Influenza: treatment and prophylaxis using anti-viral agents
This guidance was updated in September 2019. In the update further information on the recommended dosing for renal dysfunction in adults and children is provided, as well additional information on antivirals and breastfeeding and management of neonates exposed to mothers with confirmed seasonal influenza. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Clinical Commissioning Urgent Policy Statement: Antivirals for adults with recent onset (acute) hepatitis C
NHS England will routinely commission antivirals for adults with recent onset (acute) hepatitis C (HCV), including the treatment of acute HCV infection in immunosuppressed adults (e.g. post transplantation patients) in accordance with the criteria set out in this document. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Long-term changes of gut microbiota, antibiotic resistance, and metabolic parameters after Helicobacter pylori eradication: a multicentre, open-label, randomised trial
Follow up study (n=1214, Taiwan) found eradication of H pylori infection has minimal disruption on microbiota, no effect on antibiotic resistance of E coli, and some positive effects on metabolic parameters, lending support to long-term safety of H pylori eradication therapy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Ceftolozanetazobactam versus meropenem for treatment of nosocomial pneumonia (ASPECT-NP): a randomised, controlled, double-blind, phase 3, non-inferiority trial
RCT (n=726) found high-dose ceftolozane –tazobactam was non-inferior to meropenem in terms of both 28-day all-cause mortality (24.0 vs. 25.3% died, respectively) and clinical cure at test of cure (54% vs 53%, respectively) for gram-negative nosocomial pneumonia in this population. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Screening for Asymptomatic Bacteriuria in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
Review (19 studies; n = 8443) found screening and treatment for asymptomatic bacteriuria during pregnancy was linked to reduced rates of pyelonephritis and low birth weights, but available evidence was not current. Benefits in non-pregnant adult populations were not found. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Prevention, Diagnosis, Evaluation, and Treatment of Hepatitis C Virus Infection in Chronic Kidney Disease: Synopsis of the Kidney Disease: Improving Global Outcomes 2018 Clinical Practice Guideline
This updated guideline comprises 66 recommendations. The synopsis focuses on 32 key recommendations pertinent to the prevention, diagnosis, treatment, and management of HCV infection in adult CKD populations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Flu vaccination: who should have it this winter and why
This information explains to patients how they can help protect themselves and their children against flu this coming winter. It includes information for children, eligible adults and pregnant women. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Immunogenicity, effectiveness, and safety of measles vaccination in infants younger than 9 months: a systematic review and meta-analysis
This review reports that first measles vaccines (MV) administered to infants (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

PHE infectious diseases strategy
The Public Health England strategy outlines their work to combat infectious diseases and sets out the strategic priorities for the 5-year period 2020 to 2025. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Vaccine update: issue 299, September 2019, flu special edition
This flu special edition features guidance on who is eligible for flu vaccination in 2019 to 2020, which flu vaccine should be offered, healthcare worker flu vaccination letter, and details of the new campaign for health and social care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Cellulitis and erysipelas: antimicrobial prescribing: NICE guideline [NG141]
This guideline sets out an antimicrobial prescribing strategy for adults, young people, children and babies aged 72 hours and over with cellulitis and erysipelas. It aims to optimise antibiotic use and reduce antibiotic resistance. It was published in September 2019. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Clinical Commissioning Urgent Policy Statement: Antivirals for adults with recent onset (acute) hepatitis C
This statement confirms NHS England will routinely commission antivirals for adults with recent onset (acute) hepatitis C (HCV), including the treatment of acute HCV infection in immunosuppressed adults (e.g. post transplantation patients) in accordance with the criteria set out in the document. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news

Negotiating commissioning pathways for the successful implementation of innovative health technology in primary care
Innovative health technologies such as the diagnostic technology for peripheral arterial disease are commissioned in care pathways where the value of such technology is realised by those delivering care to patients. The detail of how care pathways are commissioned is complex and involves high degrees of uncertainty concerning such issues as prioritisation decisions, patient benefits, clinical buy-in, value for money and unintended consequences. Recent developments in the new care models and integrated care systems (ICSs) in the UK offer a unique opportunity for the successful commissioning arrangements of innovative health...
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Investigation of the demand for a 7-day (extended access) primary care service: an observational study from pilot schemes in England
This research concludes that there is spare capacity in the extended access service, particularly on Sundays, suggesting reconfigurations of the service may be needed to improve efficiency of delivering the service. Patient demographics suggest the service is used by a relatively younger population than core hour services. Patient demographics varied with the types of appointment provided, these findings may help healthcare providers improve usage by tailoring appointment provision to local populations.This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 (CC BY 4.0) license. (S...
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Diet and physical activity interventions targeting children and youth have different, yet small, effects on preventing obesity
Obesity prevention interventions which include both diet and physical activity may reduce the risk of obesity in pre-school children. Once at school, physical activity appears to be more effective for weight loss than diet alone. Resulting weight loss form any intervention, if any, has been very small with unclear benefits to the individual or population. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Text message reminders increase attendance at NHS health checks
Sending text messages reminding people to book their NHS health check following their invitation letter increases attendance. There is little evidence to support pre-notification text messages telling people an invitation would soon be sent. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Diagnosis of delirium in hospitals can be improved by the 4 A's test
For high-risk patients and those with sudden-onset confusion, these early results show that the 4 A's test is a practical tool for initial assessment in time-pressured environments. It will need further testing in other settings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Diagnosis of delirium in hospitals can be improved by the 4 A's test
For high-risk patients and those with sudden-onset confusion, these early results show that the 4 A's test is a practical tool for initial assessment in time-pressured environments. It will need further testing in other settings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

What are the respiratory effects of e-cigarettes?
Electronic cigarettes (e-cigarettes) are alternative, non-combustible tobacco products that generate an inhalable aerosol containing nicotine, flavors, propylene glycol, and vegetable glycerin. Vaping is now a multibillion dollar industry that appeals to current smokers, former smokers, and young people who have never smoked. E-cigarettes reached the market without either extensive preclinical toxicology testing or long term safety trials that would be required of conventional therapeutics or medical devices. Their effectiveness as a smoking cessation intervention, their impact at a population level, and whether they are l...
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

The Early Notification scheme progress report: collaboration and improved experience for families.
This report provides an overview of the first year of a scheme to drive improvements in maternity and neonatal services and to ensure that families whose babies suffer rare, but avoidable brain injuries at birth are better supported. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Using online consultations in primary care: implementation toolkit
This online consultation toolkit is an interactive document that provides a range of ideas and options for different professionals, including clinicians, at different points in their implementation of online consultations journey. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Creating healthy places: perspectives from NHS England's Healthy New Towns programme.
This report features a collection of essays providing insights from those involved in the Healthy New Towns programme which illustrate how powerful a coherent local approach to improving population health can be. The report highlights there is significant potential to improve population health through place-making and community development and stresses the need for the NHS to be closely involved in major housing developments and regeneration programmes in order to improve health and care outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Creating healthy places: perspectives from NHS England's Healthy New Towns programme.
This report features a collection of essays providing insights from those involved in the Healthy New Towns programme which illustrate how powerful a coherent local approach to improving population health can be. The report highlights there is significant potential to improve population health through place-making and community development and stresses the need for the NHS to be closely involved in major housing developments and regeneration programmes in order to improve health and care outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Integrated Commissioning for Better Outcomes: a commissioning framework 2018
The Integrated Commissioning for Better Outcomes Framework 2018 is a practical tool for council and NHS commissioners to support improving outcomes through integrated commissioning. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Joined up-listening: integrated care and patient insight
In this article, we articulate the opportunity that integrated care presents for using insight from people and populations to design services that meet their needs and reflect their priorities. This includes breaking down siloes within and between organisations to listen to what patients are saying across their entire pathway of care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Making sense of integrated care systems, integrated care partnerships and accountable care organisation in the NHS in England
NHS England has recently changed the name of accountable care systems to integrated care systems, which describes more accurately the work being done in the 10 areas of England operating in this way. Our updated long read looks at work under way in these systems and at NHS England's proposals for an accountable care organisation contract. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news

Designing integrated care systems (ICSs) in England
This guide sets out the different levels of management that make up an integrated care system, describing their core functions, the rationale behind them and how they will work together. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 1, 2019 Category: Consumer Health News Source Type: news