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Better value primary care is needed now more than ever
This BMJ analysis explores how the value based healthcare framework can help decisions about how to allocate resources, and the importance of good evidence not only for patient treatment but for the organisation of health services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

Using a'telephone first' approach may increase the total time GPs spend consulting
Commentary is provided on a study of 147 practices in England which found that a system where all patients have a telephone call with their GP before an appointment decreased the number of face-to-face consultations but increased telephone consultations (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

The future of diabetes
This report, based on a survey of 9,000 people with diabetes, describes a lack of awareness and understanding which leads to stigma, and people not getting the support they really need. The report describes steps that can be taken to build a better future for people with diabetes (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

Housing experts questioned on options for older people
The Communities and Local Government Committee holds its first evidence session for its inquiry on housing for older people in England. The Committee hears from think tanks and housing networks (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

Future of supported housing
The Chairs of the Work and Pensions and Communities and Local Government Committees have welcomed Theresa May's announcement that the Government will not apply the Local Housing Allowance cap to supported housing (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

A two-way street: what can CCGs teach us about accountability in STPs?
This report explores the accountability and performance management arrangements for CCGs and looks at the implications of these for STPs and accountable care systems. It is based on 13 interviews with senior CCG leaders and NHS England policy makers which took place in September 2016. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

Antibiotic Awareness: A round up of Cochrane evidence
This Cochrane evidence which supports decision-making in the appropriate use of antibiotics has been highlighted to mark World Antibiotic Awareness Week, 13th-19th November. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 17, 2017 Category: Consumer Health News Source Type: news

Barriers and facilitators towards implementing the Sepsis Six care bundle (BLISS- 1): a mixed methods investigation using the theoretical domains framework.
This study describes a systematic, replicable method for identifying targets for behavior change in order to improve performance of the Sepsis Six. There were common barriers relating to lack of staffing and other resources, variable audit and feedback, variable communication, leadership and teamwork amongst staff groups. However there was a good knowledge and skill-base relating to the Sepsis Six, firm belief in the positive consequences of the bundle, and strong beliefs in it being part of each participant's role to identify septic patients and perform the bundle. Hospitals could use theory-based methods such as this to ...
Source: Current Awareness Service for Health (CASH) - November 17, 2017 Category: Consumer Health News Source Type: news

Impact of clinical pharmacist intervention on antimicrobial use in a small 164-bed hospital
This study concludes that Clinical Pharmacist Interventions on antimicrobial prescriptions may be effective in enhancing appropriate use of antimicrobials, reducing their toxicity, reducing the use of special-vigilance drugs and reducing overall antimicrobial cost (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 17, 2017 Category: Consumer Health News Source Type: news

Gut microbiome influences efficacy of PD-1based immunotherapy against epithelial tumors
This piece of research is behind the headline: Gut bacteria " boost " cancer therapy. This early-stage study gives us some insights into factors that might influence people's responses to a specific type of cancer treatment (immunotherapy with monoclonal antibodies). The findings are of interest, but don't have any immediate implications for cancer treatment. This early-stage study gives us some insights into factors that might influence people's responses to a specific type of cancer treatment (immunotherapy with monoclonal antibodies).The findings are of interest, but don't have any immediate implications for c...
Source: Current Awareness Service for Health (CASH) - November 17, 2017 Category: Consumer Health News Source Type: news

Health matters: preventing infections and reducing AMR
This professional resource outlines the importance of infection prevention and control and how it can contribute to reducing antimicrobial resistance. It includes two case studies: Reducing catheter-associated UTI rates in hospital and Improving UTI management in the community. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 17, 2017 Category: Consumer Health News Source Type: news

Antimicrobial prescribing: Ceftazidime/avibactam
This evidence summary outlines the best available evidence for a new intravenous antimicrobial, ceftazidime/avibactam (Zavicefta). It is indicated for treating complicated intra-abdominal infections,complicated urinary tract infections, including pyelonephritis,hospital ‑acquired pneumonia, including ventilator‑associated pneumonia and infections caused by aerobic gram‑negative organisms in adults with limited treatment options. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 17, 2017 Category: Consumer Health News Source Type: news

STPs: destined to fail or the road to better care? The hospital doctors' view
This report aims to contributes to existing debates around STPs and sets out HCSA members'experience and views of STPs. The key themes covered in this research were: hospital clinicians'knowledge of the STP process; clinicians'engagement in the STP process; clinicians'views on the impact of STPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Consultation: reporting and rating NHS trusts' use of resources
The Care Quality Commission and NHS Improvement are consulting on plans to fully implement the process that both organisations will use to report on how NHS non-specialist acute trusts are using their resources to provide high-quality, efficient and sustainable care. They are seeking views on their proposed approach to working together, and the closing date for comments is 10 January 2018. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Prevention of Type 2 diabetes and obesity
NHS England, Public Health England and Diabetes UK have launched a pilot project which uses digital interventions to help prevent Type 2 diabetes and obesity. Over 5000 patients are expected to be recruited to the project over a six month period and will be given access to digital products for up to 12 months. Users will be able to access health coaches and online support groups as well as set and monitor goals electronically (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Accountable care the art of the possible: an eight step guide to accountable care
This report is based on discussions at a roundtable event to find out what advice NHS trusts needed in order to progress towards accountable care systems and organisations. It sets out eight steps and key considerations to help trusts work more closely with partners. The eight steps identified are: phasing, partners, governance, contracting, funding, organisational form, enablers and competition (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

The efficacy of public health spending
This research note examines the spending, access and cost effectiveness of four areas of public health spending across the UK: smoking, physical health, obesity and alcohol. Respectively, it entailed asking about interventions and programmes for adults across the UK which sought to reduce or stop their smoking, take up sport, reduce their weight and diminish their alcohol intake. In England, these are non-statutory areas of spending. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Health matters: preventing infections and reducing antimicrobial resistance
This professional resource outlines the importance of infection prevention and control and how it can contribute to reducing antimicrobial resistance. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Commissioning children's palliative care in England: 2017 edition
This report describes what CCGs and local authorities are claiming they do to plan, fund and monitor care for the 40,000 children with life-limiting and life-threatening conditions in England. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

STPs: Destined to fail or the road to better care?
The report, “ 2 External 0 0 0 STPs: Destined to fail or the road to better care? false http://www.hcsa.com/media/102332/STPs-Destined-to-Fail-or-the-Road-to-Better-Care_.pdf true false%>”, highlights the structural barriers that have prevented medical scrutiny of the plans. The key themes covered in this research were: hospital clinicians'knowledge of the STP process; clinicians'engagement in the STP process; clinicians'views on the impact of STPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Behavioral Design Teams: The Next Frontier in Clinical Delivery Innovation?
This item explores how BDTs could be applied to clinical care delivery and review models for integrating these teams within health care organisations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Health at a Glance 2017: OECD Indicators for the UK
This report provides the latest comparable data and trends on the performance of the UK health system. The overall health of British people is similar to the OECD average, considering life expectancy and other general measures of health status. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Accountable care the art of the possible
This report provides useful advice and sets out eight steps and key considerations to help trusts as they seek to work more closely with partners. The eight steps are Phasing, Partners, Governance, Contracting, Funding, Organisational form, Enablers and Competition. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Data security and protection for health and care organisations
This document sets out the steps all health and care organisations will be expected to take in 2017/18 to demonstrate that they are implementing the ten data security standards recommended by the National Data Guardian, and further details regarding the assurance framework for April 2018 onward. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Embedding a culture of quality improvement
Leaders need to engage with staff, empower frontline teams to develop solutions, and ensure that there is an appropriate infrastructure in place to support staff and spread learning. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 15, 2017 Category: Consumer Health News Source Type: news

Research unit to bring evidence to forefront of mental health policy
University College London and King's College London are to lead the establishment of the new NIHR Mental Health Policy Research Unit 2 External 0 0 0 .   false https://www.centreformentalhealth.org.uk/news/research-unit-to-bring-evidence-to-forefront-of-mental-health-policy true false%> The research unit will focus on prevention, access and quality of mental health care, by conducting research on the impact of existing policies and to guide future plans, as well as by providing expert advice (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 14, 2017 Category: Consumer Health News Source Type: news

Clinical Nurse Specialist in Early Pregnancy Care
This document outlines the key skills and knowledge required to develop the role of the clinical nurse specialist in early pregnancy care. It is intended to provide direction for commissioners and managers when creating roles to support best practice in local service provision for women and their families. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 14, 2017 Category: Consumer Health News Source Type: news

Embedding a culture of quality improvement
This report includes learning from organisations that have adopted quality improvement approaches and focuses on how senior leaders can create the right conditions for quality improvement to flourish within health care. It draws on a roundtable event, interviews with NHS leaders and stakeholders involved in quality improvement initiatives, and a literature review. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 14, 2017 Category: Consumer Health News Source Type: news

Red2Green: making a difference to our patients
NHS Improvement has published details of measures Hampshire Hospitals NHS Foundation Trust is using to reduce delays for patients. A video has been produced which explains the processes put in place across the Trust to speed up patient discharge and illustrate how these changes have been successfully implemented. The main focus is Red2Green, but it also talks about the reasons why these measures have been brought in, with particular reference to the fact that 10 days in bed equates to 10 years'worth of muscle wastage in patients over the age of 80. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 14, 2017 Category: Consumer Health News Source Type: news

Children's Voices: The Wellbeing of Children involved in Gangs in England
This report brings together the views and perspectives of children who have been involved with gangs. The study gives examples of what it is like to be involved in a gang and how, for some, being in a gang provided them with a sense of belonging, love, protection and family that they had not experienced in their lives before (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Infographic: how does housing influence our health
This infographic seeks to advance the recognition of the important links between housing and health. It also aims it helps support those working across housing, health, social care and other key areas such as planning to realise the vital contribution that they make in enabling good health and wellbeing. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

How will our future relationship with the EU shape the NHS
This briefing looks in depth at five key areas where the deals the UK reaches or fails to reach as it leaves the European Union will impact health and social care in this country. For each one, it looks at the options, alternatives and workarounds that will be possible under different models of Brexit. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

There for us: A better future for the NHS workforce
This report highlights that there are no domestic “quick fixes” to the severe workforce shortages in the NHS, and that any significant reduction in the number of overseas staff in the next few years is likely to have a serious and damaging impact on services for the public. The report focuses on the response from the Department of Health and it s arms-length bodies to the NHS's growing workforce challenges (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Preparing for winter guidance
This guidance covers the delivery of care, patient flow, wellbeing of the workforce and minimising unnecessary hospital occupancy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Bridging the gap between health and housing. A united approach in South Wales
With housing and health increasingly integrating to respond more effectively to citizens'needs, this new Housing LIN Cymru case study puts the spotlight on Caerphilly-based housing association United Welsh. It explains their new wellbeing partnership, Wellbeing 4U, and highlights how it is drawing from housing expertise to improve the patient and GP experience across 25 surgeries in Cardiff and Barry. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Improving mental health support for young people in care
The Social Care Institute for Excellence has published a series of resources aimed at improving the emotional wellbeing and mental health support for looked after children and young people, care leavers, those on Special Guardianship Orders and those who are adopted. People who work with these young people, commissioners of care services and others working with children will find the resource informative and insightful. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Symptomatic treatment of uncomplicated lower urinary tract infections in the ambulatory setting: randomised, double blind trial
This research article concludes that diclofenac is inferior to norfloxacin for symptom relief of Urinary Tract Infections at day three. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Clinical Commissioning Policy: Hypofractionated external beam radiotherapy in the treatment of localised prostate cancer (adults)
This document sets out NHS England's criteria for commissioning hypofractionated external beam radiotherapy for localised prostate cancer. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Antibiotics: secondary care prescriber's checklist
This decision-making guide for antimicrobial prescribing in secondary healthcare was updated in October 2017. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Antibiotic awareness: important messages on antibiotic use
This document explains how to use antibiotics responsibly for patients, animal keepers, pet owners and prescribers. It was updated in October 2017. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Antibiotic awareness: toolkit for healthcare professionals in England
This Guidance outlines how to use antibiotic awareness resources to support the Antibiotic Guardian campaign and local initiatives. It was updated in October 2017. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

English surveillance programme for antimicrobial utilisation and resistance (ESPAUR) report
This report includes national data on antibiotic prescribing and resistance, and hospital antimicrobial stewardship implementation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 10, 2017 Category: Consumer Health News Source Type: news

Use of an electronic consultation system in primary care: a qualitative interview study
Twenty-three interviews were carried out across 6 general practices. Most routine e-consultations resulted in GPs needing to follow up with a telephone or face-to-face appointment because e-consultation did not contain sufficient information to inform clinical decision making. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 9, 2017 Category: Consumer Health News Source Type: news

Contract and ownership type of general practices and patient experience in England: multilevel analysis of a national cross-sectional survey
This analysis of the General Practice Patient Survey found patients registered at practices owned by limited companies, including large organisations, reported worse overall experiences than those registered at General Medical Services practices. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 7, 2017 Category: Consumer Health News Source Type: news

Smoking, Drinking and Drug Use Among Young People in England - 2016
19% of 11-15 year old pupils had ever smoked, 44% had ever drunk alcohol and 24% reported they had ever taken drugs. Latter finding compares to 15% in 2014- part of increase may be explained by addition of questions on nitrous oxide and new psychoactive substances. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 7, 2017 Category: Consumer Health News Source Type: news

NHS pressures future trends
BMA warns that unless urgent action is taken, millions more patients will be waiting for longer than 4-hours for treatment in A&E, and there will be dramatic rises in number of people waiting on trolleys for treatment, or at home for non-emergency elective procedures. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 7, 2017 Category: Consumer Health News Source Type: news

Improving healthcare access for people with learning disabilities
This suite of guidance outlines how social care staff can help people with learning disabilities get better access to medical services. It provides practical tips as well as links to further information and useful resources. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 6, 2017 Category: Consumer Health News Source Type: news

Moving more, ageing well
This report highlights the need for innovative solutions for keeping older people active and independent that could save billions of pounds in NHS and social care costs by preventing disease. It recommends that teaching health and social care professionals such as pharmacists and Meals on Wheels staff to deliver exercise interventions could be key to curtailing the UK's growing ageing crisis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 6, 2017 Category: Consumer Health News Source Type: news

Review of children and young people's mental health services: phase one report
This report confirms many of the issues raised in the Five year forward view for mental health and comments on the difficulties children and young people face in accessing appropriate support for their mental health concerns from a system that is fragmented and where services vary in quality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 6, 2017 Category: Consumer Health News Source Type: news

Guidance for mental health services in exercising duties to safeguard people from the risk of radicalisation
This guidance is designed to support providers and staff to exercise their statutory and professional duties to safeguard vulnerable adults, children and young people at risk of radicalisation. It is particularly aimed at staff working in NHS mental health services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 6, 2017 Category: Consumer Health News Source Type: news