Maternal sepsis: new concepts, new practices
Sepsis is a leading cause of severe maternal morbidity and maternal death. As pregnancy-related sepsis can be difficult to recognize, clinicians should maintain a low threshold for early evaluation and treatment. Obstetricians have a heightened understanding of the physiologic changes in pregnancy and play a vital role in coordinating patient care and improving outcomes. The recent 2016 and 2017 revisions of definitions for maternal sepsis and treatment should be incorporated into clinical practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Urinary catheter tools
This suite of resources to reduce catheter-associated urinary tract infections include a National Catheter Passport, a National Inpatient Care Plan, a Patient held card and staff promotional tools. This is a key target in the new five-year action plan on antimicrobial resistance, and an important step towards improved patient care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

The UK strategy for rare diseases: 2019 update to the implementation plan for England
This update on the strategy's progress covers five main areas: empowering those affected by rare diseases; identifying and preventing rare diseases; diagnosis and early intervention; co-ordination of care; and the role of research. It also sets out the actions that the Department of Health and Social Care and partner organisations will take over the next year to implement the commitments of the strategy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Antimicrobial stewardship: prescribing antibiotics
This document summarises the evidence base on antimicrobial stewardship: prescribing antibiotics. It is a key therapeutic topic that has been identified to support medicines optimisation. It is not formal NICE guidance. It was updated in March 2019. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Tuberculosis cases in England hit lowest ever levels
This news story states there has been a 44% drop in new diagnoses from the peak in 2011 to 2018 (from 8,280 to 4,672), with an 8.4% fall in diagnoses between 2017 and 2018. However, communities with higher rates are the most deprived 10% of the population and those born outside of the UK. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Antibiotics for induction and maintenance of remission in Crohn's disease
This review (13 RCTs; n = 1303) found moderate to high quality evidence suggesting benefit provided by antibiotics in active Crohn's disease (CD) is likely to be modest and clinically irrelevant. Furthermore, effect of antibiotics on maintenance of remission in CD is uncertain. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Consensus based national antimicrobial stewardship competencies for UK undergraduate healthcare professional education
This project addresses a gap in antimicrobial stewardship (AMS) education in the UK. The framework developed from this work is offered as a model for undergraduate AMS education for all healthcare professions, and a means by which to standardize curricula. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Corticosteroids as adjunctive therapy in the treatment of influenza
This updated review of 30 studies (1 RCT; 29 observational studies; n=99,224) found that the currently available evidence is insufficient to determine the effectiveness of corticosteroids for people with influenza. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Antimicrobial agents for preventing urinary tract infections in adults undergoing cystoscopy
This review of 20 RCTs and two quasi ‐RCTs (n=7711) comparing antibiotic prophylaxis (AP) with placebo/no treatment found that based on low/very low‐quality evidence, AP may reduce the risk of symptomatic UTI but not systemic UTIs, without increasing serious and minor adverse events. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Risk Assessment of Avian Influenza A(H9N2)
This update includes information and advice for travellers and clinicians. The current risk to UK residents travelling to China is considered to be very low. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Tuberculosis surveillance and monitoring report in Europe 2019
This report provides an overview of the latest Tuberculosis (TB) epidemiological situation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Seasonal flu vaccine uptake in healthcare workers: monthly data, 2018 to 2019
This data shows the number of frontline healthcare workers in England having the seasonal influenza vaccine. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Think Sepsis
This e-learning resource for executive, non-executive and management level staff in trusts on sepsis, incorporates antimicrobial resistance and stewardship. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Antimicrobial stewardship programmes reduce antibiotic use in long-term care homes
This review of the evidence concludes that the absolute effect in terms of practice change cannot be quantified. However, the studies showed broadly consistent and positive effects on reduced antimicrobial use. Studies were of mixed design and at high risk of bias. Given limited evidence in the community setting, this is nevertheless a helpful addition to the knowledge base. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Emergency Department Environmental Contamination With Methicillin-Resistant Staphylococcus aureus After Care of Colonized Patients
This research article investigates the effect of patients with a history of MRSA colonization or infection on subsequent MRSA contamination of the ED environment. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Gastrointestinal infections and foodborne outbreaks in humans, England and Wales
These routine reports cover general outbreaks of foodborne illness and laboratory reports of common enteric infections and other enteric diseases, with cumulative totals. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Independent Breast Screening Review: government response
This document sets out the government's response to each recommendation made in the Independent Breast Screening Review report published in December 2018. The government has accepted all the recommendations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

The impact of telehealth and telepharmacy technology on public health service pressure and patient outcomes.
A report quantifying the impact of Now Healthcare Group (NHG) digital technology on patient outcomes, medicine adherence and the reduction of pressure on public health services and private employers. The figures within are based on live NHG data combined with publicly available NHS and academic sources. NHG is a UK based telehealth& telepharmacy provider. Its proprietary technology delivers digital GP consultations, app-based processing and delivery of private + NHS prescriptions plus inbuilt medicine adherence functionality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Improving patient safety through collaboration: A rapid review of the academic health science networks' patient safety collaboratives
This report examines what worked best in particular circumstances, what practices might be applied more consistently across the collaboratives, and what further learning is needed to increase their effectiveness. The report notes how interest is shifting from supporting the improvement of individual services to improving how different services work together in local systems. It highlights the role the PSC programme has had in creating a movement for change and cultivating a shared vision among health and care organisations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

No room at the inn: How easy is it for nomadic Gypsies and Travellers to access primary care?
Findings of a mystery shopping exercise in which Friends Families and Travellers contacted 50 GP practices posing as a patient wishing to register who didn't have a fixed address or proof of identity and found that almost half of practices would not register them. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Primary Care Network Handbook
As part of its support package for PCNs the BMA have created a handbook which provides advice and offers options to groups of practices looking to establish a PCN. The handbook includes detailed guidance on Governance structures, Internal governance and decision making, Potential PCN structures and employment options, PCN funding and PCN future workforce options. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Exploring the UK's digital divide
The scale of digital exclusion in the UK; those who aren't currently using the internet, how digital skills vary for different groups of the population (including gender, age, disabled people, ethnic groups) and some of the barriers to digital inclusion. Regional level data only. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Preparing for EU Exit
A collection of information relating to the health and care sector relating to Brexit on the key areas of Continuity of supply, Workforce, Reciprocal healthcare and overseas cost recovery, Clinical Trial Studies and European Reference Networks (ERNs) and Data. Including: EU Exit Operational Guidance an outline of the actions that providers and commissioners of health and social care services should take to prepare for, and manage, the risks of a no-deal exit scenario. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Transformational Leadership: Becoming an Inspirational Leader.
In this article, we'll explore what transformational leadership is, and we'll outline how you can become a transformational leader. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Leadership Styles: Choosing the Right Approach for the Situation.
Highlights some of the common approaches to leadership that you can use and also looks at some specific styles of leadership, and explores the advantages and disadvantages of each. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

The cost of unhealthy housing to the National Health Service: debate pack
There has long been an established link between poor housing conditions and poor health outcomes. This debate pack identifies the background and information surrounding this, and aims to raise awareness of the issues. The benefits of having healthy housing include: better educational attainment, higher workplace productivity, lower energy bills and a lower carbon footprint. New initiatives such as'Healthy New Towns'are also discussed. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 27, 2019 Category: Consumer Health News Source Type: news

Integrated homes, care and support: measurable outcomes for healthy ageing
This report provides an overview of research findings on the benefits to residents generated through ExtraCare villages and schemes, including sustained improvements in markers of health and well-being for residents and subsequent cost implications for the NHS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 26, 2019 Category: Consumer Health News Source Type: news

Management of labour.
This Highlight presents recent research evidence on some aspects of the management of labour, including the induction of labour; waterbirth; interpretation of the fetal heart rate; pain management; and position during the second stage of labour with or without an epidural (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 26, 2019 Category: Consumer Health News Source Type: news

Closing the gap: key areas for action on the health and care workforce.
This report sets out a series of policy actions that, evidence suggests, should be at the heart of the workforce implementation plan. It focuses on nursing and general practice where the workforce problems are particularly severe. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 22, 2019 Category: Consumer Health News Source Type: news

Learning from deaths: a review of the first year of NHS trusts implementing the national guidance.
This report provides a first assessment of NHS trusts'implementation of national guidance on learning from deaths. The report acknowledges it is early days and that it will take time to change attitudes and culture, including how the NHS engages with families. The report includes examples of good practice to support NHS trusts improve how they review and learn from deaths (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 22, 2019 Category: Consumer Health News Source Type: news

Learning from deaths
This report outlines the findings from the first year of assessing how well trusts are implementing national guidance introduced to support improved investigations and better family engagement when patients die. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 21, 2019 Category: Consumer Health News Source Type: news

#NewFilters to manage the impact of social media on young people's mental health and wellbeing.
The report explores the positive and negative health impacts of social media on the mental health and wellbeing of young people, and makes recommendations to protect young social media users from potential health harms. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 21, 2019 Category: Consumer Health News Source Type: news

Sexual health: Quality standard [QS178]
This quality standard covers sexual health, focusing on preventing sexually transmitted infections (STIs). It describes high-quality care in priority areas for improvement. It was published in February 2019. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 20, 2019 Category: Consumer Health News Source Type: news

Report: The State of Ageing in 2019
A report from an older people's charity brings together public data about work and finances, housing, health and communities. It reveals differences in how people experience ageing depending on factors such as where they live, how much money they have, or their sex or ethnicity. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 20, 2019 Category: Consumer Health News Source Type: news

Improving young people's experiences in transition to and from inpatient mental health settings. A quick guide for mental health practitioners supporting young people
NICE and the Social Care Institute for Excellence have published a guide to help practitioners prepare for a planned admission and or discharge from inpatient mental health services. It covers planning for admission, preparing for discharge, and care and support after discharge. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 20, 2019 Category: Consumer Health News Source Type: news

House of Commons Committee of Public Accounts: Clinical Commissioning Groups
This report describes the changes in the commissioning structures, ie the implementation of Integrated Care Systems which will cover the whole of England by 2021 and result in a significant reduction in the number of CCGs covering a larger population. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 19, 2019 Category: Consumer Health News Source Type: news

Mental health services: addressing the care deficit
This report outlines the growing concerns amongst NHS mental health leaders about a substantial care deficit resulting from the impact of social and economic hardship. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 19, 2019 Category: Consumer Health News Source Type: news

Saving Babies' Lives Version Two: A care bundle for reducing perinatal mortality
This version outlines 5 elements of care that are evidence-based and/or best practice: reducing smoking, surveillance of pregnancies at risk of foetal growth restriction, raising awareness of reduced fetal movement, effective fetal monitoring and reducing preterm birth. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 19, 2019 Category: Consumer Health News Source Type: news

Stop smoking services and tobacco control in England
This report highlights only 56% of local authorities provided a universal specialist service in 2018-19, down from 61% the previous year; and a further 9% only provided restricted specialist support to targeted groups, such as pregnant women and people with mental health conditions. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 19, 2019 Category: Consumer Health News Source Type: news

Care home performance across England: March 2019
A briefing from an older people's charity assesses the state of care home performance across England and looks at what is being done to tackle poor performance. It sets out how Independent Age wants to see care home quality develop and the factors likely to prove most important. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 15, 2019 Category: Consumer Health News Source Type: news

Risk reduction and management of delirium
This guideline provides recommendations based on current evidence for best practice in the detection, assessment, treatment and follow up of adults with delirium, as well as reducing the risk of delirium. The guideline applies to all settings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 15, 2019 Category: Consumer Health News Source Type: news

European CHMP recommends approval of zanamivir solution for infusion (Dectova) for the treatment of complicated and potentially life-threatening influenza
This opinion summary advises that it will be available as a 10 mg/ml solution for infusion for the treatment of complicated and potentially life-threatening influenza A or B virus infection in patients aged ≥6 months when other anti-virals, including inhaled zanamivir, are not suitable for the patient. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Antibiotic prescription for febrile children in European emergency departments: a cross-sectional, observational study
This study shows most antibiotics prescribed to children in European emergency departments (EDs) target respiratory tract infections, with high variability across hospitals and countries, which cannot be explained only by differences in assessment, patient or hospital characteristics. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Duration of antibiotic treatment for common infections in English primary care: cross sectional analysis and comparison with guidelines
This journal article concludes that for most common infections treated in primary care, a substantial proportion of antibiotic prescriptions have durations exceeding those recommended in guidelines. Substantial reductions in antibiotic exposure can be accomplished by aligning antibiotic prescription durations with guidelines. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study
This journal article concludes that in elderly patients with a diagnosis of UTI in primary care, no antibiotics and deferred antibiotics were associated with a significant increase in bloodstream infection and all cause mortality compared with immediate antibiotics. In the context of an increase of Escherichia coli bloodstream infections in England, early initiation of recommended first line antibiotics for UTI in the older population is advocated. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Global influenza strategy 2019-2030
This strategy aims to protect people in all countries from the threat of influenza. The goal of the strategy is to prevent seasonal influenza, control the spread of influenza from animals to humans, and prepare for the next influenza pandemic. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Standard infection control precautions: national hand hygiene and personal protective equipment policy
This national policy is a practice guide for NHS healthcare staff of all disciplines in all care settings. It covers responsibilities for organisations, staff and infection prevention and control teams. It also sets out how and when to decontaminate hands. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Older patients spared dementia and falls by NHS tech roll-out
This news item outlines how digital checks that can prevent dementia and falls in older people, and save lives through diagnosis of sepsis, are among a range of tools being made available in hospitals across the country, as part of the NHS Long Term Plan. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Primary care networks
This briefing examines how primary care networks will be formed, funded and held accountable. It also looks at what differences the networks will make for patients. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news

Payments and contracting for integrated care
This paper questions whether the latest financial incentive schemes will be any more successful than their predecessors. It suggests there are significant unresolved difficulties in applying the type of incentive scheme developed for accountable care in insurance-based health systems to tax-funded health systems with state-owned providers and limited choice of provider. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2019 Category: Consumer Health News Source Type: news