Demand and capacity high complexity model
NHS Improvement have updated the Demand and capacity high complexity model to help inform/ understand the demand and capacity needs of services with a complex pathway and inform decision making and planning, in supporting delivery of timely care to patients. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 21, 2018 Category: Consumer Health News Source Type: news

Exploring education and training in relation to older people's health and social care
This report evaluates the education and training landscape for the workforce that cares for older people in the UK. The report has found a need for tailored training, more continuing professional development, and for more recognition and incentives for those choosing a career in health and social care for older people. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Sharing the benefits: how to use data effectively in the public sector.
This report demonstrates the potential of data sharing to transform the delivery of public services and improve outcomes for citizens. It explores how government can overcome various challenges to'get data right'and enable better use of personal data within and between public-sector organisations (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Adult safeguarding: roles and competencies for health care staff.
This intercollegiate document has been designed to guide professionals and the teams they work with to identify the competencies they need in order to support individuals to receive personalised and culturally sensitive safeguarding. It sets out minimum training requirements along with education and training principles (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Local action on health inequalities: understanding and reducing ethnic inequalities in health
This guidance aims to support local and national action on ethnic inequalities in health. It provides: a summary of information and data by ethnic group in England; examples of practical approaches to address ethnic inequalities in health; case studies of local action to address ethnic health inequalities. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Contraception: Economic analysis estimation of the return on investment (ROI) for publicly funded contraception in England
This report aims to analyse the return on investment for publicly funded contraception in England using the latest available evidence and data. This will help policy-makers and commissioners to understand the relative value of spending in this area compared to other public health interventions and, more broadly, other areas of government spending. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Women in crisis: how women and girls are being failed by the Mental Health Act
This report sets out growing evidence that being detained under the Mental Health Act 1983 can be detrimental to women's and girls'wellbeing, with little attention paid to their particular needs, including their experiences of trauma. This can have devastating consequences, as shown by previously unpublished figures on self-inflicted deaths outlined in this report. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

The'So what, what next?' project: supporting people with a learning disability, autism or both to use their skills and interests to play a part in the community
This report outlines the findings and learning from the project. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

The impact of new medicines in the NHS: 70 years of innovation
This report demonstrates the contribution and impact of medicines to the health economy in the UK throughout the 70-year history of the NHS. Through interviews with experts it identifies a shortlist of the most important medicines to have been brought to market, and from a review of the literature and evidence base attempts to quantify the benefits of these key medicines in terms of health and economic outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Creating a new IT ecosystem for General Practice
The framework agreements will provide a contract vehicle for GPs, CCGs and other customers to purchase systems and services which are assured on the GP IT catalogue to be managed by NHS Digital. Services provided will include clinical management solutions to support business continuity in general practice; new ways of working in general practice; integrated and federated care, and cross-organisational working. It will extend support to providers beyond traditional GP practices to emerging new models of care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 20, 2018 Category: Consumer Health News Source Type: news

Introducing'opt-out' consent for organ and tissue donation in England
This consultation outcome document details the analysis of the 17,000 consultation responses. It outlines the government's plans to implement a new system of consent for organ and tissue donation in order to tackle a shortage of donors, meaning everyone is considered an organ donor unless they have explicitly recorded a wish not to be or they are from one of the excluded groups. The donor register will include an option for individuals to state important religious and cultural beliefs to ensure these are respected. There will also be strict safeguards in place and specialist nurses will always discuss donation with familie...
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

CCG roles where Integrated Care Providers (ICPs) are established
This document has been produced to reflect changes in terminology and to clarify the policy positions around: whether Integrated Care Providers (ICPs) are allowed to manage third party contracts; and the handling of Individual Funding Requests. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Sustainable Social Care: A Green Paper that Delivers a New Deal for Counties
Sets out the County Councils Network's policy positions on adult social care, ahead of the forthcoming government green paper. It supports the government's plan to introduce a cap on the costs of care, but warns that it must be fully-funded otherwise it will inadvertently push services, care providers and councils closer to breaking point. The paper also argues that if the government's reform agenda is to be successful, then social care must remain a local service and ministers should'not be swayed'by overly-simplistic arguments to combine all, or elements of social care into the NHS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Biological security strategy
The UK biological security strategy draws together for the first time the work taking place across government to protect the UK and its interests from significant biological risks. The strategy, produced in association with the Home Office and the Department for Environment, Food and Rural Affairs, sets out the nature of the biological risks and the opportunities we face, looks at how this landscape is continuing to evolve, and explains what our response is to these challenges. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Evaluation of the implementation of the Saving Babies' Lives Care Bundle in early adopter NHS Trusts in England
This independent evaluation, commissioned by NHS England, shows clinical improvements such as better monitoring of a baby's growth and movement in pregnancy, as well as better monitoring in labour, led to maternity staff helping to save more than 160 babies'lives across 19 maternity units. The report found that stillbirths fell by a fifth at the maternity units where the Saving Babies Lives Care Bundle, had been implemented. The best practice guidance is now being introduced across the country and has the potential if these findings were replicated, to prevent an estimated 600 stillbirths. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Health state life expectancies, UK: 2014 to 2016
Reporting the variations in the self-assess general health and activity limitation among local areas in the UK during 2014 to 2016. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Opportunity Costs of New Health Care Technologies: A Research Agenda
This research paper sets out a research agenda proposing new approaches in three areas to improve understanding of supply side opportunity costs for the NHS. It explores improving efficiency, production functions and purchaser priorities. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Evaluation in health and well being: overview
Guide to evaluation and the different types and methods available, to help healthcare professionals choose the most appropriate option. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Evaluation of Introduction of Nursing Associates: Phase 1 report for Health Education England
An independent evaluation of the first cohort of trainee nursing associate (TNA) pilot sites, commissioned by Health Education England. The report is primarily focused on evaluating the training and development of TNAs. It provides insights into challenges and benefits of the new role, emerging impacts of the TNA training, and reflections on the approaches to academic and work-based learning settings. It also provides recommendations about how to support TNAs while in training. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Key questions for the future of STPs and ICSs.
This is the second in a series of briefings on sustainability and transformation partnerships (STPs). It summarises recent developments relevant to system working, sets out the state of play for STPs and integrated care systems (ICSs) and seeks to offer answers to a number of questions arising from the national policy focus on collaboration and integration. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 14, 2018 Category: Consumer Health News Source Type: news

Barriers to implementing the Sepsis Six guidelines in an acute hospital setting
This journal article concludes that knowledge deficits, lack of resources and practical issues were barriers identified. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 9, 2018 Category: Consumer Health News Source Type: news

Hospital sepsis deaths'jump by a third '
This news report states that sepsis deaths recorded in England's hospitals have risen by more than a third in two years, according to data collected by a leading safety expert. In the year ending April 2017, there were 15,722 deaths in hospital or within 30 days of discharge, where sepsis was the leading cause. Prof Sir Brian Jarman believes staff shortages and overcrowding on wards are partly to blame. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 9, 2018 Category: Consumer Health News Source Type: news

Trends in outpatient antibiotic use and prescribing practice among US older adults, 2011-15: observational study
This journal article concludes that among US Medicare beneficiaries, overall antibiotic use and potentially inappropriate use in 2011-15 remained steady or fell modestly, but individual drugs had divergent changes in use. Trends in drug use across indications were stronger than trends in use for individual indications, suggesting that guidelines and concerns about antibiotic resistance were not major drivers of change in antibiotic use. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 9, 2018 Category: Consumer Health News Source Type: news

Consultation on contracting arrangements for Integrated Care Providers (ICPs)
This consultation provides detail about how the proposed ICP Contract would underpin integration between services, how it differs from existing NHS contracts, and how ICPs fit into the broader commissioning system. Consultation closes 26 October 2018. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 8, 2018 Category: Consumer Health News Source Type: news

Hepatitis C: guidance, data and analysis
This Guidance Collection covering the characteristics, diagnosis, management and epidemiology of hepatitis C was updated in August 2018, with the addition of reports to the epidemiology section. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 8, 2018 Category: Consumer Health News Source Type: news

Hepatitis A: guidance, data and analysis
This Guidance Collection covering the symptoms, diagnosis, management and epidemiology of hepatitis A was updated in August 2018, with the addition of reports to the epidemiology section. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 8, 2018 Category: Consumer Health News Source Type: news

Supporting primary care services: NHS England's contract with Capita inquiry
This report finds that NHS England's outsourcing of primary care support services to Capita was a'shambles', with resultant service failures that were disruptive to thousands of primary care practitioners, putting patients at risk of harm. A number of recommendations are made. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 7, 2018 Category: Consumer Health News Source Type: news

Health inequalities: reducing ethnic inequalities
This report provides guidance to support local and national action on ethnic inequalities in health. It summarises the data and provides examples of practical approaches to address ethnic inequalities in health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 7, 2018 Category: Consumer Health News Source Type: news

How to produce a Sustainable Development Management Plan
This document aims to help sustainability and social value leads in health care organisations, commissioners and providers, to compile their Sustainable Development Management Plans (SDMP) for their organisation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 6, 2018 Category: Consumer Health News Source Type: news

Mental health support: an overview of our future work
This briefing sets out a plan of action on mental health and how the Healthwatch network and stakeholders can get involved. It outlines a multi-year programme to find out what support people want with their mental health. It also sets out how this insight will be shared to influence policy, commissioning and practice at a national and local level. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 6, 2018 Category: Consumer Health News Source Type: news

The lives we want to lead
This green paper from the Local Government Association sets out how the adult social care system could be improved and the radical measures that it believes need to be considered given the scale of the funding crisis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 2, 2018 Category: Consumer Health News Source Type: news

Assessing the Causal Role of Body Mass Index on Cardiovascular Health in Young Adults
Study found that both Mendelian randomization (n=1420 –3108 for different outcomes) and Recall-by-Genotype (n=386–418) methodologies suggest higher BMI causes worse cardiovascular health, specifically high blood pressure and left ventricular mass index, even in youth (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 2, 2018 Category: Consumer Health News Source Type: news

Clinical relevance of bacterial resistance in lower respiratory tract infection in primary care: secondary analysis of a multicentre European trial
This research article found no statistically significant difference in duration of symptoms, mean symptom severity and worsening of illness between antibiotic resistant and antibiotic sensitive infections (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 2, 2018 Category: Consumer Health News Source Type: news

Can antibiotic resistance be reduced by vaccinating against respiratory disease?
This journal article details that vaccines can reduce acquisition and transmission of resistant disease and also decrease antibiotic use. To predict the impact of vaccines on resistance, authors propose evaluating resistance endpoints for existing and new vaccines (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 2, 2018 Category: Consumer Health News Source Type: news

Implementation of a whole of hospital sepsis clinical pathway in a cancer hospital: impact on sepsis management, outcomes and costs
This journals article looks at the development and implementation of a hospital clinical pathway for the management of sepsis (SP) in a specialised cancer hospital and measures the impact on patient outcomes and healthcare utilisation. It concludes that the SP was associated with significant improvement in patient outcomes and reduced costs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Ultrasound shows potential for confirming the diagnosis of pneumonia in children
This NIHR Signal concludes that lung ultrasound may be a viable and accurate alternative to chest X-ray for confirming a clinical diagnosis of community-acquired pneumonia in children. The authors states that if ultrasound could replace at least some of the X-ray investigations in emergency departments, it would spare children a dose of radiation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Antimicrobial Resistance and Immunisation
This report describes the role for immunisation in tackling AMR, both globally and in the UK, the use of existing vaccines and how vaccine development aligns with public health priorities.   (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Listeria: guidance, data and analysis
This Guidance Collection covers the symptoms, diagnosis, management and epidemiology of listeriosis, the infection caused by listeria bacteria. It was updated in July 2018 with the edition of'Listeria contamination of frozen vegetables: professional guidance'. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Antibiotic Discretion in the Treatment of Acute Uncomplicated Diverticulitis
This journal article highlights discretionary rather than routine use of antibiotics is reasonable given absence of immunosuppression and sepsis in patient, and treatment with NSAIDs and oral hydration would have been reasonable and may have avoided inpatient admission and C diff infection. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

National Cancer Patient Experience Survey 2017
This National Results Summary indicates that overall ratings continue to improve, with year on year increases in reported positive experience. Patients also reported more positively on areas including involvement in decisions about care and treatment, and being treated with dignity and respect. The survey also points to areas for further improvement including follow up community and social care after treatment. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Living With and Beyond Cancer Baseline Activity (Jan-Mar 2017)
This report sets out baseline activity data from January to March 2017 for Stratified Follow Up and Recovery Package interventions. This is the first time national data of this type has been reported. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Complementary Medicine, Refusal of Conventional Cancer Therapy, and Survival Among Patients With Curable Cancers
This research article found patients who received CM were more likely to refuse additional conventional cancer treatment (surgery/chemo or radio or hormone therapy) and had higher risk of death. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

IDPS: Checks and audits to improve quality and reduce risks
This Guidance covers the NHS Infectious Diseases in Pregnancy Screening (IDPS) Programme processes for ensuring a seamless and safe screening pathway. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 1, 2018 Category: Consumer Health News Source Type: news

Making the case for preconception care: planning and preparation for pregnancy to improve maternal and child health outcomes
These resources aim to help health professionals in planning and preparation for pregnancy care, to improve outcomes for mothers and babies. It covers the impact of preconception health, ways to improve birth outcomes, and ways to reduce inequalities through embedding preconception care (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news

The toolkit for a sustainable health workforce in the WHO European Region (2018).
The toolkit is aimed at policy-makers, human resources for health (HRH) planners and professionals, and other stakeholders, such as education institutions and those implementing policy. It is framed around four strategic domains mirroring the themes of the global strategy – education and performance, planning and investment, capacity-building, and analysis and monitoring – and proposes policy options and implementation modalities (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news

Promising practices for health and wellbeing at work
This research, commissioned by Public Health England, examines the landscape of workplace wellbeing interventions and the extent and quality of evidence being collected. It is intended to support organisations in developing their workplace wellbeing offer and aid understanding of whether interventions are having a positive health outcome and how to capture and gauge the evidence. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news

Hospital vending machines: helping people make healthier choices
Obesity-related illness costs the NHS around £ 6.1 billion per year and vending machines in hospitals can support healthy consumption habits among NHS staff, patients and visitors. This trial at Leeds Teaching Hospitals NHS Trust used 17 cold drink and mixed-snack vending machines to test whether changing the availability or positioning of products within the vending machines could encourage healthier choices and whether this approach was economically viable. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news

The Montefiore Health System in New York: a case study
The report describes how the Montefiore Health System in the Bronx, New York, has found ways of helping even the most deprived by stepping beyond the bounds of conventional health services. This commissioned report builds on the 2 External 0 0 0overview of the Montefiore Health System false https://www.kingsfund.org.uk/publications/montefiore-health-system-summary true false%> published by the King's Fund in April 2018 and explores building primary and community care, managing patients with complex needs, supporting infrastructure, and elements of a high-performing system. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news

Joint statement on emerging concerns protocol
Eight health and social care regulators and other bodies have signed the new agreement to help them share concerns with each other more effectively. The Emerging Concerns Protocol seeks to provide a clearly defined mechanism to share information and intelligence that may indicate risks to users of services, their carers, families or professionals. Sharing concerns at the right time can make it easier to notice that a problem is emerging. Working together more effectively can reduce duplication and encourage organisations to come up with joint plans when they share similar concerns. The protocol will help ensure regulators ...
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news

Delivering integrated care: the role of the multidisciplinary team
This report gives a snapshot of the practice of multi-disciplinary teams in delivering integrated care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 31, 2018 Category: Consumer Health News Source Type: news