Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Issue 126 2nd

June 2017

Health Reports, Documents & News

What are STPs? The Kings Fund has published What are STPs and why do they matter? Chris Ham has written this article which examines STPs and how their success is important to the future shape and well-being of the NHS. It suggests STPs need to strengthen their leadership and governance and ensure they have the capacity and capability to implement their proposals; NHS England and NHS Improvement need to work together to oversee STPs; and the scope of STPs needs to be narrowed to focus on the most important priorities in each area of England. To read more click here

Brexit and the NHS The Nuffield Trust has published Getting a Brexit deal that works for the NHS. This briefing focuses on the essentials that the next government needs to secure for the NHS and social care, and the people who use these services. Briefing Additional link: BBC News report

LIBRARY INFORMATION ALERT

A health current awareness bulletin by email

Somerset Libraries

Health Reports, Documents & News click here Mental Health News click here

Behind the Headlines click here

Library News click here Journal Scan click here

Useful Web Resources click here

Evidence Based Practice click here

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Strategic commissioning NHS Clinical Commissioners, in partnership with Academic Health Science Networks (AHSNs), has published Supporting strategic commissioning: collaborative working between CCGs and AHSNs. This briefing explores how CCGs can work with AHSNs to support local strategic commissioning and provides a series of tips through case studies which demonstrate the impact that collaboration between CCGs and AHSNs can have for local populations. Briefing

Safe staffing This RCN report provides an important contribution to the conversation on nurse staffing levels and to patient safety in health care. It contains two new datasets: assessments by Directors of Nursing of the state of the UK's health systems and its workforce, and data on nurse staff vacancies in Trusts in England specifically. Report

Use of the Social Value Act by CCGs Social Enterprise UK in partnership with National Voices has published Healthy commissioning: how the Social Value Act is being used by clinical commissioning groups. Key findings in the report show that 43% of respondents had no policy on the Social Value Act; only 25 CCGs (13%) demonstrated 'highly committed, evidenced and active' use of the Act; weighting procurement for social value, even amongst the most highly committed CCGs, is limited and low; and analysis of Sustainability and Transformation Plans found that just 13% mention Social Value. Report

Inpatient Survey: medicines-related questions The Specialist Pharmacy Service has published The Inpatient Survey – things we forget to remember. This document gives a brief background to the Inpatient Survey and looks at the medicines-related questions. It provides themes from trusts that have improved their scores which may be of use to other organisations. To read more click here

Electronic Document Management Electronic document management is one of the most challenging areas of hospital digitisation, touching on just about every aspect of how an organisation runs and a vital accompaniment to an EPR. This digital health article reports on how leading trusts have approached the challenge. To read more click here

NHS estates The King’s Fund has published NHS estates: review of the evidence. This report sets out the findings of an evidence review in relation to estates strategy. It includes evidence on the approach to developing a strategy, and the different components required for an effective strategy. It also identifies the skills and capability involved in strategy development and provides examples of some of the models for estates development that have been used in the NHS and elsewhere in the public sector. Report

Using Brexit to tackle non-communicable diseases The UK Health Forum has published Using brexit to tackle non-communicable diseases and improve the health of the public. This briefing provides an overview of the public health challenges and opportunities in relation to non-communicable diseases post Brexit. It examines EU laws, regulations and policies to determine their impact on health and highlights potential risks to health and potential improvement which can be made as a result of Brexit for protecting and improving the health and wellbeing of the public. Briefing

Improving quality and safety in healthcare NHS Improvement has published a shared learning resource on Improving quality and safety in healthcare. This resource contains case studies from providers that have been rated ‘good’ for safety by the Care Quality Commission. They offer practical guidance to developing and spreading good practice on assessing and responding to patient risks, medicines management and safety culture. To read more click here

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Patient-centred care for people with multi-morbidity The European Observatory on Health Systems and Policies has published How to strengthen patient-centredness in caring for people with multimorbidity in Europe? This policy brief identifies the most promising service arrangements for integrated care and examines how to support coordination and promote collaboration between care professionals and, strengthen professional competencies. To read more click here

Emergency care audits The Royal College of Emergency Medicine (RCEM) has published audit reports on three aspects of emergency care:

Moderate and acute severe asthma clinical audit 2016/2017: National report - audit showing that many emergency departments are finding it challenging to adhere to the time standards set by the British Thoracic Society and RCEM

Severe sepsis and septic shock clinical audit 2016/17: National report - audit showing an improvement in the proportion of patients receiving the best care for severe sepsis and septic shock, but that improvements are needed to make treatment available faster

Consultant sign off clinical audit 2016/17: National report - this report audits 24,341 of the most high-risk patients presenting to 180 emergency departments. It identifies a number of high risk conditions that merit senior review or sign off.

Workforce supply resource NHS Employers has developed a range of new workforce supply web pages to support healthcare employers. The resource has been set up to help organisations consider the political and social context they are employing staff in, and to develop a workforce strategy that is wide ranging, yet achievable. It addresses the challenges employers face in terms of planning for educating, recruiting, developing and retaining their staff. To read more click here Health visiting and school nursing services The Royal College of Nursing has published The Best Start: the future of children’s health: valuing school nurses and health visitors in England. This report shows that there has been a decline in the number of school nurses and an emerging trend of reductions in the health visiting workforce. It outlines the context to the changes being made to these services, and to the workforce. Report Global drug survey 2017 The Globe Drug Survey 2017 has been published which sets out the drug taking habits of 120,000 people across 50 countries. 5,900 people were surveyed in the UK and the study indicates that an increase in the purity of recreational drugs has led to a ‘major’ increase in UK cocaine users being admitted to A&E departments. It also appears that the UK leads the world in the rise of purchasing drugs on the darknet. To read more click here Additional link: Global Drug survey press release (pdf) The value of occupational health The Society of Occupational Medicine has published Occupational health: the value proposition. This report highlights the value that occupational health services can give in reducing long term sickness and promoting a healthy workplace culture. This report is aimed at policy makers and commissioners of services Report Authorisation of independent healthcare provider PGDs The Specialist Pharmacy Service has published Authorisation of Independent Healthcare Provider (IHP) PGDs for NHS and public health commissioned services. This document provides guidance for IHPs and commissioning organisations where the IHP agrees to take responsibility for development and authorisation of Patient Group Directions, prior to the necessary authorising organisation sign off by the commissioning organisation for NHS and public health services. To read more click here

Social care and the NHS The Kings Fund has released the fourth and final video in its ‘Bite-sized social care’ series Social care, the NHS and other services. This short video explains the importance of different services working together to provide care. To view the video click here

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

NHS quarterly monitoring report The Kings Fund has published its Quarterly monitoring report: how is the NHS performing? This 23

rd report

combines publicly available data on selected NHS performance measures with views from NHS finance directors and CCG finance leads. It now also includes views from general practitioners and practice managers, and unpublished activity data. Report Public reflection on the NHS and social care The Health Foundation has published What does the public think about NHS and social care services? This publication presents the results of an Ipsos MORI survey of the general public on their views about funding of the NHS, as well as the provision of NHS and social care services. To read more click here Global health 2007-2017 The World Health Organisation has published Healthier, fairer, safer: the global health journey 2007–2017. This independent report reflects on the trends, achievements and challenges in global health over the past decade. It discusses the role of WHO in dealing with such issues as the rise of noncommunicable diseases, leaps in life expectancy, and emerging threats like climate change and antimicrobial resistance. Report Costing for value The Healthcare Financial Management Association (HFMA) has published Report on the value challenge pilot. This report describes how clinical and finance staff in three acute trusts in England set about translating the theory of value into practice. The aim was to test how easy it is in practice to link costs and outcomes at a patient level, and explore whether there is any correlation between them. The focus was on two areas: fractured neck of femur and inpatients with diabetes. Report Workplace health promotion The RAND Corporation has published The return of investment for preventive healthcare programmes. This report outlines the divers of successful workplace health promotion programmes, provides an overview of health and wellbeing interventions offered by pharmaceutical companies, and develops a framework to analyse the return on investment of such projects, applying it to GSK's P4P programme Report Postnatal quality improvement project This describes an improvement project at Barts Health NHS Trust using a multi-faceted approach. Streamlining of the discharge process is discussed along with information leaflets, packs and videos. To read more click here PEM (Paediatric Emergency Medicine) Free Guide This guide was spearheaded by Dr. Michael Mojica as a point of care resource in the pediatric emergency departments at Bellevue Hospital Center and NYU Langone Medical Center. The focus is in essential diagnostic, treatment and disposition decisions and though not a definitive resource it does have concise and easily accessible information for a wide number of conditions in the Pediatric Emergency Department. To download the guide click here Heart health tool reveals obesity on the rise in the UK The World Heart Federation’s heart health tool reveals that although high blood pressure rates have decreased in the UK, obesity rates are on the rise. To read more click here Stroke in childhood: guidance The Royal College of Paediatrics and Child Health and the Stroke Association have published Stroke in childhood: clinical guideline for diagnosis, management and rehabilitation. This updated guidance sets out how stroke care should be provided, covering the whole pathway from identification, diagnosis and management of children and young people with arterial ischaemic stroke and haemorrhagic stroke until their transition to adult care. The clinical guideline is accompanied by a parent / carer guideline. Guidance

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Stroke patients in England set to receive revolutionary new treatment An estimated 8,000 stroke patients a year are set to benefit from an advanced emergency treatment which can significantly decrease the risk of long-term disability and also save millions of pounds in long term health and social care costs. NHS England has announced that it will commission mechanical thrombectomy. To read more click here NIHR Signals The National Institute for Health Research regularly publishes Signals. Signals are summaries of recently published research and intended to provide decision makers in health and social care organisations with evidence they can use. Better prescribing might prevent thousands of strokes in the UK A blood test threshold for diagnosing heart failure in general practice is reviewed A dose of corticosteroids benefit most women anticipating a preterm delivery Induction of labour within 24 hours, if waters break at 37 weeks of pregnancy, can reduce womb infection Very strict blood sugar control in critically ill children provides no benefit

Back to top

MENTAL HEALTH NEWS Commissioning mental health services for deaf people The Joint Commissioning Panel for Mental Health in partnership with the deaf charity SignHealth has published Guidance for commissioners of primary care mental health services for deaf people. This guidance sets out key messages commissioner’s need to embrace when commissioning mental health services in order to improve deaf people’s access to these services. This guide should be of value to: CCGs and local authorities; health and wellbeing boards and service providers across secondary and tertiary services. Guidance Social media and mental health wellbeing The Royal Society of Public Health and the Young Health Movement have published #StatusOfMind, examining the positive and negative effects of social media on young people’s health. The report includes a league table of social media platforms according to their impact on young people’s mental health. YouTube tops the table as the most positive with Instagram and Snapchat coming out as the most detrimental to young people’s mental health and wellbeing. Report Additional link: BBC news report Mental health and new models of care: learning from the vanguards New models of care need to make more of opportunities to improve care through integrated approaches to mental health, according to our new report jointly published with the Royal College of Psychiatrists. To read more click here Mental Health Mobile Apps for Preadolescents and Adolescents: A Systematic Review Rebecca Grist, Joanna Porter, Paul Stallard J Med Internet Res 2017 (May 25); 19(5):e176 HTML (open access): http://www.jmir.org/2017/5/e176/ Background: There are an increasing number of mobile apps available for adolescents with mental health problems and an increasing interest in assimilating mobile health (mHealth) into mental health services. Despite the growing number of apps available, the evidence base for their efficacy is unclear

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Back to top

NICE SURVEILLANCE REPORTS MAY 2017 NICE Surveillance Reports provide a summary of new evidence published related to a guideline and provide an in depth commentary on a selection of this evidence. They include the decision that NICE has taken about the need to update the relevant clinical guideline in light of new evidence.

The following Surveillance Reports have recently been published. CG163 Idiopathic pulmonary fibrosis in adults: diagnosis and management

CG176 Head injury: assessment and early management

CG172 Myocardial infarction: cardiac rehabilitation and prevention of further cardiovascular disease

EVIDENCE SUMMARIES- APRIL 2017

ES12- Non-cystic fibrosis bronchiectasis: inhaled tobramycin

Back to top

EXTRACTS FROM THE MENTAL ELF BLOG

Keeping you up to date with reliable mental health research, policy & guidance

Women, addiction and crime: what works? #WomenAndDrugs

Home eviction and health inequalities

My watch knows when I’m anhedonic: wearable technology and social functioning in older adults with depression

Fathers, fathering and child psychopathology

The future of mental health care: time for a social perspective?

Ethics of digital technology for mental health: is this the end of the digital dilettante?

Mindfulness for young people: to meta-analyse or not to meta-analyse?

Full reviews at: http://www.thementalelf.net/#sthash.1TMfsl0G.dpuf

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

EVIDENCE-BASED PRACTICE NICE Guidance for April 2017

Ref Title Type

IPG580 Endoscopic full thickness removal of non-lifting colonic polyps Interventional procedures

guidance TA445 Certolizumab pegol and secukinumab for treating active psoriatic arthritis

after inadequate response to DMARDs Technology appraisal guidance

MIB105 Permacol for treating anal fistualae Medtech innovation

briefing NG69 Eating disorders: recognition and treatment NICE guideline MIB104 NaviCam for diagnosing gastrointestinal tract conditions Medtech innovation

briefing DG28 Virtual chromoendoscopy to assess colorectal polyps during colonoscopy Diagnostics guidance IPG579 Irreversible electroporation for treating pancreatic cancer Interventional procedures

guidance MIB103 Hemosep for cell salvage Medtech innovation

briefing

Updated:

CG163 Idiopathic pulmonary fibrosis in adults: diagnosis and management Clinical guideline CG124 Hip fracture management Clinical guideline CG174 Intravenous fluid therapy in adults in hospital Clinical guideline NG28 Type 2 diabetes in adults: management NICE guideline QS16 Hip fracture in adults Quality standard

NICE shared learning: rheumatology NICE shared learning has published a case study Integrating service, audit and research data to improve patient care. The rheumatology department at the Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust has developed the ‘Earth’ database to facilitate clinical management, audit and research activities. Case study

Back to top

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

BEHIND THE HEADLINES Link between stress in pregnancy and ADHD unfounded Parents' phone addiction may lead to child behavioural problems Beta-blockers 'useless' for many heart attack patients, study reports Fitness trackers' calorie measurements are prone to error Does meditation carry a risk of harmful side effects? Expanding waistline linked to an increased risk of cancer Just half a glass of wine a day may increase breast cancer risk Dementia saliva testing 'shows early promise' Instagram 'ranked worst for mental health' in teen survey Swallowable gastric balloon could help with weight loss 'Fat but fit' still at higher risk of heart disease Lack of sleep knocks your social appeal, says research Hope for plant-based contraceptive, study claims Can fizzy water make you fat? Full list available at: http://www.nhs.uk/News/Pages/NewsIndex.aspx

Back to top

USEFUL WEB RESOURCES

Becca: breast care app This app, created by charity Breast Cancer Care, aims to help people with breast cancer adapt to life after hospital treatment ends. The app has been developed with input from healthcare professionals and breast care nurses, as well as people with breast cancer. It offers bite sized suggestions designed to improve users’ quality of life after diagnosis and help them find a new ‘normal’. There are 12 categories which include beauty, exercise, fashion, mindfulness and symptoms, the content is topical and breast cancer-specific. For more information click here

MGP Guidelines

MGP Ltd works with over 50 organisations and professional bodies, including NICE and SIGN, to promote best

practice in healthcare through the implementation of clinical guidance.

Guidelines Provides over 200 concise summaries of major primary and shared care guidelines for use in clinical practice in the UK. Additionally, European guidelines from some of the major independent professional bodies are also summarised and included https://www.guidelines.co.uk/ Guidelines in Practice Provide healthcare professionals in primary care with expert, practical, credible content on best clinical practice. It contains articles and opinion pieces on new clinical guidelines providing evidence-based perspectives and content on a range of clinical topics, supporting learning, clinical practice, and implementation and commissioning. https://www.guidelinesinpractice.co.uk/ Guidelines for Nurses Comprises a directory of concise clinical guideline summaries of major primary and shared care guidelines from the UK. It provides summaries, feature articles, and educational resources to support best practice and nurse revalidation. Additionally, European guidelines from some of the major independent professional bodies are also summarised and included https://www.guidelinesfornurses.co.uk/

Back to top

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

LIBRARY NEWS

New Books added to Library stock

GGrraannddppaa oonn aa sskkaatteebbooaarrdd bbyy TTiimm FFaarrmmeerr The introduction of the Mental Capacity Act (2005) provided health and legal professionals with a framework to assess and evaluate an individual's ability to make a decision. Unfortunately, whilst the Act has provided a sound basis for the assessment of mental capacity, in practice mental capacity assessments are often misunderstood and poorly conducted. Grandpa on a Skateboard is the first practical book for health and legal professionals' that simplifies and explains the assessment process. Through the use of real life case studies and by providing clear, jargon free guidance it demystifies the assessment process and answers questions that other literature on the topic does not address. It will help you: 1. Set the threshold of understanding that is necessary for every assessment; 2. Clearly define seemingly ambiguous phrases such as 'unwise decisions' and 'the functional test'; 3. Record your assessment ensuring it stands up to legal scrutiny. Grandpa on a Skateboard will give you the confidence and ability to conduct robust assessments whilst at the same time enabling you to provide the optimum outcome for those under your charge.

Check availability on the library catalogue

TThhee RReessppiirraattoorryy SSyysstteemm aatt aa GGllaannccee [[22001166]]

bbyy JJeerreemmyy PP..TT.. WWaarrdd,, JJaannee WWaarrdd,, RRiicchhaarrdd MM.. LLeeaacchh

The Respiratory System at a Glance has been thoroughly updated in line with current practice guidelines and new techniques to provide a highly illustrated and comprehensive guide to normal lung structure and function, as well as associated pathophysiology. Each topic has been fully revised and is accompanied by clear diagrams to encapsulate essential knowledge. Reflecting changes to the content, teaching and assessment methods used in medical education, this new edition now includes more information on acid base and its clinical ramifications, further detail on defence mechanisms and immunology, and also features online access to clinical cases and flashcards. The Respiratory System at a Glance: Integrates basic and clinical science ideal for integrated and systems-based courses Includes both the pathophysiology and clinical aspects of the respiratory system Is fully revised and updated to reflect current practice guidelines and new therapies Provides online clinical cases, brand new flashcards, and MCQs Includes a companion website at www.ataglanceseries.com/respiratory featuring interactive multiple choice questions and digital flashcards Check availability on the library catalogue

Back to top

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

JOURNAL SCAN

Please contact your designated Trust library service for copies of articles not available with your OpenAthens password or for any related queries. This can be done by email, telephone, post or on-line request forms (available on the library web pages of your Trust Intranet). Full contact details are at the end of this bulletin. Click on title links below to read more information. 6Cs An exploration of the 6Cs as a set of values for nursing practice Lesley Baillie British Journal of Nursing 2017 26 (10) p558-563

Cancer care Improving physician's hand over among oncology staff using standardized communication tool Ashwaq Alolayan et al BMJ Quality Improvement Report 2017 p1-6 Improving the safety of chemotherapy prescribing in oncology through the introduction of an assessment proforma Paula Scullin, Olivia Devlin, Caroline Forde BMJ Quality Improvement Report 2017 p1-6 Interventions for treating oral leukoplakia to prevent oral cancer Rebecca Greenslade et al Nursing Standard 2017 31 (39) p42-43 COPD Chronic obstructive pulmonary disease [clinical update] Erin Dean Nursing Standard 2017 31 (40) p15 Dementia The value of life story work for staff, people with dementia and family members Aidín McKinney Nursing Older People 2017 29 (5) p25-29

Improving inpatient care for older adults: Implementing Dementia Commissioning for Quality and Innovation (CQUIN) Judith R Harrison BMJ Quality Improvement Report 2017 p1-6

Diabetic foot Prevention and management of diabetic foot problems Linda Nazarko British Journal of Healthcare Assistants 2017 11 (5) p218–223

Falls Reducing falls in a care home Rosie Cooper BMJ Quality Improvement Report 2017 p1-7 Hydration Examining the links between hydration, nutrition and mouth health Katie Humphreys et al British Journal of Nursing 2017 26 (10) p566-570

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Hydration Stickers - Improving oral hydration in vulnerable patients Alysha Bhatti et al BMJ Quality Improvement Report 2017 p1-7 Mental health Income inequality and mental illness-related morbidity and resilience: a systematic review and meta-analysis Silva Ribeiro Wagner et al The Lancet Psychiatry Published online: May 25, 2017 Psychological and psychosocial interventions for negative symptoms in psychosis: systematic review and meta-analysis Danyael Lutgens, Genevieve Gariepy, Ashok Malla The British Journal of Psychiatry 2017 210 (5) p324-332

Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis Cindy-Lee Dennis, Kobra Falah-Hassani, Rahman Shiri The British Journal of Psychiatry 2017 210 (5) p315-323 Parkinson’s disease Caring for patients with Parkinson’s disease in general hospital settings Vicky Queen Nursing Older People 2017 29 (5) p30-37 Patient care Knowledge is Power. A quality improvement project to increase patient understanding of their hospital stay Eleanor Nicholson Thomas, Lloyd Edwards, Paul McArdle BMJ Quality Improvement Report 2017 p1-6 Clinical summaries for hospitalised patients: time for higher standards [editorial] Sunil Kripalani BMJ Quality & Safety 2017 26 p354–356 To read the fulltext article click here Opportunities to improve clinical summaries for patients at hospital discharge Erin Sarzynski et al BMJ Quality & Safety 2017 26 p372–380 Patient Safety Patient safety initiatives from around the world John Tingle, Jen Minford British Journal of Nursing, 2017 26 (10) 572-573

Quality Improvement Improving theatre turnaround time Daniel Fletcher et al BMJ Quality Improvement Report 2017 p1-6 Reducing returns to theatre for neck of femur fracture patients Selina Graham, Mark Dahill, Derek Robinson BMJ Quality Improvement Report 2017 p1-6 Choosing Wisely: A Quality Improvement Initiative to Decrease Unnecessary Preoperative Testing John Matulis et al BMJ Quality Improvement Report 2017 p1-6 Staff attitudes Reducing the use of restrictive interventions by changing staff attitudes Jerry Reeves Nursing Management 2017 24 (3,) p30-37

Library Information Alert – A current awareness bulletin for the Somerset NHS health community 2/6/17

Transitional care Transitional care management in the outpatient setting Analiza Baldonado et al BMJ Quality Improvement Report 2017 p1-6

Back to top

DISCLAIMER: The Library Service at Musgrove Park Hospital takes no responsibility for the wording, content and accuracy of the information supplied which has been extracted and edited in good faith from reputable sources. If you want to download or print an item in this Alert, it is your responsibility to stay within the terms of the NHS Copyright License and/or check the copyright of NHS staff from all terms and conditions on individual web sites.

Library Contact Details MPH/SomPar Library@tst.nhs.uk Tel: 01823 342433 Library web pages at: http://intranet.tsft.nhs.uk/Default.aspx?alias=intranet.tsft.nhs.uk/LibraryService

Library blog: https://librarymph.wordpress.com/

YDH Library@ydh.nhs.uk Tel: 01935 384495 Library web pages at: http://ycloud/teams/Library/SitePages/Home.aspx

We welcome any feedback about the content or format of the Library Information Alert and are happy to receive items for inclusion. Please contact library@tst.nhs.uk The current issue of this Alert, together with the Archive of previous issues is available via the Library web pages on the Musgrove Park Hospital Intranet.