Pharm.pdf


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Public HealthBehaviour Change: 2nd Report of Session 201012House of Lords Science and Technology CommitteeThe committee investigated the policy implications of recent developments in research on

behaviour change, whether current government behaviour change interventions are evidence-based, and the relationship between government, industry and the voluntary sector inpromoting behaviour change. The Sub-Committee also considered social and ethical issuessurrounding the use of behaviour change interventions by government.http://www.parliament.uk/business/committees/committees-a-z/lords-select/science-and-technology-sub-committee-i/inquiries/behaviour/ Scroll to the bottom of the page to view the report.

Impact on Health of Emissions from Landfill SitesHealth Protection AgencyThe HPA concludes that there has been no new evidence to change the previous advice thatliving close to a well-managed landfill site does not pose a significant risk to human health.http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE18ImpactonHealthofEmissionsfromLandfillSites/

The performance of the health sector in meeting the Public Sector Equality DutiesEquality and Human Rights CommissionThe research found that although progress was made on delivering the race, disability andgender equality duties, significant work still needs to be done by health bodies to ensure thattheir efforts lead to identifiable changes to health outcomes for different groups.http://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Duties

Physical Activity Network: Delivering our collective pledgesDepartment of HealthThis document provides advice, guidance and resources to support Responsibility Dealpartners in delivering the physical activity collective pledges.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128844

Population Growth and a Sustainable NHSNHS Sustainable Development UnitThis brief position paper summarises the Units views.http://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdf

The Public Sector Equality Duty: a way forward for the health sectorEquality and Human Rights CommissionThis paper gives recommendations as to how health bodies can meet their obligations underthe new equality duty. Effective implementation of the new duty can assist healthcare

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http://www.parliament.uk/business/committees/committees-a-z/lords-select/science-and-technology-sub-committee-i/inquiries/behaviour/http://www.parliament.uk/business/committees/committees-a-z/lords-select/science-and-technology-sub-committee-i/inquiries/behaviour/http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE18ImpactonHealthofEmissionsfromLandfillSites/http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE18ImpactonHealthofEmissionsfromLandfillSites/http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE18ImpactonHealthofEmissionsfromLandfillSites/http://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128844http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128844http://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdfhttp://www.parliament.uk/business/committees/committees-a-z/lords-select/science-and-technology-sub-committee-i/inquiries/behaviour/http://www.parliament.uk/business/committees/committees-a-z/lords-select/science-and-technology-sub-committee-i/inquiries/behaviour/http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE18ImpactonHealthofEmissionsfromLandfillSites/http://www.hpa.org.uk/Publications/Radiation/DocumentsOfTheHPA/RCE18ImpactonHealthofEmissionsfromLandfillSites/http://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128844http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128844http://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdfhttp://www.sdu.nhs.uk/documents/publications/Position_Paper_Population_growth_and_a_sustainable_NHS.pdf


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providers in reducing health inequalities, creating a more effective workforce, and improvingthe life chances and wellbeing of millions of people in the UK.http://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Duties

Items in the Cancer section may also be of interest.

[back to topics]

Service Management

Community services governance indicators: Monitor's requirements for 2011/12Monitorhttp://www.monitor-nhsft.gov.uk/home/our-publications/browse-category/guidance-foundation-trusts/mandatory-guidance/community-servic

Experience-based co-design: working with patients to improve health careKings FundThis toolkit outlines a powerful and effective way of improving patients experience ofservices, and enables you to assess how it can help you to meet your aims.http://www.kingsfund.org.uk/ebcd/index.html

NHS Financial Year 2010/11: A summary of auditors' workAudit CommissionThis report summarises the audit of the 2010/11 accounts for SHAs, NHS trusts and PCTs,and looks at auditors' conclusion on value for money arrangements in each organisation. It

also reviews progress made by PCTs and Trusts in delivering cost improvement programmes.http://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspx

Social enterprise in health care: promoting organisational autonomy and staffengagementKings FundThis report explores the organisational and leadership changes that will be needed to supportthe development of social enterprises. It makes recommendations of particular interest topolicy-makers and health care providers.

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

Items in the Children and Young People, Commissioning, Mental Health, Patient Care and SafetyPharmacy and Public Health sections may also be of interest.

[back to topics]

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http://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.monitor-nhsft.gov.uk/home/our-publications/browse-category/guidance-foundation-trusts/mandatory-guidance/community-servichttp://www.monitor-nhsft.gov.uk/home/our-publications/browse-category/guidance-foundation-trusts/mandatory-guidance/community-servichttp://www.kingsfund.org.uk/ebcd/index.htmlhttp://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspxhttp://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspxhttp://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspxhttp://www.kingsfund.org.uk/publications/social_enterprise_in.htmlhttp://www.kingsfund.org.uk/publications/social_enterprise_in.htmlhttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.equalityhumanrights.com/advice-and-guidance/public-sector-equality-duty/research-and-policy-papers-on-the-duty/#The_performance_of_the_health_sector_in_meeting_the_Public_Sector_Equality_Dutieshttp://www.monitor-nhsft.gov.uk/home/our-publications/browse-category/guidance-foundation-trusts/mandatory-guidance/community-servichttp://www.monitor-nhsft.gov.uk/home/our-publications/browse-category/guidance-foundation-trusts/mandatory-guidance/community-servichttp://www.kingsfund.org.uk/ebcd/index.htmlhttp://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspxhttp://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspxhttp://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/20110811nhsfinancialyear1011.aspxhttp://www.kingsfund.org.uk/publications/social_enterprise_in.html


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Sexual HealthInterventions for prevention and treatment of vulvovaginal candidiasis (VVC) in w

Clinical Effectiveness Bulletin no. 55, August 2011

Documents

Transcript of Clinical Effectiveness Bulletin no. 55, August 2011