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Sustainability and transformation plans in London
This report looks at the five STPs in London, their contents and common themes. The authors assess the main issues and risks to be addressed across the five plans and make a small number of recommendations for the future of the STP process in London. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 20, 2017 Category: Consumer Health News Source Type: news

Prescribing Patterns in Dependence Forming Medicines
This report aims to describe prevalence of and trends in primary care prescribing of four types of dependence forming medicines (benzodiazepines, Z-drugs, opioids and GABAergic medicines), characteristics of the prescriptions issued and of people receiving the prescriptions. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 20, 2017 Category: Consumer Health News Source Type: news

NHS England Specialised Commissioning Service Development Policy
The service development policy sets out NHS England's approach for making decisions about which new treatments and interventions to routinely commission, and the approach used for updating existing service specifications, or creating new ones. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 20, 2017 Category: Consumer Health News Source Type: news

Safer use of mental health medicines
This document provides a background to prescribing of mental health medicines in secure environments with some common principles that apply throughout the medicines optimisation pathway, and more detailed information within the pathway to support safer practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 20, 2017 Category: Consumer Health News Source Type: news

New resource to reduce alcohol stigma
A new e-learning programme has been developed for NHS healthcare professionals to reduce the stigma faced by patients with alcohol problems. A package of training materials, including facilitator's notes, are included in the programme, which aims to help health professionals to have a better understanding of alcohol dependency and to improve longer-term outcomes for patients. The resources will be of interest to health and social care staff who come in to contact with patients with alcohol problems in either: hospital, primary care or community settings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

Neglected Minds: A report on mental health support for younger people leaving care.
This report highlights that two thirds of care leavers identified as having mental health needs were not receiving any help from a statutory service. It also found that one in four had faced a mental health crisis since leaving care. Barnardo's wants clinical commissioning groups to invest more in services specifically aimed at meeting the needs of young people leaving care, such as embedding a mental health worker within leaving care teams. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

Raising suspicion of mistreatment from burns: Derivation and validation of the BuRN-Tool
Conclusion: The BuRN-Tool is a potential adjunct to clinical decision-making, predicting which children warrant investigation for child mistreatment. The score is simple and easy to complete in an emergency department setting (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

Impact of weekend admission on mortality and other outcomes among patients with burn injury: A nationwide analysis
Conclusions: Weekend admission is associated with increased mortality among patients with burn injury>65 years old. Weekend admission is also associated with increased morbidity and prolonged length of stay (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

NHS efficiency map
This latest update includes a case study from Salisbury NHS Foundation Trust's Save 7 programme. This aims to give all staff the chance to be involved in innovative change projects that simultaneously deliver financial savings, cultural change and service improvement (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

First two trusts meet milestone of all electronic NHS referrals
Two hospital trusts and their referring GP practices have become the first in the country to adopt a digital process for booking patient hospital appointments. Sherwood Forest Hospitals NHS Foundation Trust and County Durham& Darlington NHS Foundation Trust are now processing all of their hospital referral appointments electronically via the NHS e-Referral Service. Patients are also able to change or cancel their appointments through the system with analysis showing that use of electronic referrals has halved the rate of patients missing appointments from 10% to 5%. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

Childhood Eczema
This Highlight presents findings from studies looking at a range of treatments for childhood eczema. We also hear from parents and their children who have eczema, and gain a better understanding of caring for eczema direct from a GP and dermatologists, alongside the support provided by national organisations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 19, 2017 Category: Consumer Health News Source Type: news

Access and waiting times in children and young people's mental health services
This report includes the results of a freedom of information request to providers of specialist child and adolescent mental health services to explore access and waiting times for young people. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2017 Category: Consumer Health News Source Type: news

2nd Atlas of Variation in risk factors and healthcare for liver disease published
This is intended for clinicians, commissioners, practitioners and policy makers, the atlas is intended to raise the profile of liver disease and the variations across England in risk factors, healthcare services and outcomes. The rate of people dying early from liver disease in some parts of England is almost eight times higher than others (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2017 Category: Consumer Health News Source Type: news

Heath and Justice mental health services: Safer use of mental health medicines
This document provides a background to prescribing and mental health medicines in secure environments with some common principles that apply throughout the medicines optimisation pathway, and more detailed information within the pathway to support safer practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2017 Category: Consumer Health News Source Type: news

Enabling People with Dementia to Remain at Home: A Housing Perspective
This report sets out the key role housing providers, and in particular social housing providers, can play in supporting people living with dementia to stay independent in the home of their choice for as long as possible. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2017 Category: Consumer Health News Source Type: news

Sustainability and transformation plans in London: an independent analysis of the October 2016 STPs (completed in March 2017).
This report looks at the five STPs in London, their contents and common themes. The authors assess the main issues and risks to be addressed across the plans. They make a small number of recommendations for the future of the STP process in London, focusing specifically on the role of London-wide action in taking forward the plans. The report includes a brief update on progress since March 2017. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Scrutiny: the new assurance? A good governance discussion document
As collaboration and partnership working need to become more streamlined, more strategic and more effective, organisations spending public monies should be constantly redefining their roles and responsibilities, searching for constant improvement. This paper looks at scrutiny across a number of organisations, as all four home nations are seeking better outcomes by the alignment of health, social care and other funders and providers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Death, Dying and Devolution
This report reviews policy areas associated with death, dying and bereavement within the context of devolution. It focuses on the national and regional delegation of power, resources and authority across the UK and the implications of this for those who are dying, dead, or bereaved as well as those tasked with organising and running the services that support these groups of people. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Leading Large Scale Change
This document aims to help those involved in seeking to achieve transformational change in complex health and care environments. It has a number of different resources which can be used according to local needs and circumstances. It has been designed to be interactive, offering links to useful, external sources. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

A Practice Primer on Mental Health in Older People
This document highlights symptoms often attributed to'old age'but where a mental health diagnosis and follow-up is more appropriate. It is aimed at primary care staff, in particular GPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Specialised Commissioning: Service development policy and methods
This policy sets out NHS England's approach for making decisions about which new treatments and interventions to routinely commission, and its approach for updating existing service specifications or creating new ones. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Commissioning framework for biological medicines
This framework sets out the importance of taking a collaborative approach to the commissioning of biological medicines from the outset, as well as setting out how this can be achieved (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Home from hospital How housing services are relieving pressure on the NHS
This report looks at the increase in delays in discharging people from hospital, and shows how housing services are offering solutions that are relieving pressure on the NHS. It features a number of case studies that demonstrate how housing services are successfully reducing delays in discharging people from hospital and preventing unnecessary hospital admissions (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Workplace health needs assessment
A health needs assessment can be a useful and straightforward way to gather anonymous information about the health of a company's workforce, and provide a baseline of data against which to track progress. This document provides practical advice for employers on workplace health and a tool for carrying out workplace health needs assessments. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Getting into shape: delivering a workforce for integrated care
This paper focuses on the structural barriers to delivering integrated care. It studies issues such as the medical labour market, devolved workforce planning and pay, and professional boundaries. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 15, 2017 Category: Consumer Health News Source Type: news

Cross-system sepsis action plan 2017
This document identifies further actions which will be undertaken by healthcare organisations to enable continuing improvements in sepsis care across over the next year. Amongst others, this document is aimed at CCG clinical leaders. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2017 Category: Consumer Health News Source Type: news

Sepsis Quality standard [QS161]
This quality standard was published in September 2017. It covers the recognition, diagnosis and early management of sepsis for all populations. It describes high-quality care in priority areas for improvement. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2017 Category: Consumer Health News Source Type: news

Clinician-targeted interventions to influence antibiotic prescribing behaviour for acute respiratory infections in primary care: an overview of systematic reviews
This Cochrane Review found insufficient evidence to identify which types of intervention or intervention components are most effective at influencing antibiotic prescribing behaviour for acute respiratory infection (ARI) in primary care. Moderate-quality evidence suggested that the following interventions likely have an important effect on reducing antibiotic prescribing: C-reactive protein point-of-care testing in general practice to reduce antibiotic prescribing with no differences in symptom duration, patient satisfaction, or reconsultation; shared decision making in the management of ARI in general practice to reduce a...
Source: Current Awareness Service for Health (CASH) - September 13, 2017 Category: Consumer Health News Source Type: news

Improving life expectancy in people with serious mental illness: should we place more emphasis on primary prevention?
This analysis claims that greater emphasis should be placed on primary prevention strategies such as smoking cessation, dietary and exercise interventions and more judicious psychotropic prescribing of antipsychotics associated with adverse metabolic effects. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

FDA's Innovative Plan to Address the Enormous Toll of Smoking
This article discusses a new FDA regulatory plan to reduce the burden of smoking-related disease by requiring reduction of nicotine in combustible tobacco products beneath addicting levels and by encouraging innovations in novel reduced-risk nicotine products. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Sexual health, reproductive health and HIV: a review of commissioning
This report outlines the findings of a 2016 survey which was carried out jointly with the Association of Directors of Public Health. The survey found that whilst there has been progress in improving services and the development of collaborative approaches there is also evidence of structural concerns which have the potential to impede effective commissioning. Key findings from the survey highlight the fragmentation of commissioning, barriers to access for those at greatest risk, increasing financial pressures and patient demand, and workforce concerns (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Partnerships for improvement: ingredients for success
This report focuses on five different partnering arrangements, as well as interviews with national leaders, and draws learning to help inform and guide policymakers and providers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Size matters: the impact of upselling on weight gain
This report highlights that the average person consumes an additional 330 calories each week 17,000 per year as a result of businesses upselling high calorie food and drink. The report, which includes a survey of 2,055 UK adults, shows that consumers face an average of 106 verbal pushes towards unhealthy choices each year as they are asked whether they would like to upgrade to larger meals and drinks, add high calorie toppings or sides to their order or take advantage of special offers on unhealthy food and drink. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

New care models: harnessing technology
This report explores how digital tools are a key part of the answer to this set of challenges, and demonstrates how technology has the potential to revolutionise the way health and care is delivered. The report highlights how five vanguards are implementing innovative digital technology solutions at the heart of a new approach to care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

New technology helping to tackle frailty in older people
NHS England is reporting the trialling of new wearable sensors, based on technology used by NASA and the CGI film industry, to help identify older patients at risk of falls as part of a new drive to tackle frailty. One system, designed to analyse the way a patient walks, was developed in partnership with Intel and tested at University College Dublin's Institute for Sports and Health. In Sheffield, the Perfect Patient Pathway Test Bed is testing Kinesis'QTUG device for patients over 65 who have no recorded falls and score as'moderately frail'. The system sees patients walk with the motion sensor attachments on their legs wh...
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Maternal mental health care
The Chief Executive of NHS England has announced 2 External 0 0 0 f false https://www.england.nhs.uk/2017/09/nhs-commits-to-better-care-for-expectant-and-new-mums-with-mental-health/ true false%>our new Mother and Baby Units which will allow women to stay with their babies while receiving the specialist care they need. These new units will provide in-patient support for women and their babies with the most complex and severe needs who require hospital care, who are experiencing severe mental health crisis including very serious conditions like post-partum psychosis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Not by degrees: improving student mental health in the UK's universities
This report finds that levels of mental illness, mental distress and low wellbeing among students in higher education in the UK are increasing, and are high relative to other sections of the population. It calls for universities to make mental health a strategic priority and adopt a whole-university approach to prevention, promotion and support. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

From The Frontline: Workforce Pressures In The NHS
This report argues that current workforce pressures are affecting the level of care being delivered to cancer patients. The report is based on survey results from over 250 GPs and nurses working in primary care across the UK and it finds that over half are not confident that the NHS workforce is able to provide adequate care to cancer patients, given the current pressures it faces. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Joint accord launched between public health england and england's ten national parks
This document sets out the proposed terms of a collaboration between National Parks England and Public Health England to work proactively and practically together to secure better public health outcomes. It draws on the strength of both organisations to deliver this shared goal by capitalising on the significant opportunities for people to improve their physical and mental health and overall wellbeing through interaction with national parks; and recognising the role which the national parks play as part of our wider natural environment that can support keeping people healthy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Stocktake of local mental health prevention planning arrangements
This report, commissioned by PHE and written by The King's Fund, provides a high-level summary of how local areas are currently incorporating mental health promotion and prevention of mental ill-health in their planning processes. The findings are based primarily on a content analysis of key planning documents in 35 local areas. This included a random sample of 16 areas across England and 19 areas selected as possible examples of transferable effective practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2017 Category: Consumer Health News Source Type: news

Measuring coagulation in burns: an evidence-based systematic review
Dynamic monitoring of coagulation is important to predict both haemorrhagic and thrombotic complications and to guide blood product administration. Reducing blood loss and tailoring blood product administration may improve patient outcome and reduce mortality associated with transfusion. The current literature lacks a systematic, critical appraisal of current best evidence on which clinical decisions may be based (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2017 Category: Consumer Health News Source Type: news

Housing our ageing population
This report sets out in detail what is required to meet the housing needs of our ageing population and how councils around the country are innovating to support older people to live in their homes for longer and promote positive ageing. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2017 Category: Consumer Health News Source Type: news

Fatigue Following Burn Injury: A Burn Model System National Database Study
This study's objective was to determine the frequency and severity of fatigue over time and to identify predictors of fatigue in the adult burn population (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2017 Category: Consumer Health News Source Type: news

Parameters for Ordering Blood Cultures in Major Burn Injury Patients: Improving Clinical Assessment
This study aims to identify limits of these parameters with the highest rates of bacteremia. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2017 Category: Consumer Health News Source Type: news

Perioperative tobacco use treatments: putting them into practice
This review discusses prevalence and consequences of perioperative smoking, principles of tobacco use treatment; benefits of treating tobacco use in surgical patient; and current state of implementation of tobacco treatment in clinical practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 8, 2017 Category: Consumer Health News Source Type: news

Managing the costs of clinical negligence in trusts
Over last 10 years, spending on Clinical Negligence Scheme for Trusts has quadrupled from £ 0.4 billion in 2006-07 to £ 1.6 billion in 2016-17. Cost of claims is rising at faster rate year-on-year than NHS funding, adding to financial pressures already faced by many trusts. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 8, 2017 Category: Consumer Health News Source Type: news

Medicines Optimisation for Older People in Care Homes and the Intermediate Care Setting: Developing and Reproducing new Models of Care
This example shares experience of a consultant pharmacist-led case management model of pharmaceutical care for older people in intermediate care, and an evaluation of consultant pharmacist-led trust outreach clinics for care homes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 8, 2017 Category: Consumer Health News Source Type: news

Qualitative meta-synthesis of barriers and facilitators that influence the implementation of community pharmacy services: perspectives of patients, nurses and general medical practitioners
Meta-synthesis of 29 qualitative studies reviewing 63 elements of community pharmacy services (CPS) implementation found that patients, GPs and nurses described a large number of elements influencing CPS implementation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 8, 2017 Category: Consumer Health News Source Type: news

Briefing: Partnerships for improvement: ingredients for success
This report provides results of research looking at current organisational partnerships, and draw some tentative learning to help inform and guide both policymakers and providers in terms of improving collaboration across organisation boundaries. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 8, 2017 Category: Consumer Health News Source Type: news

Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis
Review of 41 studies found implementation of smoke-free legislation was linked to reductions in rates of preterm birth, hospital attendance for asthma exacerbations, and rates of hospital attendance for all respiratory tract infections and for lower respiratory tract infections. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 8, 2017 Category: Consumer Health News Source Type: news