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Weight loss as a predictor of cancer in primary care: a systematic review and meta-analysis
This Systematic Review covers 25 studies, positive links between weight loss (WL) and cancer (CA) were found for 10 CA sites. The positive predictive value for CA in patients with WL for all age groups ≥60 years exceeded 3% risk threshold that UK guidance proposes for further investigation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 20, 2018 Category: Consumer Health News Source Type: news

Sepsis recognition tools in acute ambulatory care: associations with process of care and clinical outcomes in a service evaluation of an Emergency Multidisciplinary Unit in Oxfordshire
This research article reported that both the National Early Warning Score and systemic inflammatory response syndrome were better at predicting the need for escalated care than quick Sequential Organ Failure Assessment and NICE criteria in patients with suspected infection. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 20, 2018 Category: Consumer Health News Source Type: news

Meningococcal disease: guidance on public health management
This 2018 guidance on the public health management of cases/clusters of invasive meningococcal disease is an amalgamation of the 2014 guidance on preventing secondary cases of MenB disease and the 2012 version of the guidance for public health management in the UK. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 20, 2018 Category: Consumer Health News Source Type: news

Infectious diseases in pregnancy screening: programme standards
These revised national standards for the NHS infectious diseases in pregnancy standards programme were updated in April 2018. The IDPS supports health professionals and commissioners in providing a high quality screening programme. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 20, 2018 Category: Consumer Health News Source Type: news

Cancer taskforce recommendations: progress report
This document outlines Public Health England's progress on strategic priorities identified in the Independent Cancer Taskforce report. It was updated in April 2018. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 20, 2018 Category: Consumer Health News Source Type: news

Adding the extra antibiotic rifampicin did not improve cure rates after sepsis
This NIHR Signal provides expert commentary on the ARREST study, which showed that adding rifampicin did not improve cure rates or reduce deaths for people with sepsis caused by Staphylococcus aureus, and increased the risk of adverse reactions requiring a change in treatment. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 20, 2018 Category: Consumer Health News Source Type: news

Group A streptococcal infections: activity during the 2017 to 2018 season
The latest Health Protection Report (13 April 2018) shows 20,372 cases of scarlet fever have been reported since mid-September 2017, compared to an average of 9,461 for the same period over the last 5 years. There were 1,180 cases reported for the most recent week. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

COPD: Working together clinical audit 2017
This report, summarising data from 36,341 hospital admissions, finds various improvements, however the time to delivery of non-invasive ventilation, prescribing of oxygen, recording of spirometry, and delivery of inpatient smoking cessation pharmacotherapy require attention. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Workforce to Care Force: Who Cares?
This discussion paper acknowledges that the right workers are at the heart of delivering seamless services to those in need. It supports the notion of breaking down the barriers between NHS employees, local authorities, the private and voluntary sectors and those who care informally, or do so as family members. It outlines this model as an opportunity for the future, noting that a talented care workforce needs to be based on quality, reliability and affordability, especially in light of increasing pressures on health and social care now and in the coming years. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Less waste, more health: A health professional's guide to reducing waste
The report explains how health professionals can positively influence societal health and wellbeing by making simple changes to the procurement and disposal of medical supplies. In England, there are 165 hospital trusts with a combined expenditure of over £ 4.6 billion per annum on medical supplies and other consumables. What we use and how we dispose of it has an impact not only on the finances of the NHS but the environment and population health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Language testing for healthcare professionals
This briefing sets out the English language controls for EEA and non-EEA healthcare professionals in the UK, including doctors, nurses, midwives, dental professionals and pharmaceutical professionals. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Financial sustainability of local authorities 2018
The report highlights that despite greater freedoms to increase council tax bills and one-off short-term funds from government, local authorities are struggling to juggle higher demands and cost pressures against significant central government funding cuts of nearly 50% since 2010-11. Many local authorities are relying on using their savings to fund local services and are overspending on services, which is not financially sustainable. The report goes on to show that if local authorities with social care responsibilities keep using their reserves at current rates, one in ten could have exhausted them within three years. (So...
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

The state of care in independent acute hospitals
Findings from the programme of inspections of independent acute hospital. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Findings from a one-year project that aimed to set out clear recommendations for policy and service development to ensure that greater focus is given to women affected by HIV. It used existing evidence and generated new data with over 340 women invol
ved in the project's surveys and workshops. It aimed to provide a comprehensive overview of the situation for women in the UK living with or vulnerable to acquiring HIV. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Women and HIV: invisible no longer
Findings from a one-year project that aimed to set out clear recommendations for policy and service development to ensure that greater focus is given to women affected by HIV. It used existing evidence and generated new data with over 340 women involved in the project's surveys and workshops. It aimed to provide a comprehensive overview of the situation for women in the UK living with or vulnerable to acquiring HIV. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Accounting for the quality of NHS output
This review provides the conceptual framework needed to select potentially appropriate characteristics of healthcare outputs to be included in a measure of NHS output. To this end the research team has evaluated three published sets of criteria developed by national bodies responsible for assessing healthcare system performance before seeking the opinions of UK experts on quality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Less waste, more health: A health professional's guide to reducing waste
The report explains how health professionals can positively influence societal health and wellbeing by making simple changes to the procurement and disposal of medical supplies. In England, there are 165 hospital trusts with a combined expenditure of over £ 4.6 billion per annum on medical supplies and other consumables. What we use and how we dispose of it has an impact not only on the finances of the NHS but the environment and population health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Safe and reliable mental health advice for older people and those who care for them
MindEd for Families has launched MindEd for Older People which is a free web-based resource providing information about mental health issues for older people and their families. The resource is supported by NHS England in partnership with Health Education England (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Emergency admissions data briefing
Marie Curie has published a report on emergency admissions for people in their last year of life. It finds that these admissions (using NHS data) are: substantial and often avoidable In 2016, there were over 1.6 million emergency admissions for people in the last year of their life the average number of admissions per person is nearly twice as high as in Scotland or Wales (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Dementia Post diagnosis support
This LGA report identifies what local authorities have been doing to support people following a diagnosis of dementia (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

National evaluation of the Troubled Families Programme 2015 to 2020: interim findings
This is an update on the progress made by the Troubled Families Programme in helping families tackle complex problems and enabling local authorities to provide more effective services. It adds to the early and emerging findings previously reported. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Are angioplasty waiting time inequalities growing again?
This research looked at trends between 2002 and 2015 in waiting times for coronary angioplasty. Early indications suggest that socioeconomic inequality in waiting times for non-emergency coronary angioplasty within hospitals may have started rising in England since 2008. It also indicates that waiting times are 20% longer for patients living in deprived areas compared to patient from more affluent neighbourhoods. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

A school-based obesity prevention programme was ineffective
A school-based healthy lifestyle programme delivered to 6-7-year-old children and their parents made no difference to children's weight, diet or activity levels. Around 1 in 4 remained overweight or obese. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Faster action needed on lessons of WannaCry attack
The report finds that the Department of Health and Social Care and its arm's-length bodies were unprepared for the relatively unsophisticated WannaCry attack and people across the NHS did not know how best to communicate with the Department and other NHS organisations. Lessons have been learned but there is still a lot of work to do to improve cyber-security. The Committee has set a June deadline for the Department to provide an update on costed plans for vital security investment. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 19, 2018 Category: Consumer Health News Source Type: news

Cardiothoracic surgery: GRIFT Programme National Specialty Report.
This report is the result of an outcomes data review of cardiothoracic surgery combined with insight from clinicians and managers who deliver the service. It suggests smarter bed management and using designated specialist teams for key cardiothoracic surgery procedures will help deliver better outcomes. The report makes 20 recommendations to improve practice, process and outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

Strategic direction for sexual assault and abuse services
This document outlines how services for victims and survivors of sexual assault and abuse, in all settings of the health and care system, need to evolve. It sets out six core priorities that NHS England will focus on to reduce inequalities experienced (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

Supporting the emotional and mental health needs of people with cancer
This research explores the emotional and mental health needs of people living with cancer in Scotland. It identifies the major negative impacts of cancer on mental health, how effective support can be delivered, the barriers to support, and the unmet mental health support needs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

Memorandum of understanding on data-sharing between NHS Digital and the Home Office.
This report investigates the Memorandum of Understanding which exists between the Home Office, the Department of Health and Social Care and NHS Digital regarding tracing immigration offenders. The Committee is not satisfied that the Chair and Chief Executive of NHS Digital have been sufficiently robust in upholding the interests of patients, understanding the ethical principles underpinning confidentiality, or in maintaining the necessary degree of independence from Government. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

UK working lives: in search of job quality.
This survey examines seven key dimensions of job quality and focuses on policy and practice actions that aim to improve working lives. The report includes top tips on how to improve mental health and wellbeing in the workplace. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

The role of Organisational Development in the NHS.
Over the course of the last year, we worked with our OD community to answer the question " What is the role of OD in the NHS? " Our conversations took place in person, at conferences, on the phone, in the virtual space and online. We generated vast amounts of data which we shaped and refined with colleagues, sense-making and meaning-making along the way. The result is this Do OD paper, intended to stimulate debate, discussion, reflection and action. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

Health workforce cultural competency interventions: a systematic scoping review
Addressing health workforce cultural competence is a common approach to improving health service quality for culturally and ethnically diverse groups. Research evidence in this area is primarily focused on cultural competency training and its effects on practitioners'knowledge, attitudes, skills and behaviour. While improvements in measures of healthcare practitioner cultural competency and other healthcare outcomes have been reported, there are concerns around evidence strength and quality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

Rapid access to treatment and rehabilitation for NHS staff.
Rapid access, often referred to as fast tracking, is a system which secures rehabilitation and occupational health treatment for NHS staff. This enables staff to remain in the workplace or enable a return to work which is, fast, practical, and reasonable. Our new and improved guidance provides advice and good practice examples for HR and occupational health professionals to design and manage rapid access services for staff in their organisation (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2018 Category: Consumer Health News Source Type: news

The promise of digital mood tracking technologies: are we heading on the right track?
The growing understanding that mood disorders are dynamic in nature and fluctuate over variable epochs of time has compelled researchers to develop innovative methods of monitoring mood. Technological advancement now allows for the detection of minute-to-minute changes while also capturing a longitudinal perspective of an individual's illness. Traditionally, assessments of mood have been conducted by means of clinical interviews and paper surveys. However, these methods are often inaccurate due to recall bias and compliance issues, and are limited in their capacity to collect and process data over long periods of time. The...
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

A framework for mental health research
This framework provides a collective view of how mental health research should develop in the UK over the next decade. It sets out a structure to improve co-ordination and strengthen the focus on areas where mental health research is likely to translate into significant health benefit. This document is a response to a recommendation in the 2 External 0 0 0Five Year Forward View for Mental Health false https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf true false%> report that the Department of Health lead on the development of a 10-year strategy for mental health research. The...
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Mental health at work: The business costs ten years on.
This paper presents new estimates of the costs to employers of mental health problems at work, updating figures published by Centre for Mental Health ten years ago. The new figures relate to the financial year 2016/17 and show that the aggregate costs to employers come to £ 34.9 billion in that year, equivalent to about £ 1,300 for every employee in the UK workforce. The new estimate represents an increase of 35% on the corresponding total for 2006, most of which is attributable to the combined effects of a larger workforce receiving higher money earnings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Centre for Mental Health. The future of the mental health workforce.
This report presents the key findings from a review of: The current workforce in specialist, NHS-funded mental health services in England; Current policy and its impact on the future workforce; The views of people who work in and use mental health services, obtained through a series of consultation events and roundtable meetings held across the country in early 2017. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Transition between inpatient mental health settings and community or care home settings.
This quality standard covers transitions for children, young people and adults between mental health hospitals and their own homes, care homes or other community settings. It includes the period before, during and after a person is admitted to, and discharged from, a mental health hospital. It describes high-quality care in priority areas for improvement. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Compendium of local solutions for children's palliative care: a national overview of the readiness of the children's palliative care sector to implement the NICE End of Life Care for Infants, Children and Young People: Planning and Management Guideli
This compendium complements Together for Short Lives'report " A national overview of the readiness of the children's palliative care sector to implement the NICE NICE End of Life Care for Infants, Children and Young People: Planning and Management Guideline. Data was collected from the chairs, or their representatives , of the regional children's palliative care networks. It was then collated and analysed against the NICE guidance. The results showed a mixed level of achievement reflecting the wide variation that exists across the networks. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Cross-national mixed-methods comparative case study of recovery-focused mental health care planning and co-ordination in acute inpatient mental health settings (COCAPP-A).
Mental health service users in acute inpatient wards, whether informal or detained, should be involved in planning and reviewing their care. Care planning processes should be personalised and focused on recovery, with goals that are specific to the individual and designed to maximise their achievements and social integration. We aimed to ascertain the views and experiences of service users, carers and staff to enable us to identify factors that facilitated or acted as barriers to collaborative, recovery-focused care and to make suggestions for future research. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Together for Short Lives' report to NHS England: A national overview of the readiness of the children's palliative care sector to implement the NICE End of Life Care for Infants, Children and Young People: Planning and Management Guidelines
Together for Short Lives has developed this report with the support of NHS England, to provide a baseline of the current position of the children's palliative care sector in providing high quality, equitable palliative and end of life care based on the NICE guideline. The data in this report was collected from the regional children's palliative care networks and then collated and analysed against the NICE guideline. The results show a mixed level of achievement reflecting the wide variation that exists across each of the networks. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 16, 2018 Category: Consumer Health News Source Type: news

Integrating mental health and social care: does it work in practice?
This briefing reflects on the benefits offered by better integration of social work and mental health. It looks at social workers'everyday experiences of integration in services and argues that the current pressures on both the health and care systems can conceal the day-to-day challenges of living with mental health problems. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

Invisible no longer: women and HIV
This report outlines the findings of a study which aimed to explore the needs and experiences of women affected by HIV. It calls for improved opportunities for women living with HIV to participate in local service design and to reach senior HIV policy-making positions at a local and national level. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

United Kingdom Drug Situation 2017
Annual report presents data on national prevalence, impact, prevention and treatment of drug use. Overall drug prevalence in general population is lower than 10 years ago, with cannabis being main driver of that reduction; however, there has been little change in recent years. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

My future wishes: Advance Care Planning (ACP) for people with dementia in all care settings
This document aims to assist practitioners, providers and health and social care commissioners create opportunities for people living with dementia to develop an Advance Care Plan. It includes information and resources already in use at a local level. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

Online consultations in general practice: the questions to ask.
This document contains a series of questions that patients, clinicians, practice staff or commissioners might wish to ask to get the most out of online services which support planned or actual consultations between patients and GPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

Setting up a Managed Clinical Network in Children's Palliative Care
This guidance is written for local services and networks who are considering establishing Managed Clinical Networks to deliver children's palliative care. It focuses on the development of Managed Clinical Networks (MCN) in England. The fundamental activities remain relevant in other countries, but they would need to recognise local equivalent policy and organisations (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

A checklist to a good transition
More and more seriously ill young people are living into adulthood, but transition still proves a stressful, uncoordinated experience for many.'A checklist to a good transition'is designed for seriously ill young people to assess how well agencies involved in their education and care are working together to enable a smooth transition. In particular, the checklist focuses on enabling young people to play an active role in planning and decision-making, whilst acknowledging the ongoing role parents and carers will likely play in their care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

Hidden Lives: tackling the social exclusion of families caring for a seriously ill child
Together for Short Lives'report Hidden Lives: tackling the social exclusion of families caring for a seriously ill child, shows that a child's diagnosis can have negative effects on families'relationships with family, friends, neighbours and their wider community. Most of the families who took part in the survey said that they often felt isolated and their social life had suffered considerably because of their child's condition. The reasons cited for not going out socially ranged from exhaustion to a fear of being away from their child. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

The state of the UK children's hospice nursing workforce: a report on the demand and supply of nurses to children's hospices
This report sets out what Together for Short Lives found when they carried out a snapshot survey of nurse vacancies at UK children's hospice organisations in December 2016. They found that the children's hospice nurse vacancy rate has grown since 2015; it is getting harder to recruit nurses to posts with increasing shortages of more experienced nurses and the nursing shortfall means that children's hospices are being increasingly forced to cut back the vital palliative care they can offer to families. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

Public Health England. A Review of New Psychoactive Substances in Secure Mental Health Settings
New Psychoactive Substances (NPS) are a group of drugs that are designed to replicate the effects of other illegal substances. People use them for experimental, recreational purposes and some may become dependent on them. NPS usually fall into one of the following four categories: Synthetic cannabinoids (SC), Depressants, Stimulants, and Hallucinogens. They present a challenge due to the significant variation in substances and perceptions of legal status. Due to the increase of NPS use in secure environments Public Health England (PHE) and partners have developed a toolkit providing information about NPS use in secure cus...
Source: Current Awareness Service for Health (CASH) - April 12, 2018 Category: Consumer Health News Source Type: news