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‘Enough is enough’: a mixed methods study on the key factors driving UK NHS nurses’ decision to strike
The UK National Health Service (NHS) is one of the largest employers in the world and employs around 360,000 registered nurses. Following a protracted pay dispute in December 2022 NHS nurses engaged in industr... (Source: BMC Nursing)
Source: BMC Nursing - April 16, 2024 Category: Nursing Authors: Daniel Sanfey Tags: Research Source Type: research

Characteristics of the health districts in Italy and their implication in primary health care policies: an analysis of socio ‐demographic trends
The Health District (HD) is a critical component of Italy ’s National Health Service, responsible for ensuring Primary Health Care (PHC) services in response to community health needs. The Italian government established a national strategic reform program, the National Recovery and Resilience Plan (PNRR), with a series of health interventions to reorgani ze the PHC setting (Ministerial Decree 77/2022). Our study aimed to provide a description of socio-demographic data and to assess the correlation between HDs, in order to suggest health intervention priorities in PHC reforms.We conducted a retrospective analysis using a ...
Source: Journal of Preventive Medicine and Hygiene - April 15, 2024 Category: International Medicine & Public Health Authors: Elisa Gabrielli, Irene Schenone, Alessandro Roberto Cornio, Ambrogio Cerri, marcello Di Pumpo, Anastasia Troia, Elena Sciurpa, Sara Fantini, Giovanni Paladini, Giorgio Sessa Source Type: research

The findings of a service evaluation on the practice of assessment and treatment of iron deficiency in people admitted to a UK hospital with decompensated Heart Failure
Heart Failure (HF) is a common long-term condition associated with a significant symptom burden for the individual, and high costs for healthcare systems.1,2 In the United Kingdom (UK) it is estimated HF accounts for 2 % of the National Health Service (NHS) budget, and 5 % of all unplanned admissions.3 The incidence of HF is growing in the UK, thought to be a consequence of an ageing population, increased survival post myocardial infarction following the implementation of the national primary percutaneous intervention programme, and the increase of people living with risk factors for HF. (Source: Heart and Lung)
Source: Heart and Lung - April 9, 2024 Category: Intensive Care Authors: Rebecca Bone, Helen Walthall Source Type: research

Qualitative study exploring the design of a patient-reported symptom-based risk stratification system for suspected head and neck cancer referrals: protocol for work packages 1 and 2 within the EVEREST-HN programme
Introduction Between 2009/2010 and 2019/2020, England witnessed an increase in suspected head and neck cancer (sHNC) referrals from 140 to 404 patients per 100 000 population. 1 in 10 patients are not seen within the 2-week target, contributing to patient anxiety. We will develop a pathway for sHNC referrals, based on the Head and Neck Cancer Risk Calculator. The evolution of a patient-reported symptom-based risk stratification system to redesign the sHNC referral pathway (EVEREST-HN) Programme comprises six work packages (WPs). This protocol describes WP1 and WP2. WP1 will obtain an understanding of language to optimise t...
Source: BMJ Open - April 5, 2024 Category: General Medicine Authors: Albutt, A., Hardman, J., McVey, L., Odo, C., Paleri, V., Patterson, J., Webb, S., Rousseau, N., Kellar, I., Randell, R. Tags: Open access, Oncology Source Type: research

ORTHOPOD: Linking ambulatory Future trauma Injury Distribution from Fragility Proximal Femur Fracture caseload
In the United Kingdom 16,000 deaths are attributable to trauma annually [1], and accidental injury is the leading cause of death amongst in-patient admission and emergency surgery in younger adults [1]. The number of National Health Service (NHS) inpatient beds has reduced by over half since 1990 [2]. High bed occupancy, coupled with systematic inefficiency, commonly results in surgical delay as well as organisation wide pressures. Our previous work has highlighted the nature of UK Orthopaedic Trauma and the requirement for investment in and increased utilisation of ambulatory (day- case) trauma lists. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: T Walshaw, T.M. Morris, M. Fouweather, T.E. Baldock, N. Wei, W.G.P. Eardley Source Type: research

Telemedicine for sustainable postoperative follow-up: a prospective pilot study evaluating the hybrid life-cycle assessment approach to carbon footprint analysis
This study aimed to provide a comprehensive analysis of the feasibility and sustainability of telemedicine postoperative follow-up for remote diagnosis of SSI.METHODS: Patients who underwent a lower limb vascular procedure were reviewed remotely at 30 days following the surgery, with a combined outcome measure (photographs and Bluebelle Wound Healing Questionnaire). A hybrid life-cycle assessment approach to carbon footprint analysis was used. The kilograms of carbon dioxide equivalent (kgCO2e) associated with remote methods were mapped prospectively. A simple outpatient clinic review, i.e., no further investigations or ma...
Source: Rural Remote Health - April 2, 2024 Category: Rural Health Authors: Ross Lathan Louise Hitchman Josephine Walshaw Bharadhwaj Ravindhran Daniel Carradice George Smith Ian Chetter Marina Yiasemidou Source Type: research

Comparing the effectiveness of computer-aided design/computer-aided manufacturing (CAD/CAM) of insoles manufactured from foam box cast versus direct scans on patient-reported outcome measures: a protocol for a double-blinded, randomised controlled trial
Introduction Custom insoles are a routine treatment for many foot pathologies, and the use of computer-aided design and computer-aided manufacturing (CAD/CAM) is well established within clinical practice in the UK. The method of foot shape capture used to produce insoles varies throughout orthotic services. This trial aims to investigate the effectiveness of two common shape-capture techniques on patient-reported outcomes in people who require insoles for a foot or ankle pathology. Methods and analysis This double-blinded randomised controlled trial will involve two intervention groups recruited from a National Health Ser...
Source: BMJ Open - April 2, 2024 Category: General Medicine Authors: Barr, L., Richards, J., Chapman, G. J. Tags: Open access, Evidence based practice Source Type: research

Lessons and pitfalls of whole genome sequencing
Pract Neurol. 2024 Mar 28:pn-2023-004083. doi: 10.1136/pn-2023-004083. Online ahead of print.ABSTRACTWhole-genome sequencing (WGS) has recently become the first-line genetic investigation for many suspected genetic neurological disorders. While its diagnostic capabilities are innumerable, as with any test, it has its limitations. Clinicians should be aware of where WGS is extremely reliable (detecting single-nucleotide variants), where its reliability is much improved (detecting copy number variants and small repeat expansions) and where it may miss/misinterpret a variant (large repeat expansions, balanced structural varia...
Source: Practical Neurology - March 28, 2024 Category: Neurology Authors: Christopher J Record Mary M Reilly Source Type: research

Longitudinal observational cohort study: Speech for Intelligent cognition change tracking and DEtection of Alzheimers Disease (SIDE-AD)
Introduction There is emerging evidence that speech may be a potential indicator and manifestation of early Alzheimer’s disease (AD) pathology. Therefore, the University of Edinburgh and Sony Research have partnered to create the Speech for Intelligent cognition change tracking and DEtection of Alzheimer’s Disease (SIDE-AD) study, which aims to develop digital speech-based biomarkers for use in neurodegenerative disease. Methods and analysis SIDE-AD is an observational longitudinal study, collecting samples of spontaneous speech. Participants are recruited from existing cohort studies as well as from the Natio...
Source: BMJ Open - March 28, 2024 Category: General Medicine Authors: Saunders, S., Haider, F., Ritchie, C. W., Muniz Terrera, G., Luz, S. Tags: Open access, Neurology Source Type: research

Evaluating co-production in an interactive webinar series concerning borderline personality disorder: a discourse and content analysis
This study examined naturalistic practice to build new theory in an under-researched area for a substantial mental health population. (Source: Mental Health and Social Inclusion)
Source: Mental Health and Social Inclusion - March 27, 2024 Category: Psychiatry Authors: Ioanna Xenophontes Neil Springham Source Type: research

Impact of the initial COVID-19 response in the UK on speech and language therapy services: a nationwide survey of practice
This study aimed to examine the impact of the UK’s COVID-19 response on speech and language therapy services.An online survey of the practice of speech and language therapists (SLTs) in the UK was undertaken. This explored SLTs’ perceptions of the demand for their services at a time when COVID-19 restrictions had been lifted, compared with before the onset of the pandemic. The analysis was completed using descriptive statistics and content analysis.Respondents were mostly employed by the UK’s National Health Service (NHS) or the private sector. Many participants reported that demands on their service had increased co...
Source: Journal of Health, Organisation and Management - March 25, 2024 Category: Health Management Authors: Katie Chadd Sophie Chalmers Kate Harrall Amelia Heelan Amit Kulkarni Sarah Lambert Kathryn Moyse Gemma Clunie Source Type: research

Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction
Depending on your perspective, a unicorn could be either a magical horned creature or a billion-dollar start-up. Alternatively, it could represent coordinated care for patients with heart failure with preserved ejection fraction (HFpEF), as it does for Brooman-White et al.1 In their accompanying paper on coordination of care for patients with HFpEF, which included an analysis of 12 clinical guidelines and secondary analysis of qualitative interviews with patients and healthcare professionals in the UK’s National Health Service, the authors describe the apparent illusiveness of securing coordinated specialist and gene...
Source: Quality and Safety in Health Care - March 25, 2024 Category: Health Management Authors: Sinnott, C., Vedanthan, R., van Olmen, J. Tags: Editorials Source Type: research

Effectiveness and cost-effectiveness of a web-based cardiac rehabilitation programme for people with chronic stable angina: protocol for the ACTIVATE (Angina Controlled Trial Investigating the Value of the 'Activate your heart Therapeutic E-intervention) randomised controlled trial
The objectives of this study are to compare the effectiveness and cost-effectiveness of the ‘Activate Your Heart’ cardiac rehabilitation programme for people with chronic stable angina compared with usual care. Methods and analysis ACTIVATE is a multicentre, parallel-group, two-arm, superiority, pragmatic randomised controlled trial, with recruitment from primary and secondary care centres in England and Wales and a target sample size of 518 (1:1 allocation; allocation sequence by minimisation programme with built-in random element). The study uses secure web-based allocation concealment. The two treatments wi...
Source: BMJ Open - March 25, 2024 Category: General Medicine Authors: Williams, N. H., Collins, B., Comerford, T. J., Dodd, S., Fisher, M., Hardwick, B., Hennessy, S., Jolly, K., Jones, I., Lane, D., Lip, G. Y. H., Morgan, E., Ralph, P., Thijssen, D., Singh, S. J. Tags: Open access, General practice / Family practice Source Type: research