KNOWLEDGE ALERT Date: 20th June 2016

This bulletin highlights recently produced documents and items of interest that have appeared on websites (coverage may not be comprehensive). If you have any comments or suggestions regarding this Bulletin, please email the library library@sthk.nhs.uk. All links are correct at time of publishing. If a link is broken please email the library and we will send you the correct link/document. Some documents are large and may take time to open so please be patient when waiting for links to open. If you have received this bulletin from a third party and would like to receive it direct please email the library. Library Contact Details: Library and Knowledge Service, St Helens & Knowsley Health Informatics, Level 1 Nightingale House, Whiston Hospital, Warrington Road, Prescot, Merseyside L35 5DR www.knowledge-nw.nhs.uk

CONTENTS:

ALLIED HEALTH PROFESSIONALS ANAESTHESIA CANCER CARDIOLOGY CHILDREN & YOUNG PEOPLE COMMISSIONING DERMATOLOGY DIABETES EDUCATION & TRAINING EMERGENCY MEDICINE/CRITICAL CARE GENERAL MEDICINE GENERAL PRACTICE AND PRACTICE MANAGEMENT HEALTH SERVICES MANAGEMENT INFECTION CONTROL AND INFECTIOUS DISEASES INFORMATICS AND INFORMATION GOVERNANCE MATERNITY & GYNAECOLOGY MEDICINES MANAGEMENT/PHARMACY MENTAL HEALTH AND WELLBEING NEUROLOGY NURSING PRACTICE PALLIATIVE CARE PUBLIC HEALTH/HEALTH IMPROVEMENT RADIOLOGY RHEUMATOLOGY SEXUAL HEALTH STROKE

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ALLIED HEALTH PROFESSIONALS NHS student bursary cut 'reckless', unions say Plans to scrap bursaries for student nurses and other NHS staff in England are reckless, unions and charities say. Ministers plan to overhaul the system in September 2017 and charge those studying to

be front-line health workers for their degrees. But in a letter to the prime minister, more than 20 groups led by the Royal College of Nursing said it could put people off working for the NHS. News: http://www.bbc.co.uk/news/health-36561619 VIDEO: Dance as therapy, Bollywood-style Harefield hospital in London is giving some of its patients a taste of Bollywood and classical Indian dance - and the results are apparently proving helpful to health. Video: http://www.bbc.co.uk/news/health-36569617 Nurses call for greater awareness of sickle cell disease Nurses are calling for more training to help them and other health care staff support people with sickle cell disease. News: https://www.rcn.org.uk/news-and-events/news/nurses-call-for-greater-awareness-of-sickle-cell-disease Innovative solutions to deliver #FutureNHS Blog from: Suzanne Rastrick, Chief Allied Health Professions Officer, NHS England. Blog: https://www.england.nhs.uk/2016/06/suzanne-rastrick-10/

ANAESTHESIA “European Civic Prize on Chronic Pain - Collecting Good Practices" Active Citizenship Network is launching the project “EU Civic Prize on Chronic Pain - Collecting good practices”. The aim is to give evidence of existing good practices in European countries in terms of struggle against pain. Further information: http://www.activecitizenship.net/patients-rights/projects/204-european-civic-prize-on-chronic-pain-collecting-good-practices.html

CANCER Being obese or overweight could cause 7.6 million cases of disease by 2035 If the worrying trend in obesity continues, around 40 million adults in the UK could be overweight or obese by 2035, with 45 percent of adults in the lowest income bracket being obese, according to the Obesity Health Alliance. Over the next two decades, the study predicts an additional 4.62 million cases of type 2 diabetes, 1.63 million cases of coronary heart disease, and 670,000 new cases of cancer. Press release: http://www.cancerresearchuk.org/about-us/cancer-news/press-release/2016-06-20-being-obese-or-overweight-could-cause-76-million-cases-of-disease-by-2035 Patients benefiting from advanced brain tumour treatment set to double The number of patients receiving an innovative treatment for brain tumours will more than double over the next three years as a concrete step towards the implementation of NHS England’s Cancer Strategy. NHS England has now announced the award of new contracts for stereotactic radiosurgery and radiotherapy (SRS/SRT) – specialist forms of radiotherapy that can be used to treat patients with intracranial conditions, such as benign and malignant brain tumours. News: https://www.england.nhs.uk/2016/06/brain-tumour-treatment/ "Any exercise better than none" to improve ovarian cancer survival Knowing how much exercise is enough to prevent health problems can be confusing, but two recent studies have shown that years of physical inactivity prior to diagnosis was associated with increased risk of developing ovarian cancer and of dying from the disease. News: http://ecancer.org/news/9621-any-exercise-better-than-none--to-improve-ovarian-cancer-survival.php Abstract 1: http://cebp.aacrjournals.org/content/early/2016/05/06/1055-9965.EPI-15-1330.abstract Abstract 2: http://www.nature.com/bjc/journal/vaop/ncurrent/abs/bjc2016153a.html Women who follow the 5:2 diet 'could reduce their risk of breast cancer' Women who cut their calorie intake for two days a week could reduce their risk of breast cancer, a study has found. Researchers claim the 5:2 diet, as it's most commonly known – can lead to cancer-preventing changes in the breast tissue.

News: http://www.dailymail.co.uk/health/article-3644821/Women-follow-5-2-diet-reduce-risk-breast-cancer.html Full text article: http://breast-cancer-research.biomedcentral.com/articles/10.1186/s13058-016-0714-4 Behind the Headlines: http://www.nhs.uk/news/2016/06June/Pages/5-2-diet-could-play-a-role-in-preventing-breast-cancer.aspx Aspirin may increase survival after colon cancer It is well known that aspirin has analgesic and fever-reducing properties. However, this drug may also increase the likelihood of surviving colon cancer. Kjetil Taskén, professor at the Faculty of Medicine, is one of the authors of a study that has investigated the association between the use of the drug and colon cancer. The study shows that aspirin can be used to reduce mortality among colon cancer patients by 15 - 25%. News: http://ecancer.org/news/9619-aspirin-may-increase-survival-after-colon-cancer.php Abstract: http://jco.ascopubs.org/content/early/2016/05/25/JCO.2015.65.3519.abstract Innovative device allows 3-D imaging of the breast with less radiation Preliminary tests have demonstrated that a new device may enable existing breast cancer imagers to provide up to six times better contrast of tumours in the breast, while maintaining the same or better image quality and halving the radiation dose to patients. News: http://ecancer.org/news/9617-innovative-device-allows-3-d-imaging-of-the-breast-with-less-radiation.php Abstract: http://jnm.snmjournals.org/content/57/supplement_2/256.abstract Extent of resection associated with likelihood of survival in glioblastoma The extent of resection in patients with glioblastoma, an aggressive and often fatal brain tumour, was associated with the likelihood of survival and disease progression, according to a new study. News: http://ecancer.org/news/9613-extent-of-resection-associated-with-likelihood-of-survival-in-glioblastoma.php Full text article: http://oncology.jamanetwork.com/article.aspx?articleid=2528564

CARDIOLOGY Being obese or overweight could cause 7.6 million cases of disease by 2035 If the worrying trend in obesity continues, around 40 million adults in the UK could be overweight or obese by 2035, with 45 percent of adults in the lowest income bracket being obese, according to the Obesity Health Alliance. Over the next two decades, the study predicts an additional 4.62 million cases of type 2 diabetes, 1.63 million cases of coronary heart disease, and 670,000 new cases of cancer. Press release: http://www.cancerresearchuk.org/about-us/cancer-news/press-release/2016-06-20-being-obese-or-overweight-could-cause-76-million-cases-of-disease-by-2035 News digest – Coffee, combination immunotherapy, CRISPR and… porridge? Blog from: Misha Gajewski, Science Media Officer at Cancer Research UK. Blog: http://scienceblog.cancerresearchuk.org/2016/06/18/news-digest-coffee-combination-immunotherapy-crispr-and-porridge/

CHILDREN & YOUNG PEOPLE Diabetes 'more frequent in children with juvenile inflammatory arthritis' Children affected by juvenile inflammatory arthritis may be more at risk of also developing type 1 diabetes, according to a new study. The research has provided evidence of this link after analysing a sample of more than 9,000 patients. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/diabetes-more-frequent-in-children-with-juvenile-inflammatory-arthritis.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR05L1_2005OP0137&terms Incidence of adverse events in paediatric procedural sedation in the emergency department: a systematic review and meta-analysis This review found that serious adverse respiratory events are very rare in paediatric procedural sedation in the emergency department (ED). Emesis and agitation are the most frequent adverse

events and hypoxia occurs in 1.5% of sedations. Laryngospasm, though rare, happens most frequently with ketamine. Systematic review: http://bmjopen.bmj.com/content/6/6/e011384.full Antibiotic duration and timing of the switch from intravenous to oral route for bacterial infections in children: systematic review and guidelines The authors systematically reviewed antibiotic duration and timing of intravenous to oral switch for 36 paediatric infectious diseases and developed evidence-graded recommendations on the basis of the review, guidelines, and expert consensus. Systematic review: http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(16)30024-X/abstract

COMMISSIONING Warning over 'short-term funding' as study says seven-day GP pilots cut A&E use Seven-day GP access pilots have led to a 'significant' reduction in A&E visits by patients at participating practices, researchers have found. But GP leaders highlighted previous research that contradicted the latest findings, and warned that successes in pilot areas were only achieved through 'significant, additional short-term funding'. News: http://www.gponline.com/warning-short-term-funding-study-says-seven-day-gp-pilots-cut-a-e-use/article/1399053 Abstract: http://www.sciencedirect.com/science/article/pii/S0167629616300236 Care Information Choices, June 2016 This publication reports on patient opt-out information that has been received from GP practices, as of June 2016. There are two types of opt-out. A type 1 opt-out prevents information being shared outside a GP practice for purposes other than direct care. A type 2 opt-out prevents information being shared outside of the HSCIC for purposes beyond the individual's direct care. Statistics: http://www.hscic.gov.uk/catalogue/PUB20920 Maximising participation in the National Diabetes Audit (NDA) 2015–16: Guidance for CCGs Guidance from the Health & Social Care Information Centre (HSCIC) for CCGs to help support practices and specialist services in their area. Submission for data is open 20th June 2016 – 29th July 2016. Guidance: http://www.hscic.gov.uk/media/21196/Maximising-participation-in-the-NDA---CCG-guidance/pdf/Maximising_participation_in_the_NDA_-_CCG_guidance.PDF Further information: http://www.hscic.gov.uk/nda VIDEO: Dance as therapy, Bollywood-style Harefield hospital in London is giving some of its patients a taste of Bollywood and classical Indian dance - and the results are apparently proving helpful to health. Video: http://www.bbc.co.uk/news/health-36569617 Type 2 objections and data services for commissioners regional offices The Health and Social Care Information Centre (HSCIC) upholds type 2 objections in line with the directions received from the secretary of state on 19 April 2016. HSCIC is instructed to uphold objections at data services for commissioners regional offices (DSCROs) in accordance with the directions by 14 October 2016. The system to process and uphold type 2 objections at DSCROs from October 2016 will change how commissioners receive or disseminate data from HSCIC. Further information: https://www.networks.nhs.uk/news/type-2-objections-and-data-services-for-commissioners-regional-offices Putting patients in control of their care Blog from: Andrew Carter, Integrated Personal Commissioning Communications Workstream Lead, Stockton-on-Tees Clinical Commissioning Group. Blog: https://www.england.nhs.uk/healthbudgets/2016/06/17/andrew-carter/ NHS Confederation Annual Conference and Exhibition – Day Three A round up of the final day of the conference and videos of the keynote sessions. Further information: http://www.nhsconfed.org/news/2016/06/day-three-roundup Videos: http://www.nhsconfed.org/conference/watch-again-2016

Related news: http://www.nhsconfed.org/media-centre/2016/06/response-to-simon-stevens-speech-at-annual-conference Stroke Horizon Scanning Bulletin 2016 Volume 8 Issue 3 Bringing together best practice, innovation and future risks to support the commissioning process and service redesign. Bulletin: https://strokenwpctl.wordpress.com/category/contents/volume-8-issue-03/ NHS Chief launches new fast track funding so NHS patients get treatment innovations faster The head of NHS England has announced the launch of a new programme to fast-track cutting-edge innovations from across the globe to the NHS frontline. News: https://www.england.nhs.uk/2016/06/treatment-innovations/ Health and Medical Response to Active Shooter and Bombing Events Terrorist attacks have dramatic physical and emotional impact on a community. Preventing these types of events is the optimal goal, but when an event occurs a rapid and effective response coordinated between agencies is required to optimize patient outcomes. This discussion paper examines some of the issues and potential best practices during responses to terrorist incidents. It should serve as a prompt for responders and planners to consider areas where their community could address potential gaps. Discussion paper: https://nam.edu/wp-content/uploads/2016/06/Health-and-Medical-Response-to-Active-Shooter-and-Bombing-Events.pdf Further information: https://nam.edu/health-and-medical-response-to-active-shooter-and-bombing-events/

DERMATOLOGY Psoriasis: a personal view and a look at what works Blog from: Lynda Ware, Senior Fellow in General Practice, Cochrane UK. Blog: http://www.evidentlycochrane.net/psoriasis-a-personal-view-and-a-look-at-what-works/

DIABETES Maximising participation in the National Diabetes Audit (NDA) 2015–16: Guidance for CCGs Guidance from the Health & Social Care Information Centre (HSCIC) for CCGs to help support practices and specialist services in their area. Submission for data is open 20th June 2016 – 29th July 2016. Guidance: http://www.hscic.gov.uk/media/21196/Maximising-participation-in-the-NDA---CCG-guidance/pdf/Maximising_participation_in_the_NDA_-_CCG_guidance.PDF Further information: http://www.hscic.gov.uk/nda Being obese or overweight could cause 7.6 million cases of disease by 2035 If the worrying trend in obesity continues, around 40 million adults in the UK could be overweight or obese by 2035, with 45 percent of adults in the lowest income bracket being obese, according to the Obesity Health Alliance. Over the next two decades, the study predicts an additional 4.62 million cases of type 2 diabetes, 1.63 million cases of coronary heart disease, and 670,000 new cases of cancer. Press release: http://www.cancerresearchuk.org/about-us/cancer-news/press-release/2016-06-20-being-obese-or-overweight-could-cause-76-million-cases-of-disease-by-2035 Diabetes 'more frequent in children with juvenile inflammatory arthritis' Children affected by juvenile inflammatory arthritis may be more at risk of also developing type 1 diabetes, according to a new study. The research has provided evidence of this link after analysing a sample of more than 9,000 patients. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/diabetes-more-frequent-in-children-with-juvenile-inflammatory-arthritis.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR05L1_2005OP0137&terms

EDUCATION & TRAINING NHS student bursary cut 'reckless', unions say

Plans to scrap bursaries for student nurses and other NHS staff in England are reckless, unions and charities say. Ministers plan to overhaul the system in September 2017 and charge those studying to be front-line health workers for their degrees. But in a letter to the prime minister, more than 20 groups led by the Royal College of Nursing said it could put people off working for the NHS. News: http://www.bbc.co.uk/news/health-36561619

EMERGENCY MEDICINE/CRITICAL CARE Warning over 'short-term funding' as study says seven-day GP pilots cut A&E use Seven-day GP access pilots have led to a 'significant' reduction in A&E visits by patients at participating practices, researchers have found. But GP leaders highlighted previous research that contradicted the latest findings, and warned that successes in pilot areas were only achieved through 'significant, additional short-term funding'. News: http://www.gponline.com/warning-short-term-funding-study-says-seven-day-gp-pilots-cut-a-e-use/article/1399053 Abstract: http://www.sciencedirect.com/science/article/pii/S0167629616300236 A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury Far too many trauma patients die needlessly or sustain lifelong disabilities as a result of the trauma. This report presents a vision for a national trauma care system driven by the clear and bold aim of zero preventable deaths after injury and minimal trauma-related disability to benefit those the nation sends into harm’s way in combat as well as every American. Report: http://www.nap.edu/read/23511/chapter/1 Associated documents: http://www.nationalacademies.org/hmd/Reports/2016/A-National-Trauma-Care-System-Integrating-Military-and-Civilian-Trauma-Systems.aspx Health and Medical Response to Active Shooter and Bombing Events Terrorist attacks have dramatic physical and emotional impact on a community. Preventing these types of events is the optimal goal, but when an event occurs a rapid and effective response coordinated between agencies is required to optimize patient outcomes. This discussion paper examines some of the issues and potential best practices during responses to terrorist incidents. It should serve as a prompt for responders and planners to consider areas where their community could address potential gaps. Discussion paper: https://nam.edu/wp-content/uploads/2016/06/Health-and-Medical-Response-to-Active-Shooter-and-Bombing-Events.pdf Further information: https://nam.edu/health-and-medical-response-to-active-shooter-and-bombing-events/ A Whole System Approach to Emergency Care Improvement – The Ipswich Hospital NHS Trust Ipswich Hospital has one of the top-performing Emergency Departments in the country. Emergency and urgent services at the hospital were rated as outstanding overall by the Care Quality Commission, which had particular praise for the Emergency Department’s innovative escalation protocol. A key component of this protocol is a unique trigger tool that the Trust has developed to warn senior staff of potential problems early on. Further information: http://www.fabnhsstuff.net/2016/06/17/ipswich/ Incidence of adverse events in paediatric procedural sedation in the emergency department: a systematic review and meta-analysis This review found that serious adverse respiratory events are very rare in paediatric procedural sedation in the emergency department (ED). Emesis and agitation are the most frequent adverse events and hypoxia occurs in 1.5% of sedations. Laryngospasm, though rare, happens most frequently with ketamine. Systematic review: http://bmjopen.bmj.com/content/6/6/e011384.full

GENERAL MEDICINE VIDEO: Dance as therapy, Bollywood-style Harefield hospital in London is giving some of its patients a taste of Bollywood and classical Indian dance - and the results are apparently proving helpful to health. Video: http://www.bbc.co.uk/news/health-36569617

Nurses call for greater awareness of sickle cell disease Nurses are calling for more training to help them and other health care staff support people with sickle cell disease. News: https://www.rcn.org.uk/news-and-events/news/nurses-call-for-greater-awareness-of-sickle-cell-disease Antibiotic resistance is also a food and climate issue Blog from: David McCoy, director of Medact and director and Global Health Taught Programme, Queen Mary University London. Blog: http://blogs.bmj.com/bmj/2016/06/17/david-mccoy-antibiotic-resistance-is-also-a-food-and-climate-issue/ “European Civic Prize on Chronic Pain - Collecting Good Practices" Active Citizenship Network is launching the project “EU Civic Prize on Chronic Pain - Collecting good practices”. The aim is to give evidence of existing good practices in European countries in terms of struggle against pain. Further information: http://www.activecitizenship.net/patients-rights/projects/204-european-civic-prize-on-chronic-pain-collecting-good-practices.html Delirium toolkit Delirium (sometimes called ‘acute confusional state’) is a common clinical syndrome affecting 20% to 30% of patients on medical wards, and 10% to 50% of people having surgery. Reporting of delirium is poor in the UK, indicating that awareness and reporting procedures need to be improved. In order to raise awareness of Delirium and support staff, patients and their loved ones Wrightington, Wigan and Leigh NHS Foundation Trust have developed a toolkit of resources. Further information: http://www.fabnhsstuff.net/2016/06/19/delirium-toolkit/

GENERAL PRACTICE AND PRACTICE MANAGEMENT Warning over 'short-term funding' as study says seven-day GP pilots cut A&E use Seven-day GP access pilots have led to a 'significant' reduction in A&E visits by patients at participating practices, researchers have found. But GP leaders highlighted previous research that contradicted the latest findings, and warned that successes in pilot areas were only achieved through 'significant, additional short-term funding'. News: http://www.gponline.com/warning-short-term-funding-study-says-seven-day-gp-pilots-cut-a-e-use/article/1399053 Abstract: http://www.sciencedirect.com/science/article/pii/S0167629616300236 Exclusive: GPs demand urgent overhaul of 'unsafe' NHS prescribing system Millions of GP prescriptions cannot be traced to the individual doctor that issued them because the NHS has failed to overhaul a system that is a relic of the 1950s, GP leaders have warned. Flaws in the way prescribing codes are assigned to GPs means that locums are forced to use other doctors' codes to prescribe, leaving no recordable trace of their prescribing and attributing responsibility to doctors who did not prescribe the treatments. News: http://www.gponline.com/exclusive-gps-demand-urgent-overhaul-unsafe-nhs-prescribing-system/article/1398715 Care Information Choices, June 2016 This publication reports on patient opt-out information that has been received from GP practices, as of June 2016. There are two types of opt-out. A type 1 opt-out prevents information being shared outside a GP practice for purposes other than direct care. A type 2 opt-out prevents information being shared outside of the HSCIC for purposes beyond the individual's direct care. Statistics: http://www.hscic.gov.uk/catalogue/PUB20920 Zika virus infection: guidance for primary care (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-infection-guidance-for-primary-care Zika virus: interim algorithm for assessing pregnant women with a history of travel (Updated) The definition of active transmission areas has been revised (now 3 months).

Guidance: https://www.gov.uk/government/publications/zika-virus-interim-algorithm-for-assessing-pregnant-women-with-a-history-of-travel Health advice for women returning from areas with active Zika virus transmission (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-advice-for-women-returning-from-areas-with-active-zika-virus-transmission Being obese or overweight could cause 7.6 million cases of disease by 2035 If the worrying trend in obesity continues, around 40 million adults in the UK could be overweight or obese by 2035, with 45 percent of adults in the lowest income bracket being obese, according to the Obesity Health Alliance. Over the next two decades, the study predicts an additional 4.62 million cases of type 2 diabetes, 1.63 million cases of coronary heart disease, and 670,000 new cases of cancer. Press release: http://www.cancerresearchuk.org/about-us/cancer-news/press-release/2016-06-20-being-obese-or-overweight-could-cause-76-million-cases-of-disease-by-2035 Green-top Guideline No. 68: Epilepsy in Pregnancy This Royal College of Obstetricians & Gynaecologists (RCOG) guideline summarises the evidence on maternal and fetal outcomes in women with epilepsy (WWE). It provides recommendations on the care of WWE during the prepregnancy, antepartum, intrapartum and postpartum periods. Guidance: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg68_epilepsy.pdf Press release: https://www.rcog.org.uk/en/news/rcog-release-pregnant-women-with-epilepsy-need-specialist-care-to-reduce-preventable-deaths-new-guidelines-reveal/ Patient information: https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-epilepsy-in-pregnancy.pdf VIDEO: Dance as therapy, Bollywood-style Harefield hospital in London is giving some of its patients a taste of Bollywood and classical Indian dance - and the results are apparently proving helpful to health. Video: http://www.bbc.co.uk/news/health-36569617 One in three women under 35 ‘missing out’ on cervical screening Although the UK’s cervical screening programme has reduced cervical cancer mortality rates by 60-70% in the last 30 years, screening uptake rates have fallen by 3.1% from 2004/5 to 2014/5, indicating a need to adopt new methods of screening and increase engagement among women, says a new review. News: https://www.rcog.org.uk/en/news/tog-press-release-one-in-three-women-under-35-missing-out-on-cervical-screening/ Abstract: http://onlinelibrary.wiley.com/wol1/doi/10.1111/tog.12279/abstract Full text article (PDF): http://onlinelibrary.wiley.com/doi/10.1111/tog.12279/epdf Nurses call for greater awareness of sickle cell disease Nurses are calling for more training to help them and other health care staff support people with sickle cell disease. News: https://www.rcn.org.uk/news-and-events/news/nurses-call-for-greater-awareness-of-sickle-cell-disease "Any exercise better than none" to improve ovarian cancer survival Knowing how much exercise is enough to prevent health problems can be confusing, but two recent studies have shown that years of physical inactivity prior to diagnosis was associated with increased risk of developing ovarian cancer and of dying from the disease. News: http://ecancer.org/news/9621-any-exercise-better-than-none--to-improve-ovarian-cancer-survival.php Abstract 1: http://cebp.aacrjournals.org/content/early/2016/05/06/1055-9965.EPI-15-1330.abstract Abstract 2: http://www.nature.com/bjc/journal/vaop/ncurrent/abs/bjc2016153a.html Psoriasis: a personal view and a look at what works Blog from: Lynda Ware, Senior Fellow in General Practice, Cochrane UK. Blog: http://www.evidentlycochrane.net/psoriasis-a-personal-view-and-a-look-at-what-works/ Antibiotic resistance is also a food and climate issue

Blog from: David McCoy, director of Medact and director and Global Health Taught Programme, Queen Mary University London. Blog: http://blogs.bmj.com/bmj/2016/06/17/david-mccoy-antibiotic-resistance-is-also-a-food-and-climate-issue/ “European Civic Prize on Chronic Pain - Collecting Good Practices" Active Citizenship Network is launching the project “EU Civic Prize on Chronic Pain - Collecting good practices”. The aim is to give evidence of existing good practices in European countries in terms of struggle against pain. Further information: http://www.activecitizenship.net/patients-rights/projects/204-european-civic-prize-on-chronic-pain-collecting-good-practices.html NHS Chief launches new fast track funding so NHS patients get treatment innovations faster The head of NHS England has announced the launch of a new programme to fast-track cutting-edge innovations from across the globe to the NHS frontline. News: https://www.england.nhs.uk/2016/06/treatment-innovations/ VIDEO: 'A massive shock' - suffering from anorexia in later life New research by the BBC's Breakfast programme shows a rise in the number of people in England and Wales who are middle-aged or elderly and struggling with eating disorders. Video: http://www.bbc.co.uk/news/health-36556924 Biosimilar therapies for rheumatoid arthritis 'not suitable for all patients' Biosimilar treatments for rheumatoid arthritis may not be suitable for all patients, according to a new study. The research indicated that certain patients who are not able to benefit from treatment with anti-TNF therapies are unlikely to experience a better response by switching to a biosimilar version. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/biosimilar-therapies-for-rheumatoid-arthritis-not-suitable-for-all-patients.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR16L_OP0015&terms Diabetes 'more frequent in children with juvenile inflammatory arthritis' Children affected by juvenile inflammatory arthritis may be more at risk of also developing type 1 diabetes, according to a new study. The research has provided evidence of this link after analysing a sample of more than 9,000 patients. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/diabetes-more-frequent-in-children-with-juvenile-inflammatory-arthritis.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR05L1_2005OP0137&terms

HEALTH SERVICES MANAGEMENT Warning over 'short-term funding' as study says seven-day GP pilots cut A&E use Seven-day GP access pilots have led to a 'significant' reduction in A&E visits by patients at participating practices, researchers have found. But GP leaders highlighted previous research that contradicted the latest findings, and warned that successes in pilot areas were only achieved through 'significant, additional short-term funding'. News: http://www.gponline.com/warning-short-term-funding-study-says-seven-day-gp-pilots-cut-a-e-use/article/1399053 Abstract: http://www.sciencedirect.com/science/article/pii/S0167629616300236 VIDEO: Dance as therapy, Bollywood-style Harefield hospital in London is giving some of its patients a taste of Bollywood and classical Indian dance - and the results are apparently proving helpful to health. Video: http://www.bbc.co.uk/news/health-36569617 NHS Confederation Annual Conference and Exhibition – Day Three A round up of the final day of the conference and videos of the keynote sessions. Further information: http://www.nhsconfed.org/news/2016/06/day-three-roundup Videos: http://www.nhsconfed.org/conference/watch-again-2016 Related news: http://www.nhsconfed.org/media-centre/2016/06/response-to-simon-stevens-speech-at-annual-conference EVENT: Professional regulation reform

The Department of Health (DH) is running a series of UK wide pre-consultation events on the reform of UK health professional regulation. Medical directors, nurse directors and HR professionals are invited to contribute to how professional regulation can improve patient and public protection, benefiting patients, registrants and employers. Further information: http://www.nhsemployers.org/news/2016/06/professional-regulation-reform-dh-pre-consultation-events NHS Chief launches new fast track funding so NHS patients get treatment innovations faster The head of NHS England has announced the launch of a new programme to fast-track cutting-edge innovations from across the globe to the NHS frontline. News: https://www.england.nhs.uk/2016/06/treatment-innovations/ Staff Wellbeing: The role of senior/board and clinical leads NHS Employers health and wellbeing team has developed two new role descriptors, for a senior/board lead and a clinical lead, to help NHS organisations identify leaders with the right skills to drive and champion staff wellbeing across the organisation. Document: http://www.nhsemployers.org/~/media/Employers/Publications/Role%20descriptors%20-%20NHS%20England%20Healthy%20Workplaces.pdf News: http://www.nhsemployers.org/news/2016/06/nhs-healthy-workforce-programme-new-leadership-resources New end-of-life care resources NHS Employers have developed a range of information and tools to support you to train your staff in end-of-life care. News: http://www.nhsemployers.org/news/2016/06/new-end-of-life-care-information-and-resources-available Resources: http://www.nhsemployers.org/your-workforce/plan/education-and-training/end-of-life-care A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury Far too many trauma patients die needlessly or sustain lifelong disabilities as a result of the trauma. This report presents a vision for a national trauma care system driven by the clear and bold aim of zero preventable deaths after injury and minimal trauma-related disability to benefit those the nation sends into harm’s way in combat as well as every American. Report: http://www.nap.edu/read/23511/chapter/1 Associated documents: http://www.nationalacademies.org/hmd/Reports/2016/A-National-Trauma-Care-System-Integrating-Military-and-Civilian-Trauma-Systems.aspx Health and Medical Response to Active Shooter and Bombing Events Terrorist attacks have dramatic physical and emotional impact on a community. Preventing these types of events is the optimal goal, but when an event occurs a rapid and effective response coordinated between agencies is required to optimize patient outcomes. This discussion paper examines some of the issues and potential best practices during responses to terrorist incidents. It should serve as a prompt for responders and planners to consider areas where their community could address potential gaps. Discussion paper: https://nam.edu/wp-content/uploads/2016/06/Health-and-Medical-Response-to-Active-Shooter-and-Bombing-Events.pdf Further information: https://nam.edu/health-and-medical-response-to-active-shooter-and-bombing-events/ A Whole System Approach to Emergency Care Improvement – The Ipswich Hospital NHS Trust Ipswich Hospital has one of the top-performing Emergency Departments in the country. Emergency and urgent services at the hospital were rated as outstanding overall by the Care Quality Commission, which had particular praise for the Emergency Department’s innovative escalation protocol. A key component of this protocol is a unique trigger tool that the Trust has developed to warn senior staff of potential problems early on. Further information: http://www.fabnhsstuff.net/2016/06/17/ipswich/ B3 social space Mobile patients, from a ward that has enclosed cubicles, wanted somewhere they could be social and relax away from their cubicle. Further information: http://www.fabnhsstuff.net/2016/06/19/b3-social-space/

Work outwards News and Comment from Roy Lilley. Newsletter: http://campaign.r20.constantcontact.com/render?m=1102665899193&ca=c523f269-faea-4d04-855a-c9644a890fcd

INFECTION CONTROL AND INFECTIOUS DISEASES Voluntary surveillance of bacteraemia caused by Klebsiella spp. in England: 2011-2015 These analyses are based on data relating to diagnoses of bloodstream infections caused by Klebsiella spp. between 2011 and 2015 in England, extracted on 20 May 2016 from Public Health England’s (PHE) voluntary surveillance database Second Generation Surveillance System (SGSS). Report: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/530168/hpr1916_klbsll.pdf Previous reports: https://www.gov.uk/government/publications/klebsiella-spp-bacteraemia-voluntary-surveillance-2009-to-2013 Voluntary surveillance of bacteraemia caused by Escherichia coli in England: 2008-2015 These analyses are based on data relating to diagnoses of bloodstream infections caused by E. coli. between 2011 and 2015 in England, extracted on 25 April 2016 from Public Health England’s (PHE) voluntary surveillance database Second Generation Surveillance System (SGSS). Report: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/530169/hpr1916_ecoli.pdf Previous reports: https://www.gov.uk/government/publications/escherichia-coli-bacteraemia-annual-trends-in-voluntary-surveillance Zika virus infection: guidance for primary care (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-infection-guidance-for-primary-care Zika virus: interim algorithm for assessing pregnant women with a history of travel (Updated) The definition of active transmission areas has been revised (now 3 months). Guidance: https://www.gov.uk/government/publications/zika-virus-interim-algorithm-for-assessing-pregnant-women-with-a-history-of-travel Health advice for women returning from areas with active Zika virus transmission (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-advice-for-women-returning-from-areas-with-active-zika-virus-transmission Survey Suggests Many Americans Don't Consider Antibiotic Resistance to be an Important Issue A new survey published in Open Forum Infectious Diseases suggests that many Americans don’t consider antibiotic resistance to be an important problem or fully grasp how resistance develops. News: http://www.infectioncontroltoday.com/news/2016/06/survey-suggests-many-americans-dont-consider-antibiotic-resistance-to-be-an-important-issue.aspx Abstract: http://ofid.oxfordjournals.org/content/early/2016/05/30/ofid.ofw112.abstract Full text article (PDF): http://ofid.oxfordjournals.org/content/early/2016/05/30/ofid.ofw112.full.pdf+html RAPID RISK ASSESSMENT: Plasmid-mediated colistin resistance in Enterobacteriaceae The recently recognised global distribution of a self-transferable plasmid-borne colistin resistance gene (mcr-1) poses a substantial public health risk to the EU/EEA because it further limits treatment options in patients with infections caused by multidrug-resistant gram-negative bacteria. It can spread colistin resistance more easily between bacteria and humans than chromosomal mutation. Report: http://ecdc.europa.eu/en/publications/Publications/enterobacteriaceae-risk-assessment-diseases-caused-by-antimicrobial-resistant-microorganisms-europe-june-2016.pdf

News: http://ecdc.europa.eu/en/press/news/_layouts/forms/News_DispForm.aspx?ID=1436&List=8db7286c-fe2d-476c-9133-18ff4cb1b568&Source=http%3A%2F%2Fecdc%2Eeuropa%2Eeu%2Fen%2FPages%2Fhome%2Easpx Communicable disease threats report, week 24 12th – 18th June 2016 The European Centre for Disease Prevention and Control (ECDC) communicable disease threat report (CDTR) is a weekly bulletin intended for epidemiologists and health professionals in the area of communicable disease prevention and control. Report: http://ecdc.europa.eu/en/publications/Publications/Communicable-disease-threats-report-12-Jun-2016.pdf Antibiotic resistance is also a food and climate issue Blog from: David McCoy, director of Medact and director and Global Health Taught Programme, Queen Mary University London. Blog: http://blogs.bmj.com/bmj/2016/06/17/david-mccoy-antibiotic-resistance-is-also-a-food-and-climate-issue/ Antibiotic duration and timing of the switch from intravenous to oral route for bacterial infections in children: systematic review and guidelines The authors systematically reviewed antibiotic duration and timing of intravenous to oral switch for 36 paediatric infectious diseases and developed evidence-graded recommendations on the basis of the review, guidelines, and expert consensus. Systematic review: http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(16)30024-X/abstract

INFORMATICS AND INFORMATION GOVERNANCE Type 2 objections and data services for commissioners regional offices The Health and Social Care Information Centre (HSCIC) upholds type 2 objections in line with the directions received from the secretary of state on 19 April 2016. HSCIC is instructed to uphold objections at data services for commissioners regional offices (DSCROs) in accordance with the directions by 14 October 2016. The system to process and uphold type 2 objections at DSCROs from October 2016 will change how commissioners receive or disseminate data from HSCIC. Further information: https://www.networks.nhs.uk/news/type-2-objections-and-data-services-for-commissioners-regional-offices

MATERNITY & GYNAECOLOGY Green-top Guideline No. 68: Epilepsy in Pregnancy This Royal College of Obstetricians & Gynaecologists (RCOG) guideline summarises the evidence on maternal and fetal outcomes in women with epilepsy (WWE). It provides recommendations on the care of WWE during the prepregnancy, antepartum, intrapartum and postpartum periods. Guidance: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg68_epilepsy.pdf Press release: https://www.rcog.org.uk/en/news/rcog-release-pregnant-women-with-epilepsy-need-specialist-care-to-reduce-preventable-deaths-new-guidelines-reveal/ Patient information: https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-epilepsy-in-pregnancy.pdf Zika virus: interim algorithm for assessing pregnant women with a history of travel (Updated) The definition of active transmission areas has been revised (now 3 months). Guidance: https://www.gov.uk/government/publications/zika-virus-interim-algorithm-for-assessing-pregnant-women-with-a-history-of-travel Health advice for women returning from areas with active Zika virus transmission (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-advice-for-women-returning-from-areas-with-active-zika-virus-transmission

One in three women under 35 ‘missing out’ on cervical screening Although the UK’s cervical screening programme has reduced cervical cancer mortality rates by 60-70% in the last 30 years, screening uptake rates have fallen by 3.1% from 2004/5 to 2014/5, indicating a need to adopt new methods of screening and increase engagement among women, says a new review. News: https://www.rcog.org.uk/en/news/tog-press-release-one-in-three-women-under-35-missing-out-on-cervical-screening/ Abstract: http://onlinelibrary.wiley.com/wol1/doi/10.1111/tog.12279/abstract Full text article (PDF): http://onlinelibrary.wiley.com/doi/10.1111/tog.12279/epdf

MEDICINES MANAGEMENT/PHARMACY Exclusive: GPs demand urgent overhaul of 'unsafe' NHS prescribing system Millions of GP prescriptions cannot be traced to the individual doctor that issued them because the NHS has failed to overhaul a system that is a relic of the 1950s, GP leaders have warned. Flaws in the way prescribing codes are assigned to GPs means that locums are forced to use other doctors' codes to prescribe, leaving no recordable trace of their prescribing and attributing responsibility to doctors who did not prescribe the treatments. News: http://www.gponline.com/exclusive-gps-demand-urgent-overhaul-unsafe-nhs-prescribing-system/article/1398715 Survey Suggests Many Americans Don't Consider Antibiotic Resistance to be an Important Issue A new survey published in Open Forum Infectious Diseases suggests that many Americans don’t consider antibiotic resistance to be an important problem or fully grasp how resistance develops. News: http://www.infectioncontroltoday.com/news/2016/06/survey-suggests-many-americans-dont-consider-antibiotic-resistance-to-be-an-important-issue.aspx Abstract: http://ofid.oxfordjournals.org/content/early/2016/05/30/ofid.ofw112.abstract Full text article (PDF): http://ofid.oxfordjournals.org/content/early/2016/05/30/ofid.ofw112.full.pdf+html Psoriasis: a personal view and a look at what works Blog from: Lynda Ware, Senior Fellow in General Practice, Cochrane UK. Blog: http://www.evidentlycochrane.net/psoriasis-a-personal-view-and-a-look-at-what-works/

Antibiotic resistance is also a food and climate issue Blog from: David McCoy, director of Medact and director and Global Health Taught Programme, Queen Mary University London. Blog: http://blogs.bmj.com/bmj/2016/06/17/david-mccoy-antibiotic-resistance-is-also-a-food-and-climate-issue/ Aspirin may increase survival after colon cancer It is well known that aspirin has analgesic and fever-reducing properties. However, this drug may also increase the likelihood of surviving colon cancer. Kjetil Taskén, professor at the Faculty of Medicine, is one of the authors of a study that has investigated the association between the use of the drug and colon cancer. The study shows that aspirin can be used to reduce mortality among colon cancer patients by 15 - 25%. News: http://ecancer.org/news/9619-aspirin-may-increase-survival-after-colon-cancer.php Abstract: http://jco.ascopubs.org/content/early/2016/05/25/JCO.2015.65.3519.abstract Biosimilar therapies for rheumatoid arthritis 'not suitable for all patients' Biosimilar treatments for rheumatoid arthritis may not be suitable for all patients, according to a new study. The research indicated that certain patients who are not able to benefit from treatment with anti-TNF therapies are unlikely to experience a better response by switching to a biosimilar version. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/biosimilar-therapies-for-rheumatoid-arthritis-not-suitable-for-all-patients.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR16L_OP0015&terms Antibiotic duration and timing of the switch from intravenous to oral route for bacterial infections in children: systematic review and guidelines

The authors systematically reviewed antibiotic duration and timing of intravenous to oral switch for 36 paediatric infectious diseases and developed evidence-graded recommendations on the basis of the review, guidelines, and expert consensus. Systematic review: http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(16)30024-X/abstract

MENTAL HEALTH AND WELLBEING VIDEO: Dance as therapy, Bollywood-style Harefield hospital in London is giving some of its patients a taste of Bollywood and classical Indian dance - and the results are apparently proving helpful to health. Video: http://www.bbc.co.uk/news/health-36569617 VIDEO: 'A massive shock' - suffering from anorexia in later life New research by the BBC's Breakfast programme shows a rise in the number of people in England and Wales who are middle-aged or elderly and struggling with eating disorders. Video: http://www.bbc.co.uk/news/health-36556924

NEUROLOGY Green-top Guideline No. 68: Epilepsy in Pregnancy This Royal College of Obstetricians & Gynaecologists (RCOG) guideline summarises the evidence on maternal and fetal outcomes in women with epilepsy (WWE). It provides recommendations on the care of WWE during the prepregnancy, antepartum, intrapartum and postpartum periods. Guidance: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg68_epilepsy.pdf Press release: https://www.rcog.org.uk/en/news/rcog-release-pregnant-women-with-epilepsy-need-specialist-care-to-reduce-preventable-deaths-new-guidelines-reveal/ Patient information: https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-epilepsy-in-pregnancy.pdf Extent of resection associated with likelihood of survival in glioblastoma The extent of resection in patients with glioblastoma, an aggressive and often fatal brain tumour, was associated with the likelihood of survival and disease progression, according to a new study. News: http://ecancer.org/news/9613-extent-of-resection-associated-with-likelihood-of-survival-in-glioblastoma.php Full text article: http://oncology.jamanetwork.com/article.aspx?articleid=2528564 Delirium toolkit Delirium (sometimes called ‘acute confusional state’) is a common clinical syndrome affecting 20% to 30% of patients on medical wards, and 10% to 50% of people having surgery. Reporting of delirium is poor in the UK, indicating that awareness and reporting procedures need to be improved. In order to raise awareness of Delirium and support staff, patients and their loved ones Wrightington, Wigan and Leigh NHS Foundation Trust have developed a toolkit of resources. Further information: http://www.fabnhsstuff.net/2016/06/19/delirium-toolkit/

NURSING PRACTICE NHS student bursary cut 'reckless', unions say Plans to scrap bursaries for student nurses and other NHS staff in England are reckless, unions and charities say. Ministers plan to overhaul the system in September 2017 and charge those studying to be front-line health workers for their degrees. But in a letter to the prime minister, more than 20 groups led by the Royal College of Nursing said it could put people off working for the NHS. News: http://www.bbc.co.uk/news/health-36561619 Nurses call for greater awareness of sickle cell disease Nurses are calling for more training to help them and other health care staff support people with sickle cell disease. News: https://www.rcn.org.uk/news-and-events/news/nurses-call-for-greater-awareness-of-sickle-cell-disease

Delirium toolkit Delirium (sometimes called ‘acute confusional state’) is a common clinical syndrome affecting 20% to 30% of patients on medical wards, and 10% to 50% of people having surgery. Reporting of delirium is poor in the UK, indicating that awareness and reporting procedures need to be improved. In order to raise awareness of Delirium and support staff, patients and their loved ones Wrightington, Wigan and Leigh NHS Foundation Trust have developed a toolkit of resources. Further information: http://www.fabnhsstuff.net/2016/06/19/delirium-toolkit/ B3 social space Mobile patients, from a ward that has enclosed cubicles, wanted somewhere they could be social and relax away from their cubicle. Further information: http://www.fabnhsstuff.net/2016/06/19/b3-social-space/

PALLIATIVE CARE New end-of-life care resources NHS Employers have developed a range of information and tools to support you to train your staff in end-of-life care. News: http://www.nhsemployers.org/news/2016/06/new-end-of-life-care-information-and-resources-available Resources: http://www.nhsemployers.org/your-workforce/plan/education-and-training/end-of-life-care

PUBLIC HEALTH/HEALTH IMPROVEMENT Voluntary surveillance of bacteraemia caused by Klebsiella spp. in England: 2011-2015 These analyses are based on data relating to diagnoses of bloodstream infections caused by Klebsiella spp. between 2011 and 2015 in England, extracted on 20 May 2016 from Public Health England’s (PHE) voluntary surveillance database Second Generation Surveillance System (SGSS). Report: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/530168/hpr1916_klbsll.pdf Previous reports: https://www.gov.uk/government/publications/klebsiella-spp-bacteraemia-voluntary-surveillance-2009-to-2013 Voluntary surveillance of bacteraemia caused by Escherichia coli in England: 2008-2015 These analyses are based on data relating to diagnoses of bloodstream infections caused by E. coli. between 2011 and 2015 in England, extracted on 25 April 2016 from Public Health England’s (PHE) voluntary surveillance database Second Generation Surveillance System (SGSS). Report: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/530169/hpr1916_ecoli.pdf Previous reports: https://www.gov.uk/government/publications/escherichia-coli-bacteraemia-annual-trends-in-voluntary-surveillance Zika virus infection: guidance for primary care (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-infection-guidance-for-primary-care Zika virus: interim algorithm for assessing pregnant women with a history of travel (Updated) The definition of active transmission areas has been revised (now 3 months). Guidance: https://www.gov.uk/government/publications/zika-virus-interim-algorithm-for-assessing-pregnant-women-with-a-history-of-travel Health advice for women returning from areas with active Zika virus transmission (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-advice-for-women-returning-from-areas-with-active-zika-virus-transmission

Being obese or overweight could cause 7.6 million cases of disease by 2035 If the worrying trend in obesity continues, around 40 million adults in the UK could be overweight or obese by 2035, with 45 percent of adults in the lowest income bracket being obese, according to the Obesity Health Alliance. Over the next two decades, the study predicts an additional 4.62 million cases of type 2 diabetes, 1.63 million cases of coronary heart disease, and 670,000 new cases of cancer. Press release: http://www.cancerresearchuk.org/about-us/cancer-news/press-release/2016-06-20-being-obese-or-overweight-could-cause-76-million-cases-of-disease-by-2035 One in three women under 35 ‘missing out’ on cervical screening Although the UK’s cervical screening programme has reduced cervical cancer mortality rates by 60-70% in the last 30 years, screening uptake rates have fallen by 3.1% from 2004/5 to 2014/5, indicating a need to adopt new methods of screening and increase engagement among women, says a new review. News: https://www.rcog.org.uk/en/news/tog-press-release-one-in-three-women-under-35-missing-out-on-cervical-screening/ Abstract: http://onlinelibrary.wiley.com/wol1/doi/10.1111/tog.12279/abstract Full text article (PDF): http://onlinelibrary.wiley.com/doi/10.1111/tog.12279/epdf Survey Suggests Many Americans Don't Consider Antibiotic Resistance to be an Important Issue A new survey published in Open Forum Infectious Diseases suggests that many Americans don’t consider antibiotic resistance to be an important problem or fully grasp how resistance develops. News: http://www.infectioncontroltoday.com/news/2016/06/survey-suggests-many-americans-dont-consider-antibiotic-resistance-to-be-an-important-issue.aspx Abstract: http://ofid.oxfordjournals.org/content/early/2016/05/30/ofid.ofw112.abstract Full text article (PDF): http://ofid.oxfordjournals.org/content/early/2016/05/30/ofid.ofw112.full.pdf+html RAPID RISK ASSESSMENT: Plasmid-mediated colistin resistance in Enterobacteriaceae The recently recognised global distribution of a self-transferable plasmid-borne colistin resistance gene (mcr-1) poses a substantial public health risk to the EU/EEA because it further limits treatment options in patients with infections caused by multidrug-resistant gram-negative bacteria. It can spread colistin resistance more easily between bacteria and humans than chromosomal mutation. Report: http://ecdc.europa.eu/en/publications/Publications/enterobacteriaceae-risk-assessment-diseases-caused-by-antimicrobial-resistant-microorganisms-europe-june-2016.pdf News: http://ecdc.europa.eu/en/press/news/_layouts/forms/News_DispForm.aspx?ID=1436&List=8db7286c-fe2d-476c-9133-18ff4cb1b568&Source=http%3A%2F%2Fecdc%2Eeuropa%2Eeu%2Fen%2FPages%2Fhome%2Easpx Communicable disease threats report, week 24 12th – 18th June 2016 The European Centre for Disease Prevention and Control (ECDC) communicable disease threat report (CDTR) is a weekly bulletin intended for epidemiologists and health professionals in the area of communicable disease prevention and control. Report: http://ecdc.europa.eu/en/publications/Publications/Communicable-disease-threats-report-12-Jun-2016.pdf The future of social care Blog from: Patrick Hall, Fellow, Social Care Policy, The King’s Fund. Blog: http://www.kingsfund.org.uk/blog/2016/06/future-social-care "Any exercise better than none" to improve ovarian cancer survival Knowing how much exercise is enough to prevent health problems can be confusing, but two recent studies have shown that years of physical inactivity prior to diagnosis was associated with increased risk of developing ovarian cancer and of dying from the disease. News: http://ecancer.org/news/9621-any-exercise-better-than-none--to-improve-ovarian-cancer-survival.php Abstract 1: http://cebp.aacrjournals.org/content/early/2016/05/06/1055-9965.EPI-15-1330.abstract Abstract 2: http://www.nature.com/bjc/journal/vaop/ncurrent/abs/bjc2016153a.html

Women who follow the 5:2 diet 'could reduce their risk of breast cancer' Women who cut their calorie intake for two days a week could reduce their risk of breast cancer, a study has found. Researchers claim the 5:2 diet, as it's most commonly known – can lead to cancer-preventing changes in the breast tissue. News: http://www.dailymail.co.uk/health/article-3644821/Women-follow-5-2-diet-reduce-risk-breast-cancer.html Full text article: http://breast-cancer-research.biomedcentral.com/articles/10.1186/s13058-016-0714-4 Behind the Headlines: http://www.nhs.uk/news/2016/06June/Pages/5-2-diet-could-play-a-role-in-preventing-breast-cancer.aspx Antibiotic resistance is also a food and climate issue Blog from: David McCoy, director of Medact and director and Global Health Taught Programme, Queen Mary University London. Blog: http://blogs.bmj.com/bmj/2016/06/17/david-mccoy-antibiotic-resistance-is-also-a-food-and-climate-issue/ A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury Far too many trauma patients die needlessly or sustain lifelong disabilities as a result of the trauma. This report presents a vision for a national trauma care system driven by the clear and bold aim of zero preventable deaths after injury and minimal trauma-related disability to benefit those the nation sends into harm’s way in combat as well as every American. Report: http://www.nap.edu/read/23511/chapter/1 Associated documents: http://www.nationalacademies.org/hmd/Reports/2016/A-National-Trauma-Care-System-Integrating-Military-and-Civilian-Trauma-Systems.aspx Health and Medical Response to Active Shooter and Bombing Events Terrorist attacks have dramatic physical and emotional impact on a community. Preventing these types of events is the optimal goal, but when an event occurs a rapid and effective response coordinated between agencies is required to optimize patient outcomes. This discussion paper examines some of the issues and potential best practices during responses to terrorist incidents. It should serve as a prompt for responders and planners to consider areas where their community could address potential gaps. Discussion paper: https://nam.edu/wp-content/uploads/2016/06/Health-and-Medical-Response-to-Active-Shooter-and-Bombing-Events.pdf Further information: https://nam.edu/health-and-medical-response-to-active-shooter-and-bombing-events/

RADIOLOGY Innovative device allows 3-D imaging of the breast with less radiation Preliminary tests have demonstrated that a new device may enable existing breast cancer imagers to provide up to six times better contrast of tumours in the breast, while maintaining the same or better image quality and halving the radiation dose to patients. News: http://ecancer.org/news/9617-innovative-device-allows-3-d-imaging-of-the-breast-with-less-radiation.php Abstract: http://jnm.snmjournals.org/content/57/supplement_2/256.abstract

RHEUMATOLOGY Biosimilar therapies for rheumatoid arthritis 'not suitable for all patients' Biosimilar treatments for rheumatoid arthritis may not be suitable for all patients, according to a new study. The research indicated that certain patients who are not able to benefit from treatment with anti-TNF therapies are unlikely to experience a better response by switching to a biosimilar version. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/biosimilar-therapies-for-rheumatoid-arthritis-not-suitable-for-all-patients.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR16L_OP0015&terms Diabetes 'more frequent in children with juvenile inflammatory arthritis'

Children affected by juvenile inflammatory arthritis may be more at risk of also developing type 1 diabetes, according to a new study. The research has provided evidence of this link after analysing a sample of more than 9,000 patients. News: http://www.arthritisresearchuk.org/news/general-news/2016/june/diabetes-more-frequent-in-children-with-juvenile-inflammatory-arthritis.aspx Abstract: http://www.abstracts2view.com/eular/view.php?nu=EULAR05L1_2005OP0137&terms

SEXUAL HEALTH Zika virus infection: guidance for primary care (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-infection-guidance-for-primary-care Health advice for women returning from areas with active Zika virus transmission (Updated) Advice regarding sexual transmission and deferral of pregnancy has been revised. Guidance: https://www.gov.uk/government/publications/zika-virus-advice-for-women-returning-from-areas-with-active-zika-virus-transmission

STROKE Stroke Horizon Scanning Bulletin 2016 Volume 8 Issue 3 Bringing together best practice, innovation and future risks to support the commissioning process and service redesign. Bulletin: https://strokenwpctl.wordpress.com/category/contents/volume-8-issue-03/