Earlier screening, risk assessment and health optimisation in perioperative pathways: guide for providers and integrated care boards
NHS England - This guide supports providers and integrated care boards to implement early screening, risk assessment and health optimisation for patients waiting for surgery. It builds on the clinical guidelinePreoperative assessment and optimisation, published by a cross-specialty, multidisciplinary working group, including the Royal College of Anaesthetists, Royal College of Surgeons of England, Royal College of General Practitioners and the Centre for Perioperative Care, in June 2021.Guidance (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 23, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Integrated care, collaboration and partnership Quality of care and clinical outcomes Source Type: blogs
Future proof: the impact of parental and caring responsibilities on surgical careers
Nuffield Trust - Support for working parents is vital for ensuring staff currently employed by the NHS achieve work –life balance, particularly amidst a workforce crisis driven by poor retention as well as recruitment. The Royal College of Surgeons of England commissioned the Nuffield Trust to explore the impact of parental and caring responsibilities on surgical careers in order to understand the issues within that profession.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - February 28, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs
Silicone Heart Models Heart Failure
Scientists at the Royal College of Surgeons in Ireland and partners at the National College of Art and Design in Dublin have developed a silicone heart model that is intended to model heart failure with preserved ejection fraction. The device, which represents a ‘mock circulatory loop’, includes a simulated version of the left atrium and left ventricle, and each chamber is independently controlled to model the entire cardiac cycle. The researchers use air pressure in a surrounding chamber to induce the device to pump, in much the same way that our diaphragm controls breathing by changing the air pressure in our thoraci...
Source: Medgadget - August 3, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology RCSI Source Type: blogs
Preoperative assessment and optimisation for adult surgery including consideration of Covid-19 and its implications
Royal College of Surgeons of England - This guidance, produced by a leading group of professional healthcare organisations including the Centre for Perioperative Care the and the Royal College of General Practitioners, supports clinicians to help patients to get ready for their surgery and improve their health. Embedding shared decision making into perioperative care pathways, as described in NICE guidance on shared decision-making, is recommended as an important step to ensure patients get the right care for them, every time.GuidelinesPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 29, 2021 Category: UK Health Authors: The King ' s Fund Library Source Type: blogs
A new deal for surgery
This report highlights the challenges that exist on access to NHS surgical services in England due to the impact of the Covid-19 pandemic and provides recommendations for recovery. These include asking the government to support adoption of the ‘surgical hub’ model across England for appropriate specialties, to help reduce elective waiting times and ensure surgical patients can be treated safely. The report also asks the government to adopt longer-term aims of increasing the number of hospital beds and doctors to reach the OECD average .ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 1, 2021 Category: UK Health Authors: The King ' s Fund Library Tags: Covid-19 NHS performance and productivity Source Type: blogs
The Royal College – our professional home: an independent review on diversity and inclusion for the Royal College of Surgeons of England
This report sets out a sixteen-point plan for improving diversity within surgery and Royal College of Surgeons of England. It follows an independent review of diversity in the College ’s professional leadership conducted by Baroness Helena Kennedy QC. The report highlights some of the College’s strengths in fostering a diverse surgical community, including the Women in Surgery Network and the Lady Estelle Wolfson Emerging Leaders Fellowship. However, it also includes personal accounts of the discrimination surgeons face in their day-to-day practice and interactions with the College.ReportRoyal College of Surgeons of En...
Source: Health Management Specialist Library - March 19, 2021 Category: UK Health Authors: The King ' s Fund Library Tags: Equality and diversity Workforce and employment Source Type: blogs
Helping the NHS recover from Covid-19
Royal College of Surgeons of England -The Presidents of the Royal College of Surgeons of England and the Royal College of Emergency Medicine have issued a joint memorandum to MPs calling for urgent action to help the NHS recover from Covid. It argues for planning now to deal with a ‘hidden waiting list’ of patients who have not yet been referred. The memorandum also features early results from a survey of surgeons, which indicates a quarter do not yet have access to “Covid-light” facilities for their patients.MemorandumRoyal College of Surgeons of England - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 16, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Local authorities, public health and health inequalities NHS measurement and performance Patient safety Source Type: blogs
National Vascular Registry: 2019 annual report
Royal College of Surgeons of England - This is the seventh annual report since the National Vascular Registry was launched in 2013. It contains comparative information on five major interventions for vascular disease: lower limb bypass; lower limb angioplasty/stenting; major lower limb amputation; carotid endarterectomy; and repair of aortic aneurysms, including elective infra-renal, ruptured infra-renal, and more complex aneurysms.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 15, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: NHS finances and productivity NHS measurement and performance Source Type: blogs
It Seems That The ‘Axe The Fax’ Program Is Struggling A Little In The UK. What A Surprise!
This appeared last week:Trusts set to miss Axe the Fax deadline due to ‘concerning lack of progress’A new report looking into the number of fax machines still in use across the NHS in England has shown “a concerning lack of progress” amongst trusts working to remove the them ahead of the April 2020 deadline.Owen Hughes30 September, 2019The report reveals that t he trusts with the most fax machines have collectively axed just 42% over the past twelve months, with less than six months to go until the ‘axe the fax’ deadline.The new findings come from a Freedom of Information (FOI) request published by Silver Buck,...
Source: Australian Health Information Technology - October 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Children's oral health: position statement
Royal College of Surgeons (RCS) - New analysis has found that more than 100,000 hospital admissions for children under the age of ten in England due to tooth decay over a three year period. This statement calls on the new government to stand by previous commitments in the Childhood Obesity Plan and Prevention Green Paper to improve children's oral health in England.StatementPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 14, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs
Recommendations for assuring standards in the independent sector
Royal College of Surgeons -The Royal College of Surgeons (RCS) is calling for independent hospitals to collect and publish equivalent data to that which the NHS routinely provides on patient safety and clinical audits. This RCS position statement sets out the changes to standards in the independent sector it believes are required to prevent a repeat of the harm caused by rogue breast surgeon, Ian Paterson.Position statementPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 9, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Patient safety Source Type: blogs
Learning from invited reviews: 2019 full report
This report finds that where rare problems occur in surgical practice, poor team working between surgeons is often a major factor. Analysis of one hundred surgical reviews over ten years conducted by the Royal College of Surgeons (RCS) identifies poor teamwork as an issue leading to problems in surgical practice in over three quarters (76 per cent) of the reviews. In more than two thirds (68 per cent) of the RCS reviews, timely recognition and resolution of concerns was an issue. Alongside the report, the RCS has developed an interactive web resource to help hospital teams improve the quality of discussions ab...
Source: Health Management Specialist Library - March 25, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Patient safety Quality of care and clinical outcomes Source Type: blogs
A dangerous waiting game? a review of patient access to inguinal hernia surgery in England
This report, produced jointly with the British Hernia Society, finds that 57 per cent of clinical commissioning groups (CCGs) are denying patients quick access to to groin (inguinal) hernia operations. This is despite the fact that the only curative treatment for patients with a groin hernia is surgery. Following freedom of information requests the surgeons found: 52 per cent (95 CCGs) require patients to suffer from pain or discomfort sufficient to impede everyday activities or working life before surgery is allowed (often referred to as ‘watchful waiting’); five per cent (eight CCGs) require patients to demonstrate a...
Source: Health Management Specialist Library - July 17, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: NHS measurement and performance Patient involvement, experience and feedback Source Type: blogs
Splitting hairs with hypertension
By SAURABH JHA, MD
Intrigued by many things in my first few days in the U.S., what perplexed me the most was that there seemed to be a DaVita Dialysis wherever I went; in malls, in the mainstreet of West Philadelphia, near high rises and near lower rises. I felt that I was being ominously followed by nephrologists. How on earth could providers of renal replacement therapy have a similar spatial distribution as McDonalds?
After reading Friedrich Hayek’s essay, Use of Knowledge in Society, I realized why. In stead of building a multiplex for dialysis, which has shops selling pulmonary edema-inducing fried chicken, D...
Source: The Health Care Blog - April 4, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Patients Value-Based Care Source Type: blogs
Blatant Discrimination
I recently learned some surprising discrimination. A local committee part of the NHS in the UK hasdecided to institute what I call blatant discrimination." ...one local health committee in the UK has announced a controversial policy " to support patients whose health is at risk from smoking or being very overweight. "For an indefinite amount of time, it plans to ban access to routine, or non-urgent, surgery under the National Health Service until patients " improve their health, " the policy states, claiming that " exceptional clinical circumstances (will) be taken into account on a case-by-case basis. "The decision comes ...
Source: Caroline's Breast Cancer Blog - November 1, 2017 Category: Cancer & Oncology Tags: bias discrimination health care Source Type: blogs
