Streets of shame: homelessness and the NHS a tome of tragedies
For two and a half years Samantha Moss and her partner Clayton Bradshaw slept under the cold, stone arches of Nottingham's Trent Bridge.Wandering through the streets of West Bridgford – where the average house price is more than £ 330,000 – to the homeless drop-in centre that eventually helped find Samantha and Clayton a home, it is hard to believe such hardship can exist. But it soon becomes clear that their story is just one chapter in a tome of tragedies. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2019 Category: Consumer Health News Source Type: news

Decade of improved outcomes for patients thanks to Surgical Safety Checklist
The 2 External 0 0 0 pdf-link external-link Surgical Safety Checklist false http://apps.who.int/iris/bitstream/handle/10665/44186/9789241598590_eng_Checklist.pdf;jsessionid=5D6A3C141F385E02549EFCD3641AA256?sequence=2 true false%> is a simple tool designed to improve communication and teamwork by bringing together the surgeons, anaesthesia providers and nurses involved in care to confirm that critical safety measures are performed before, during and after an operation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2019 Category: Consumer Health News Source Type: news

Developing a retention strategy
These resources offer general guidance and are a good starting point for the creation of a retention improvement plan and/or strategy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2019 Category: Consumer Health News Source Type: news

Delivering effective governance and accountability for integrated health and care
There are several important differences in governance and accountability between the NHS and local authorities, which creates challenges when seeking to integrate systems and structures. This document seeks to highlight the challenges and outlines some potential from solutions from those areas that have been successful in integrating effectively to date, such as Manchester. It also outlines the enablers for integration that local systems can utilise in their local area as well as three things our members have told us that national bodies need to deliver to support further integration. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2019 Category: Consumer Health News Source Type: news

' When a child dies'; the development of a collaborative education programme to enhance care and support
Nurse leaders within the Clinical Simulation Centre (CSC) at Great Ormond Street Hospital NHS Foundation Trust (GOSH) developed an education programme in collaboration with Bereavement, Chaplaincy, Mortuary and Palliative Care services. This aided staff in developing their skills in caring for a dying child and supporting families through this critical time. The programme aims to improve the quality of care provided to families and ensure signposting to further services to meet their needs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2019 Category: Consumer Health News Source Type: news

The Slavery and Trafficking Survivor Care Standards 2018
These have been adopted by the Government as a minimum standard for victim support and as a consequence will be applied in any relevant service review or inspection. The book defines the legal framework and the levels of service to be provided by a range of agencies including police, health and local authorities. There is detailed material on the working of the National Referral Mechanism and the role of local authorities as a first responder. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 13, 2019 Category: Consumer Health News Source Type: news

Impact of social media and screen-use on young people's health
This report highlights the benefits of social media, while also revealing the potential risks faced by young users. It further suggests what can be done to protect young users when they are online, including the recommendation that social media companies must be subject to a legal duty of care to help protect young people's health and wellbeing when accessing their sites. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2019 Category: Consumer Health News Source Type: news

State of child health: England - two years on
This report congratulates the government on its commitment to child health, commending those responsible for bold pledges in areas such as obesity, mental health and the integration of children's health services. However, the scorecard also reveals that England continues to lag behind other western European countries on a range of child health outcomes and notes areas for improvement, particularly in universal public health provision, including: reducing child poverty and inequality; child deaths; tobacco and alcohol control, and breastfeeding. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2019 Category: Consumer Health News Source Type: news

Governance and accountability for integrated health and care.
This explainer for the NHS and local authorities outlines possible solutions for the governance and accountability challenges brought by the move to integrated health and care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2019 Category: Consumer Health News Source Type: news

Operating theatres: opportunities to reduce waiting lists
This report, produced in conjunction with the Royal College of Surgeons, looks at unwarranted variation in theatre productivity and ways to improve how care is delivered in England. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 12, 2019 Category: Consumer Health News Source Type: news

Update to the Public Health Outcomes Framework and other PHE Official Statistics Profiles
PHE published an update to the 2 External 0 0 0Public Health Outcomes Framework (PHOF) data tool false http://www.phoutcomes.info/ true false%>. On the same day, the online 2 External 0 0 0Local Alcohol Profiles for England false https://fingertips.phe.org.uk/profile/local-alcohol-profiles true false%>, 2 External 0 0 0Suicide Prevention Profile false https://fingertips.phe.org.uk/profile-group/mental-health/profile/suicide true false%> and 2 External 0 0 0End of Life Care Profiles false https://fingertips.phe.org.uk/profile/end-of-life true false%> will also be updated. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

Local Alcohol Profiles for England data update
This latest data release includes: admission episodes for alcohol-related conditions (Narrow), admission episodes for alcohol-related conditions (Broad), admission episodes for alcohol-specific conditions. This release includes the above indicators broken down by age group and cause where appropriate and are available at local authority level as well as for England, the regions, and various inequality groups. The Local Alcohol Profiles have been published on an annual basis since 2006. These profiles have been designed to help local government and health services assess the effect of alcohol use on their local populations....
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

New Start4Life campaign launched
PHE has launched its first ever 2 External 0 0 0 Start4Life false https://www.nhs.uk/start4life/ false false%> campaign about weaning babies - a recent survey suggests that a quarter of mums lack confidence when introducing their baby to solid foods. A brand-new weaning hub is now available on the Start4Life website to help parents during their weaning journey. With NHS-approved advice and tips for each weaning stage, plus simple, healthy weaning recipes for different age groups, it puts everything parents need to know in one place. Developed in partnership with parents, the weaning hub makes it easy for parents to find...
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

E-cigs'twice as effective' than nicotine patches, gum or sprays for quitting
" E-cigarettes are almost twice as effective at helping smokers give up tobacco than other alternatives such as nicotine patches or gum, " Sky News reports. Researchers carried out a trial with 886 smokers who sought help through NHS stop smoking services. People were randomly assigned to either nicotine replacement therapy (NRT) products (products such as patches or gums that can deliver a dose of nicotine) or e-cigarettes, plus one-to-one support for at least 4 weeks. After a year, 18% of e-cigarette users had stopped smoking tobacco, compared to 9.9% of NRT users. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

Suicide prevention: cross-government plan
The government has published the first 2 External 0 0 0 cross-government suicide prevention plan false https://www.gov.uk/government/publications/suicide-prevention-cross-government-plan true false%>. The plan has a focus on how social media and the latest technology – such as predictive analytics and artificial intelligence – can identify those at risk of suicide (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

Decontamination of the mouth or digestive tract was not linked to reductions in drug-resistant bloodstream infections in the intensive care unit
Decontamination strategies to remove potentially harmful bacteria from the mouth, throat and gut of critically ill patients don't reduce the risk of intensive care unit-acquired bloodstream infections or deaths from bacteria that were resistant to antibiotics. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

A reflective group activity supports healthcare staff in England
Regular participation in structured organisation-wide forums, known as Schwartz Center Rounds ® , helps support healthcare staff. The forums are linked with increased empathy and compassion for colleagues and patients, and they facilitate practice change. Levels of poor psychological well-being decrease in forum attendees compared with non-attendees. This NIHR-funded evaluation is the first mixed-methods, large-scale evaluation of the forums in England. They are now more widely adopted in the health service. The evaluation identifies learning and practical tips on running these forums well which could be useful for o...
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

NHS managers need support to use tools to ensure safe nurse staffing levels
The study identified seven key explanations for why tools may work in given situations. The findings may help NHS leaders to ensure that tools and technologies for workforce planning are used efficiently. Workforce planning technologies can help NHS managers plan for safe nurse staffing levels, but only with proper support and tools that are designed with good understanding of local needs. Tools also need to give easy access to standardised information such as staff availability and costs. NHS Trusts need to be open to information sharing and system integration. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

Lifestyle changes may be more important than drugs for mild hypertension
A large NIHR-funded UK study compared rates of mortality and risk of cardiovascular disease between patients who received antihypertensive treatment and those who did not. There was an increased risk of adverse effects, like low blood pressure. It found no evidence to support starting drug treatment for adults of low-cardiovascular risk with mild hypertension. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 11, 2019 Category: Consumer Health News Source Type: news

Incorporating concerns for equity into health resource allocation: a guide for practitioners
Unfair differences in health care access, quality or health outcomes exist between and within countries around the world, and improving health equity is an important social objective for many governments and international organisations. This paper summarises the methods for analysing health equity available to policymakers looking at the allocation of health sector resources. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 1, 2019 Category: Consumer Health News Source Type: news

Age UK's Personalised Integrated Care Programme: Evaluation of impact on hospital activity
Report finds that this scheme providing personalised care for older people is far from alone in not being able to show corresponding reductions in hospital activity; and there is a frustrating lack of evidence about what types of interventions might be able to achieve this aim. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 1, 2019 Category: Consumer Health News Source Type: news

Childhood obesity: time for action report government response
This command paper sets out the government's response to the conclusions and recommendations in this report which covered marketing and advertising, price promotions, early years and schools, takeaways, fiscal measures, labelling, and support for children living with obesity. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 1, 2019 Category: Consumer Health News Source Type: news

Transforming cities: the potential of everyday cycling
This report estimates that 34,000 incidences of eight conditions, including type 2 diabetes, stroke, breast cancer and depression, would be prevented in seven major cities between 2017 and 2040, if cycling increased at rates like those seen since the millennium in London. The report outlines actions for local government to help increase and normalise cycling for local journeys (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 1, 2019 Category: Consumer Health News Source Type: news

A model employer: increasing black and ethnic minority (BME) representation at senior levels across the NHS
This document outlines the ambitions set by NHS England and NHS Improvement, and reflected in the long-term plan, for each NHS organisation to set its own target for BME representation across its leadership team and broader workforce. The strategy will provide accelerated, intensive support to help local NHS organisations increase the recruitment of BME staff at senior levels. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 1, 2019 Category: Consumer Health News Source Type: news

Just another day: 24 hours in the NHS compromised care, staff shortages and serious stress
Almost half of NHS workers on the front line of patient care say there are not enough staff on their shift to ensure patients are treated safely and with compassion, according to the results of a snapshot survey of NHS staff. The report calls for an increase in NHS funding and mandatory safe-staffing levels in England and Northern Ireland. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - February 1, 2019 Category: Consumer Health News Source Type: news

Workforce Disability Equality Standard
This document relates to the Workforce Disability Equality Standard (WDES) which comes into force on 1 April 2019 within NHS Trusts and Foundation Trusts: The document provides details about the 10 WDES metrics, which cover such areas as the Board, recruitment, bullying and harassment, engagement and the voices of Disabled staff. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Recognising laryngeal cancer in primary care: a large casecontrol study using electronic records
This study (n=806) found 10 features significantly associated with laryngeal cancer: hoarseness, sore throat-first attendance; sore throat-re-attendance, dysphagia, otalgia, dyspnoea-re-attendance, mouth symptoms, recurrent chest infection, insomnia and raised inflammatory markers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Management of early- and late-onset sepsis: results from a survey in 80 German NICUs
This journal article states that the management of early- (EOS) and late-onset sepsis (LOS) and neonatal intensive care units (NICUs) has not been extensively evaluated. In summary, it reveals a significant gap between recent national German guidelines and daily practices in German NICUs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Interventions for Pediatric Sepsis and Their Impact on Outcomes: A Brief Review
This review article states that in the current era, pediatric sepsis remains a public health problem of significant prevalence and impact. With mortality rates practically unchanged over the years, it hopes to briefly summarize the epidemiology and the current interventions for pediatric sepsis and point towards possible areas of improvement. The authors say that most pediatric studies of sepsis are either small, retrospective or observational. Given information technology spreading across country, and a stronger presence of clinical networks, development of multicenter prospective studies over the next decade should enabl...
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

British Association for Sexual Health and HIV national guideline for the management of infection with Neisseria gonorrhoeae (2019)
Revisions to this guideline includes advice that, if antimicrobial susceptibility test results from all sites of infection are available prior to treatment and the isolate is sensitive to ciprofloxacin, then this should be used for treatment in preference to ceftriaxone. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Scaling up prevention and treatment towards the elimination of hepatitis C: a global mathematical model
This journal article outlines a model calibrated to 190 countries, which suggests offering direct-acting antivirals at time of diagnosis in all countries could prevent 640,000 deaths from cirrhosis and liver cancer (CLC). It states that a package of prevention/screening/ treatment could avert 15.1m new infections and 1.5m CLC deaths (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Association of Antibiotic Treatment With Outcomes in Patients Hospitalized for an Asthma Exacerbation Treated With Systemic Corticosteroids
This research article found patients on antibiotics had a longer hospital stay, similar rate of treatment failure, higher hospital cost and higher risk of antibiotic-related diarrhoea, vs patients not treated with antibiotics. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Antimicrobial resistance (AMR)
This Information and Resources Collection covers the UK's plans to see antimicrobial resistance contained and controlled by 2040. All sections were updated in January 2019 to reflect most recent content on antimicrobial resistance. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Tackling antimicrobial resistance 2019 to 2024: the UK's 5-year national action plan
This 5-year national action plan for containing and controlling antimicrobial resistance (AMR)sets out the ambitions and actions for the next 5 years. It supports the 20-year vision for antimicrobial resistance (AMR). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Contained and controlled: the UK's 20-year vision for antimicrobial resistance
This 20-year vision for containing and controlling antimicrobial resistance (AMR) explores how the UK will contribute to containing and controlling AMR by 2040. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Introducing group consultations for cancer care reviews
This Case Study outlines how a general practice nurse at Lancaster Medical Practice addressed unwarranted variation relating to cancer care reviews through introducing a group consultation model at the surgery. This new approach has led to better outcomes for patients, better experiences for patients and staff, and better use of resources locally. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Radiotherapy benefits some men whose prostate cancer has spread to their bones
This NIHR Signal adds further evidence that radiotherapy could benefit men with newly diagnosed prostate cancer with local metastases. The trial used CT and bone scans to define low and high metastatic burden. PET scans, which can detect smaller cancer deposits, are becoming widely available and may allocate people differently. However, the researchers did perform further analysis using different definitions of'low metastatic burden', with similar positive results. They are now planning to refine the definition to be more clinically useful.Nevertheless, radiotherapy can now be considered as a potential add-on treatment in ...
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Debate on e-petition 225767 relating to lowering the age for smear tests for cervical cancer from 25 to 18
This debate pack has been produced to inform a Westminster Hall debate on e-petition 225767: this calls for the lowering of the age for smear tests for cervical cancer from 25 to 18. The debate will be led by Helen Jones MP. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 30, 2019 Category: Consumer Health News Source Type: news

Finding our own way: mental health and moving from school to further and higher education.
This report explores the impact of transitions between school and further and higher education on students'mental health and ways in which these might be improved. The report highlights the lack of joined-up NHS support for students living between two locations, and makes a number of recommendations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

State of Child Health: England - Two Years On
This report applauds the government's commitment to child health, but notes that England continues to lag behind other western European countries. Outcomes that require improving include child poverty and equality, mortality, tobacco and alcohol control and breastfeeding. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

Transfer of critically ill adults: healthcare safety investigation.
This report shows that a lack of national guidance and standard practice for ambulance transfers could be putting patients at risk. It puts forward key recommendations aimed at making ambulance transfers safer for adults that are critically ill. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

Evaluation of Building the Right Support: findings to date
Building the Right Support is a national plan to provide better support to people with a learning disability or autism. The research is intended to find out what is working, what is not working and what can be done better to support people. The research is due to be completed in summer 2019 after which the final results will be published. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

Children and young people exposed prenatally to alcohol
This document provides recommendations based on best available evidence and consensus for the assessment and diagnosis of children and young people affected by prenatal alcohol exposure. It includes evidence-based recommendations on measurement of alcohol consumption in pregnancy and consensus-based recommendations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

The NHS long-term plan explained
This explainer sets out the main commitments in the plan and provide the King's Fund view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

Approaches to improving staff engagement in the NHS - a quick guide
This guide examines a range of approaches that organisations can take to sustain staff engagement. It contains inks to resources and case studies looking at how NHS organisations have put ideas into practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

Addressing hospital handover delays: actions for local A & E delivery boards
This document provides advice for ambulance trusts and A&E delivery boards on what action to take during busy periods and should ambulances begin to queue. This aims to help reduce delays in handover of patients from ambulance services to emergency departments. A protocol and FAQ document have also been published. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 29, 2019 Category: Consumer Health News Source Type: news

Community health services explained
This'long read'sets out what community services are, the challenges they face and how they are changing. The paper calls for greater priority and attention to community services at national and local level and calls for growing gaps in the community workforce to be addressed otherwise staff shortages may limit plans to deliver more care in community settings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 28, 2019 Category: Consumer Health News Source Type: news

Rural health care: a rapid review of the impact of rurality on the costs of delivering health care.
The Nuffield Trust was commissioned by the National Centre for Rural Health and Care to explore the key issues around the impact of rurality and sparsity on the costs of delivering health care. The analysis suggests that while the association between rurality, overstretched services and financial pressure are unclear, NHS trusts with'unavoidably small'sites do appear to underperform: as well as having generally longer waiting times and lengths of stay, they are also in greater financial difficulty. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 28, 2019 Category: Consumer Health News Source Type: news

NHS long term plan: three new models of care that could be replicated across England
Models discussed are in Nottingham: diagnostic pathway to detect chronic liver disease at earlier stage, integrated tertiary service providing psychiatric care for patients with persistent physical symptoms and general practice led enhanced support for older people in care homes (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - January 25, 2019 Category: Consumer Health News Source Type: news