Ethanol locks in catheters for dialysis may prevent sepsis
This Expert commentary, of a meta-analysis that reported ethanol lock is effective in reducing catheter-related bloodstream infection in haemodialysis patients, notes that further research is required before specific recommendations on ethanol locks can be made. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

Tuberculosis in England: 2018
This report says there was 38% drop in new diagnoses from peak in 2011 to 2017 (from 8280 to 5102), with 9% fall in diagnoses between 2016 and 2017 alone. Incidence rate of TB is now 9.2/100,000 population, taking England to below WHO definition of low incidence country for the first time. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

The risk of MRSA and C difficile in people with documented'penicillin allergy '
This Medicines Evidence Commentary discusses UK large population-based cohort study that found people with a documented'penicillin allergy'had increased risk of MRSA and C.diff, highlighting importance of ensuring only'true'penicillin allergies are documented, in line with NICE guideline on drug allergy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

Antibiotics for prolonged wet cough in children
This Systematic Review suggests that antibiotics are efficacious for the treatment of children with chronic wet cough greater than four weeks. This translates to a number needed to treat for an additional beneficial outcome. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

All the Lonely People: Loneliness in Later Life
This report presents new evidence about loneliness among people aged 50 and over, what increases the chances of people experiencing loneliness and how best to help those older people who are persistently lonely. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

Meningitis report: Spotting a seriously ill child
This report, launched at the start of Meningitis Awareness Week, concludes that lives could be saved if parents are given consistent, explicit advice about recognising meningitis and septicaemia from health professionals. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

Blood pressure targets for the treatment of people with hypertension and cardiovascular disease
Review (6 RCTs; n = 9484) found no difference in total mortality, serious adverse events, or total cardiovascular events between people with hypertension and cardiovascular disease treated to a lower ( ≤ 135/85 mmHg) or to a standard BP target (≤ 140 to 160/90 to 100 mmHg). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

Management of treatment-resistant depression in primary care: a mixed-methods study
1 year study of usual care of 235 patients with treatment-resistant depression found that most patients continued on the same dose of single antidepressant, medication changes or other treatments/referrals were uncommon and consultations focused on other health problems. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 28, 2018 Category: Consumer Health News Source Type: news

Q: the journey so far
This report presents insights and progress from the first three years of Q, an initiative, designed to support and connect those leading change efforts. The report accompanies the publication of RAND Europe's interim evaluation of Q and the report on the first Q Lab project published last week. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 26, 2018 Category: Consumer Health News Source Type: news

The state of the adult social care sector and workforce in England
This report provides comprehensive workforce characteristics about the adult social care workforce in England such as age, gender, ethnicity and specific job role information. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 26, 2018 Category: Consumer Health News Source Type: news

Taking the value-based agenda forward: the five essential components of value-based approaches to health and care
This paper explores how the adoption of value-based healthcare can be spread across all parts of the system to maximise the benefits for those who use NHS and wider services. The five essential components are: learning and adapting through the adoption of innovation; managing risk; making best use of data; thinking about pathways across the whole system; and listening to patients (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 26, 2018 Category: Consumer Health News Source Type: news

World Health Organisation Global Status report on alcohol and health 2018
According to this report, more than 3 million people died as a result of harmful use of alcohol in 2016, representing 1 in 20 deaths. More than three quarters of these deaths were among men. Overall, the harmful use of alcohol causes more than 5% of the global disease burden (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 25, 2018 Category: Consumer Health News Source Type: news

Caring, supportive, collaborative? Doctors' views on working in the NHS
This report presents the results of a survey of doctors seeking their views on a range of issues affecting their working lives, focusing on three themes of culture, workforce and structures. The results reveal that many doctors feel they are working in a non-supportive environment, where patient safety can at times be jeopardised and learning and reflection discouraged (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 24, 2018 Category: Consumer Health News Source Type: news

A year of integrated care systems: reviewing the journey so far
This report explores progress in eight out of the 10 first-wave ICS areas and identifies emerging lessons for local systems and national policy-makers. Progress is being made in most ICSs in improving health and care and developing the capability to work as a system. The challenge now is to build on the foundations that have been laid by removing the barriers identified and providing time and support to ICS leaders to take their work to the next stage of development (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 21, 2018 Category: Consumer Health News Source Type: news

Acute medical care in England: findings from a survey of smaller acute hospitals
This profile of smaller hospitals in England finds trusts struggling to recruit and retain acute medical staff. Services across the country are configured in a wide variety of ways, with little evidence of an'ideal'model for acute medical care emerging from the research. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 21, 2018 Category: Consumer Health News Source Type: news

Organisations commit to combating disproportionately poorer physical health in people with mental illness
More than 50 organisations have signed Equally Well UK's Charter for Equal Health, which commits mental health providers to conducting yearly physical health checks for people with mental health conditions and securing access to evidence based treatments. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2018 Category: Consumer Health News Source Type: news

The health and well-being of men in the WHO European Region: better health through a gender approach (2018)
This report provides an overview of men's health in Europe, identifying non-communicable diseases and their risk factors as the leading cause of mortality for men. The report emphasises that improving the health and well-being of men is best addressed within a gender equality framework (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2018 Category: Consumer Health News Source Type: news

New data shows smokers are getting the message on e-cigarettes
Of those currently using e-cigarettes, over half have quit smoking and 40% are current smokers trying to quit. The proportion of smokers who believe vaping is at least or more harmful than smoking has risen (22%, up from 16% in 2015). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2018 Category: Consumer Health News Source Type: news

Seamless services to improve outcomes for people
The briefing provides an insight into the aims of providing seamless services and showcases the different ways health and care are now delivered. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2018 Category: Consumer Health News Source Type: news

Advancing Applied Analytics programme
The projects are from a range of care providers and commissioners from, who will be working on areas including: using linked health and council data to better understand social isolation and troubled families; using patient-specific data to guide decision-making in emergency departments; and using simulation modelling to improve planning and delivery of mental health services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2018 Category: Consumer Health News Source Type: news

Guidance for Commissioners: Interpreting and Translation Services in Primary Care
This guidance aims to provide practical advice to commissioners including details of the legal position, principles for high quality interpreting and translation services, and commissioning and contracting considerations. It was initially written with primary medical care services (GP surgeries) in mind but commissioners may find the contents applicable to other settings, such as other primary care settings or hospital sites. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 18, 2018 Category: Consumer Health News Source Type: news

RCOG statement in response to the NGA report on twin pregnancy costs
The report shows that twin births are almost three times as expensive as singleton births; the average cost to the NHS is £ 13,959 for a twin birth, while a singleton birth costs £ 4,892. The report notes that multiple pregnancy rate has significantly increased since the introduction of IVF and calls on CCGs to ensure single embryo transfer to reduce the multiple birth rate. This would reduce health risks for mother and babies, improve safety and quality of care, and lead to significant savings for the NHS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2018 Category: Consumer Health News Source Type: news

European health report 2018
This report aims to track progress against targets set by the European policy framework, Health 2020. It indicates an increase in life expectancy and reductions in premature mortality, but warns that smoking, alcohol, obesity and under-vaccination are hindering progress. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2018 Category: Consumer Health News Source Type: news

Coping through Football: evaluation report 2018
This report provides an economic analysis of the Coping through Football programme which aimed to deliver benefits to people living with mental health difficulties. The findings included a 12% reduction in the number of overnight hospital stays for participants (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2018 Category: Consumer Health News Source Type: news

Accelerating Artificial Intelligence in health and care: results from a state of the nation survey
The report spotlights some of the opportunities AI creates and shows where it is already being used in projects across the country. It also considers some of the barriers to wider deployment of AI and proposes solutions, including the creation of a “code of conduct” for the sector. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2018 Category: Consumer Health News Source Type: news

State of Maternity Services Report 2018 England
This report provides an overview of some of the'big picture'trends that are taking place in the midwifery workforce and identifies some of the challenges that face the profession and maternity services. This year the RCM has published individual reports for England, Scotland, Wales and Northern Ireland (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 13, 2018 Category: Consumer Health News Source Type: news

Infection prevention and control practitioners: improving engagement
This journal article outlines how every healthcare worker plays a vital part in minimising the risk of cross infection. Infection prevention and control (IPC) practitioners have the skills and competencies to assist organisations in improving engagement among staff and play a vital part in achieving this. IPC practitioners have skills in clinical practice, education, research and leadership, and these skills ensure high-quality care for patients and support strategies for engaging staff. The article highlights how IPC practitioners'skills and competencies are required for preventing infection and improving staff engagement...
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

The effectiveness of alcohol-based gel for hand sanitising in infection control
This article aims to evaluate the evidence relating to the effectiveness of alcohol-based gel for hand sanitising, or'handrub', in infection control in healthcare settings with particular reference to renal nursing, as this has become pertinent due to the increasing reliance on evidence-based practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Current thinking on catheter securement and infection prevention
In this journal article Janice Gabriel, Clinical Network Manager, NHS England (Wessex), Southampton explains the importance of catheter securement in preventing complications of infusion therapy (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Reducing catheter-associated urinary tract infections: standardising practice
Inspired by innovations in catheter practice from the USA, in 2014 Nottingham University Hospitals NHS Trust introduced catheterisation standardisation across the Trust's two acute sites. Standardisation was achieved by the introduction of an all-in one catheterisation tray (Bard ® Tray), which included all the necessary equipment required for catheterisation, coupled with a training programme. The introduction of the tray was followed by a clinically significant 80% reduction in the CAUTI rate from 2014 to 2016. This reduction in CAUTI rate provided the Trust with a considerable reduction on annual expenditure (nearly...
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

The Safety Net for Older People Living at Home is Failing and in Urgent Need of Repair
This interim report suggests that. from what older people and their families have told Age UK. it is clear that the health and care safety net for unwell older people living with frailty at home is not nearly as strong as it should be, exposing those living alone without support from family and friends to particular risk. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Prostate cancer screening with prostate-specific antigen (PSA) test: a systematic review and meta-analysis
This systematic review of 5 RCTs (n=721,718) found that at best, screening for prostate cancer leads to a small reduction in disease-specific mortality (corresponding to one less death from prostate cancer per 1000 men screened over 10 years) but it does not affect overall mortality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Pancreatitis: guidance (NG104)
This guideline was published in September 2018. It covers managing acute and chronic pancreatitis in children, young people and adults. It aims to improve quality of life by ensuring that people have the right treatment and follow-up, and get timely information and support after diagnosis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Statistical analysis of patient-reported outcome data in randomised controlled trials of locally advanced and metastatic breast cancer: a systematic review
This systematic review covering 66 RCTs found only eight (12%) reported a specific patient-reported outcomes (PRO) research hypothesis. There was heterogeneity in the statistical methods used to assess PRO data, and only 42% reported the clinical significance of their findings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Managing scarlet fever
This article discusses the management of scarlet fever, which has recently re-emerged in the UK. National guidance recommends antibiotic treatment to speed recovery, reduce the length of time the infection is contagious, and to reduce the risk of complications. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Antimicrobial lock solutions for preventing catheterrelated infections in haemodialysis
This systematic review of 39 studies (n=4216) found antibiotic antimicrobial and combined (antibiotic ‐non antibiotic) lock solutions (LSs) decreased incidence of catheter‐related infection compared to control LSs. The effect on thrombosis incidence is uncertain for all antimicrobial LSs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Quantifying drivers of antibiotic resistance in humans: a systematic review
This systematic review of 565 studies provides a reference document with which to assess the state of studies of risk factors for antibiotic resistance in humans over the past 10 years, and provides an indication as to the relative importance of risk factors as well as where information is lacking. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Bacterial Factors That Predict Relapse after Tuberculosis Therapy
This study found decrements of minimum inhibitory concentration (MIC) of isoniazid and rifampin that were below standard resistance breakpoint in drug-susceptible M. tuberculosis strains had influence on treatment outcomes, with risk of relapse increasing together with MIC. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Revisiting the timetable of tuberculosis
This BMJ analysis notes tuberculosis has a much shorter incubation period than is widely thought, with evidence suggesting most TB cases occur within 18-24 months of infection. This has implications for prioritising research and public health strategies. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Hepatitis C in England and the UK: 2018 report
This report summarises the scale of the UK hepatitis C challenge in 2017, to help support focused action to eliminate hepatitis C as a major public health threat by 2030 at the latest. On 28 May 2016, the World Health Assembly adopted a Global Health Sector Strategy (GHSS) on viral hepatitis for the period 2016-2021. This strategy introduced the first ever global targets for viral hepatitis control. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 12, 2018 Category: Consumer Health News Source Type: news

Sexual safety on mental health wards
This report presents findings and recommendations from a review of patient safety incidents related to sexual safety on mental health wards. The report follows engagement with trusts, national bodies, organisations representing people who use services and individuals with direct experience of sexual safety incidents. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2018 Category: Consumer Health News Source Type: news

Mental Health at Work
Mind has launched a new online'gateway'to help workplaces improve staff wellbeing. Mental health at work brings together information, advice, resources and training that workplaces can use to improve wellbeing and give employees the mental health support they need (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2018 Category: Consumer Health News Source Type: news

Suicide prevention: toolkit for engaging communities
This guidance is aimed at those who would like to initiate suicide prevention activities in their community. It describes a participatory bottom-up process by which communities can work together to identify, prioritise and implement activities that are important and appropriate to their local context and that can influence and shape policy and services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2018 Category: Consumer Health News Source Type: news

A taxing question: how to pay for free personal care
This report, produced in conjunction with Grant Thornton UK LLP and The Social Market Foundation, looks at various funding options for older people's social care, including what each option would cost the individual and what the funding situation might look like in ten years'time. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 11, 2018 Category: Consumer Health News Source Type: news

Provider voices: the journey to integrated care systems.
This third report in the series explores the challenges and opportunities presented by STPs and ICSs. It summarises common themes raised in a series of eleven interviews – including trust chairs and chief executives, leaders from commissioning and local government, national policy makers and thought leaders – and looks to what the future holds for collaborative working and integration. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 10, 2018 Category: Consumer Health News Source Type: news

Prevention must be the heart of the NHS long-term plan
The CEO of Public Health England is leading work to ensure prevention is at the heart of the new long term plan for the NHS. He sets out three essential priorities for investment: smoking, obesity and cardiovascular disease. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 10, 2018 Category: Consumer Health News Source Type: news

Government response to the Health and Social Care Committee's report on integrated care
Joint response reflecting views of the Department of Health and Social Care, NHS England, NHS Improvement, CQC and Health Education England, sets out how the government intends to address the committee's recommendations as part of the long-term plan for the NHS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 10, 2018 Category: Consumer Health News Source Type: news

CE: Managing Sepsis and Septic Shock Current Guidelines and Definitions
This article discusses the new SSC treatment guidelines, changes in the sepsis bundle interventions, and theSepsis-3 definitions and tools, all of which enable nurses to improve patient outcomes through timely collaborative action (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 7, 2018 Category: Consumer Health News Source Type: news

Mortality Measures to Profile Hospital Performance for Patients With Septic Shock
This research article concludes that risk-standardized septic shock mortality rates varied considerably between hospitals, suggesting that septic shock is an important performance target. However, efforts to profile hospital performance were sensitive to septic shock case definitions, suggesting that septic shock mortality is not currently ready for widespread use as a hospital quality measure (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 7, 2018 Category: Consumer Health News Source Type: news

Hypothermia: A Sign of Sepsis in Young Infants in the Emergency Department?
This retrospective analysis concludes that the prevalence of serious infection in hypothermic young infants in the ED is low. Serious infection is unlikely in infants with isolated hypothermia. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 7, 2018 Category: Consumer Health News Source Type: news