Coronavirus (COVID-19)
Information for the public on Coronavirus (COVID-19) (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 21, 2020 Category: Consumer Health News Source Type: news

COVID-19 in the UK: Expert Q & A
The latest developments for COVID-19 in the UK as of February 2020. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

SepsiTest assay for rapidly identifying bloodstream bacteria and fungi [DG20]
In February 2020, the LightCycler SeptiFast Test MGRADE assay and the IRIDICA BAC BSI assay were removed from the recommendation in this guidance because they are no longer available to the NHS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Thinking differently about commissioning: learning from new approaches to local planning.
The report explores the implications of these ways of working for the development of integrated care systems, how NHS England and NHS Improvement's regional teams operate, and wider ways of working among NHS national bodies. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Open consultation: Egg, sperm and embryo storage limits.
The DHSC wants your views on changing the time limit for storing gametes (eggs and sperm) and embryos for fertility treatment. This consultation closes at 11:59pm on 5 May 2020. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

2019/20 Community Pharmacy Contractual Framework (CPCF) national clinical audit: Antimicrobial stewardship
This guidance document provides information on the 2019/20 Community Pharmacy Contractual Framework National Audit, which is focused on antimicrobial stewardship via the provision of clinically appropriate advice to people seeking advice on management of Upper Respiratory Tract Infection (URTI) symptoms. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour
This review synthesises the content, theoretical underpinnings and outcomes of interventions which have targeted psychological safety, speaking up, and voice behaviour within a healthcare setting. It aims to identify successful interventions and inform the development of more effective interventions. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments
Organizational readiness assessments have a history of being developed as important support tools for successful implementation. However, it remains unclear how best to operationalize readiness across varied projects or settings. We conducted a synthesis and content analysis of published readiness instruments to compare how investigators have operationalized the concept of organizational readiness for change. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Integrated Care Systems and mental health.
This briefing sets out how improving population mental health can prevent other health problems and make the whole NHS more effective and efficient. It identifies three key opportunities for system leaders to take as well as highlighting several challenges facing ICSs, such as whether mental health will get prioritised, how the workforce can be sufficiently expanded, and how well ICSs work in partnership with local authorities, voluntary and community groups and people who use health and care services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

New statistics reveal highest number of'mumps' cases since 2009
Report found 5,042 lab-confirmed cases of mumps in England in 2019, compared to 1,066 cases in 2018. More recently, there have already been 546 confirmed cases in January 2020 vs. 191 during the same period in 2019. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Influenza vaccination in patients with heart failure: a systematic review and meta-analysis of observational studies
Review (6 cohort studies, n=179,158) found influenza vaccination was associated with a lower risk of all-cause mortality (HR=0.83; 95%CI 0.76 to 0.91; I2=75%). However, evidence statements are based on very low grade quality evidence. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Empirical Anti-MRSA vs Standard Antibiotic Therapy and Risk of 30-Day Mortality in Patients Hospitalized for Pneumonia
US-based cohort study of 88,605 hospitalisations for pneumonia did not find a mortality benefit for treatment with empirical anti –methicillin-resistant S aureus (MRSA) therapy vs standard antibiotics for any group of patients examined, even those with risk factors for MRSA. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Effect of Incisional Negative Pressure Wound Therapy vs Standard Wound Dressing on Deep Surgical Site Infection After Surgery for Lower Limb Fractures Associated With Major Trauma The WHIST Randomized Clinical Trial
The findings of this study do not support the use of incisional negative pressure wound therapy for surgical wounds associated with lower limb fractures from major trauma, although the event rate at 30 days was lower than expected. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 20, 2020 Category: Consumer Health News Source Type: news

Realising the neighbourhood NHS: delivering a new deal for primary care
A strong primary care sector – including teams of nurses, pharmacists, mental health specialists and allied professionals – has been shown to deliver better health outcomes, a decrease in utilisation of hospitals and emergency departments as well as slower growth in health care spending. But, in England, general practice al so needs fundamental change. There is significant variation in quality, access in primary care is poor, demographics are changing, and GP workloads are increasing. There is a growing consensus that a shift towards primary care at scale - what we call the'neighbourhood NHS'- is the solution t...
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Enhancing the NHS-academia interface
The UK's world-leading biomedical and health research sector has contributed to major advances in patient care, as well as to the wealth of the nation. Patients want opportunities to be involved in research and there is increasing evidence that those treated in research-active healthcare settings have better outcomes and receive better care. However, NHS staff increasingly lack the capacity to engage with research, and the number of clinical academics – research leads operating at the interface between academia and the NHS – is declining. This widening gap between the NHS and academia is preventing the research...
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Improving the scrutiny of integrated care systems and sustainability and transformation partnerships: A guide to good practice
A guide to help scrutiny leads and communications and engagement directors within ICSs and STPs understand how they might work more effectively together to produce a relationship that works in the best interests of local partnerships and communities. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Equipped for success? What clinical directors need for effective primary care networks.
This report explores the three top areas for action if primary care networks are to succeed. Based on engagement with PCNs and their clinical directors, and an online survey, the PCN Network has identified time, support and funding as pressing priorities for NHS England and NHS Improvement to address. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Fresh eyes approach: caring to the end - shining a spotlight on bereavement and mortuary services.
This report summarises Hospice UK's learning from their walk through of post death care, bereavement centres and mortuary services in 12 acute hospital trusts across England, taking part in two end of life care hospital improvement programmes supplemented with an analysis of mortality data. Published November 2019. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Fresh eyes approach: a walkthrough to improve people's experience of care in the last months of life in acute hospitals: family and carers perspectives
This report summarises the learning from the'fresh eyes'walkthroughs of 12 acute hospital trusts, a key component of the programes approach to consider the patient, family and/or carers'experiences by walking through a potential journey. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Sustaining effective quality improvement: building capacity for resilience in the practice facilitator workforce
Practice transformation efforts in healthcare, like the patient-centred medical home model in primary care, have spurred the development of multiple quality improvement (QI) and implementation strategies to support effective change. Nonetheless, uncertainty about how to implement and sustain change in complex healthcare settings1 continues to pose significant challenges. Even when practices are receptive, limited QI expertise, constrained resources, and associated staff morale and burnout can impact success. Although efforts among clinicians to improve primary care by embracing a culture of QI continue, healthcare systems ...
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

An EAPC white paper on multi-disciplinary education for spiritual care in palliative care
The EAPC White Paper addresses the issue of spiritual care education for all palliative care professionals. It is to guide health care professionals involved in teaching or training of palliative care and spiritual care; stakeholders, leaders and decision makers responsible for training and education; as well as national and local curricula development groups. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Many people in Scotland now benefit from anticipatory care before they die: an after death analysis and interviews with general practitioners
Key Information Summaries (KIS) were introduced throughout Scotland in 2013 so that anticipatory care plans written by general practitioners (GPs) could be routinely shared electronically and updated in real time, between GPs and providers of unscheduled and secondary care. We aimed to describe the current reach of anticipatory and palliative care, and to explore GPs'views on using KIS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

What the quality of work means for our health
Social, economic, commercial and environmental conditions are the strongest determinants of people's health. This includes people's access to homes that are safe, stable and warm; the availability of an adequate financial safety net; access to healthy, affordable food; and the quality of their work. This long read presents new analysis exploring changes in one of these wider determinants of health: the labour market. This includes the quantity and quality of employment over the past 10 years, the implications of these changes for health, and what they mean for public policy. It is the first in a series addressing changes i...
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Tackling social inequalities to reduce mental health problems
This report describes the extent of inequalities that contribute to poor mental health in the UK today. It makes a case for why addressing inequalities can help to reduce the prevalence of mental health problems and makes a strong call for cross-sectoral action on mental health. The report concludes with proposed actions to address mental health inequalities. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Advancing population health management
This report describes population health management (PHM) approaches across ten different areas of England. It sets out the benefits these approaches are bringing to patients and organisations, and the challenges that are being faced. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

Occupational therapy at home may benefit people with dementia and their carers
Multiple occupational therapy sessions, provided in a person with dementia's own home, improve their ability to carry out daily activities, compared with usual care. Improvements are also seen in behavioural and psychological symptoms and their quality of life. In addition, carers report feeling less distress, and a better quality of life. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

New guidance to support shift workers in healthcare
This report contains information on how shift work can impact on health, safety and wellbeing; what actions employers and employees can take; and the importance of partnership working on shift working patterns. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 18, 2020 Category: Consumer Health News Source Type: news

The Lancet Infectious Diseases Commission on antimicrobial resistance: 6 years later
Amongst other points, this update highlights that, except for in a few leading countries, antimicrobial resistance has not captured the sustained focus of national leaders and country-level actors, including care providers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2020 Category: Consumer Health News Source Type: news

Effect of Vancomycin or Daptomycin With vs Without an Antistaphylococcal β-Lactam on Mortality, Bacteremia, Relapse, or Treatment Failure in Patients With MRSA Bacteremia: A Randomized Clinical Trial
RCT (n=352) found no significant difference in the primary composite end point of mortality, persistent bacteremia, relapse, or treatment failure for addition of an antistaphylococcal β-lactam to standard antibiotic therapy (vancomycin or daptomycin) vs standard therapy alone. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2020 Category: Consumer Health News Source Type: news

Young people's mental health and wellbeing research
The findings in this report detail what young people want their mental health support to look like; including better education and communication, more options for treatment and personalised care, and opportunities for peer support. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2020 Category: Consumer Health News Source Type: news

Monitoring the Mental Health Act in 2018/19
The findings detailed in this report include the fact that services must apply human rights principles and frameworks, and that their impact on people should be continuously reviewed to make sure people are protected and respected. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2020 Category: Consumer Health News Source Type: news

Rascism in medicine BMJ Special issue
The BMJ have published a special issue on racism in medicine reflecting the working lives of doctors from ethnic minority backgrounds and the healthcare experiences of ethnic minority patients. It focuses on race and its impact on health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2020 Category: Consumer Health News Source Type: news

Special Collection: Coronavirus (2019-nCoV): evidence relevant to critical care
This Cochrane Library Special Collection pulls together the Cochrane Reviews that are most relevant to the management of people hospitalized with severe acute respiratory infections. It features Cochrane Reviews from three Cochrane Groups who are part of the Acute and Emergency Care Network to inform health-decision making relevant to current WHO recommendations for the 2019 Coronavirus outbreak. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Mental health and wellbeing resource for doctors
This online resource aims to shine a spotlight on the mental health and wellbeing of physicians by opening up the conversation about mental health issues and their impact. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Better Health and Care for All
This review brings together NIHR-funded research for and about health and social care services for people with learning disabilities. It features 23 recent studies with important findings for those who commission, deliver, work in and use these services which range from qualitative research on user experience to randomised trials of complex new services. Many of these studies involved people with learning disability and family carers in the research and in delivering some of the interventions. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Care navigation' is being widely adopted in primary care, but in varying ways
Clinical Commissioning Groups (CCGs) in England are implementing care navigation in primary care to help people with non-medical issues to access alternative services. This'social prescribing', facilitated by nominated care navigators, also aims to reduce the pressure on general practice, and forms part of the NHS Long Term Plan. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Uptake of shingles vaccination is more likely if proactively offered in primary care
The shingles vaccination programme is intended for people aged between 70 and 80 years, but uptake in this group has been low. This survey found that people were more likely to have had the vaccine if it was proactively offered by a GP or nurse. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Equipped for success? What clinical directors need for effective primary care networks
This report explores the three top areas for action if primary care networks are to succeed. Based on engagement with PCNs and their clinical directors, and an online survey, the PCN Network has identified time, support and funding as pressing priorities for NHS England and NHS Improvement to address. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

How will we know if integrated care systems reduce demand for urgent care? Establishing fair benchmark levels for the blended payment system
For the 2019/20 financial year the National Tariff Payment System (NTPS) for emergency care moved from a fee-for-service arrangement to a blended payment system. The blended system encourages the provider to moderate activity growth by providing financial incentives for effective demand management. However, there is currently scant detail surrounding crucial aspects of the NTPS scheme. Failure to address this issue may not only lead to the inappropriate distribution of resources across the health system; it could result in tens of millions of pounds being diverted away from urgent care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Improving the scrutiny of integrated care systems and sustainability and transformation partnerships: a guide to good practice.
The paper covers the experiences of scrutiny leads and their supporting officers in engaging with ICSs and STPs to date; the steps that ICSs and STPs could take to improve these relationship; and the way that the role of health scrutiny might evolve to support the move to whole system partnership thinking. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Digital champions for health: a blueprint for success
This report details the findings of a project that was set up to explore the value of a standardized, national Digital Champions for Health model. The research found that specially trained health and social care staff and volunteers can support individuals to safely and confidently manage their health online which increases their confidence to use digital health tools. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

UK Poverty 2019/20.
This report examines the nature and scale of poverty in the UK and how it affects people. It highlights how poverty has changed in society and looks at the impact of work, the social security system and housing, and shows how carers and people with disabilities are affected by poverty. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Young people's mental health and wellbeing research
This report sets out more than 20,000 young people's views about their experiences of mental health support. The key findings suggest young people would like their mental health support to include: better education and communication; more options for treatment and personalised care; and opportunities for peer support with others who have a mental health condition. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Local digital adult social care projects awarded share of £ 4.5m
NHS Digital has announced sixteen organisations providing and commissioning adult social scare services will receive a share of £ 4.5m to enable them to roll out their local digital projects on a wider scale. The 2 External 0 0 0 Social Care Digital Pathfinders false https://digital.nhs.uk/news-and-events/latest-news/digital-pathfinders true false%> will now commence a 13-month implementation phase with projects predominantly looking at standardising information and developing digital ways of sharing information between multiple health and care organisations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Realising the neighbourhood NHS: A new deal for primary care in England
This paper provides new evidence and ideas to improve the provision of primary and community care. It argues there should be a'new deal'for general practice which should consist of: creating neighbourhood care providers to deliver the'neighbourhood NHS'; offering all GPs the right to NHS employment; reforming new GP roles to create career progression, time to care and realistic workload; and a radical transformation of the primary care infrastructure. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Leg ulcer infection: antimicrobial prescribing guidance (NG152)
This guideline sets out an antimicrobial prescribing strategy for adults with leg ulcer infection. It aims to optimise antibiotic use and reduce antibiotic resistance. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Measles vaccine still effective if given to infants under nine months old
This NIHR Signal pooled data from 56 studies and found that the vaccine is around 58% effective when administered before nine months compared with 83% after nine months.With measles on the rise in Europe and the UK, it is helpful to know that in the event of a measles outbreak, it could be used safely in younger infants as an additional measure. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Falling Vaccination Rates: The Case of the MMR Jab
This House of Lords Library Briefing focuses on the measles, mumps and rubella (MMR) jab. It looks at social media's role in the spread of misinformation, what the UK Government and social media companies have pledged to do about it, and what other countries are doing to solve declining rates of MMR vaccination. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Coronavirus: A Public Health Emergency
This House of Lords Library briefing provides information about: the virus, including its spread and impact; what action the WHO and UK Government have taken; and the problem of disinformation in relation to the disease. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news

Novel Coronavirus (2019-nCoV)
This suite of resources is to help communicate the Government and NHS response to Coronavirus. It includes materials for the general public, NHS settings, and ports of entry. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2020 Category: Consumer Health News Source Type: news