Using pharmacists to help improve care for people with type 2 diabetes

drug-1674890_1280The Royal Pharmaceutical Society (RPS) has published Using pharmacists to help improve care for people with type 2 diabetes.  This document is aimed at policy makers and education/service commissioners within the NHS in England and makes recommendations for how pharmacists can play an increasing role in the prevention, early detection, care and support of people with type 2 diabetes.

To improve care for people with type 2 diabetes, the RPS are calling for:

  1. Pharmacists should work in collaboration with other healthcare professionals to play a greater role in prevention and detection services for type 2 Diabetes
  2. Pharmacists should play an active role in optimising medicines, improving the health, wellbeing and safety of people with type 2 diabetes across the NHS
  3. Pharmacists in specialist and generalist roles should be given access to the most up to date education and training to support people with multiple conditions
  4. NHS organisations need to establish and embed the role of consultant pharmacists in diabetes across the NHS should ensure improved outcomes in the management of people with type 2 diabetes, promote collaborative practice, multidisciplinary team working, quality improvement and research.

Full detail at Royal Pharmaceutical Society

See also: Pharmacists must be integrated into diabetes care | RPS press release

National Audit of Care at the End of Life

National Audit of Care at the End of Life | The Healthcare Quality Improvement Partnership 

The National Audit of Care at the End of Life (NACEL) is a comparative audit of the quality and outcomes of care in England and Wales experienced by the dying person and those important to them during the last admission leading to death. It looks at care in acute, community hospitals and mental health inpatient providers.

hqipal
Image source: http://www.hqip.org.uk

Around a quarter of a million people die in hospital each year in England and Wales and the audit results suggest 75% of bereaved people feel that this was the right place for the person important to them to die. This audit reviews how people’s preferences regarding care at the end of life are identified, discussed and implemented during their last admission in acute and community hospitals.

National Audit of Care at the End of Life (NACEL) 2019

National Maternity and Perinatal Audit

National Maternity and Perinatal Audit Organisational Report 2019 | The Healthcare Quality Improvement Partnership

The second organisational survey of the National Maternity and Perinatal Audit (NMPA) maps current service provision as of January 2019 across England, Scotland and Wales.  This report describes how services have changed since the last survey in January 2017, where service provision has improved and where further improvement is still needed in order to meet recommendations.

baby-428395_1920

Key findings include:

Services

  • Smoking cessation and weight management support is available at 72% and 45% of trusts and health boards respectively – no improvement since 2017.
  • A higher number of trusts and health boards participate in a perinatal mental health network – this has increased from 70% to 93% in England, from 43% to 79% in Scotland, and from 71% to 86% in Wales.
  • Access to community perinatal mental health teams increased from 72% to 91% of trusts and boards, and to specialist perinatal mental health midwives from 72% to 91% of 151 trusts and boards. Availability of psychiatrist clinics increased from 37% to 58% of maternity sites with an obstetric unit.
  • 83% of maternity sites with a neonatal unit provided transitional care – keeping mothers and babies together and avoiding unnecessary neonatal unit admission – and this has risen from 64% in 2017.
  • Maternity sites with a dedicated multi-disciplinary cardiac clinic increased from 18% to 25%, with a greater geographical spread in England and Scotland than in 2017.
  • Access to electronic maternity records improved for community midwives, with 66% of trusts and boards reporting access at any location and 90% at midwives’ community bases. But still only 19% reported that women could access their own electronic record, and the number of GPs with access decreased from 29% to 21%.

Staffing

  • While 87% of obstetric units reported gaps in their obstetric middle grade rotas, compared to 89% in 2017, the number that required locum cover remained the same at 83%.
  • 85% of sites reported that at least 95% of women had one-to-one midwifery care in established labour, compared to 84% in 2017. But only half (51%) of maternity sites reported that all women received one-to-one care in established labour, compared to 54% in 2017.

Full report available to download here

Additional link: RCOG press release

GP patient survey

NHS England and Ipsos MORI have published the latest results from the GP Patient Survey 2019.  The results show the majority of patients have had a good overall experience of their GP practice (83%)

  • The GP Patient Survey (GPPS) is an England-wide survey, providing GP practice level data about patients’ experiences of general practice.
  • Ipsos MORI administers the survey on behalf of NHS England.
  • This report sets out the national headline and summary findings for the 2019 GPPS publication.
  • 2,328,560 questionnaires were sent out nationally, and 770,512 were returned completed between 2nd January and 5th April 2019. This represents a response rate of 33.1%.
  • The questionnaire can be found here www.gp-patient.co.uk/surveysandreports

See also:

A summary of key headlines for GP practices

National infographic

 

 

National Audit of Dementia

National Audit of Dementia: care in general hospitals 2018-2019 – Round 4 audit report | The Healthcare Quality Improvement Partnership

This report presents the Round 4 results of the National Audit of Dementia.   Scores from each hospital are derived from key themes and are shown in comparison to the scores from Round 3.

dementia audit
Image source: http://www.hqip.org.uk

There are several areas where improvement has been made: 96% of hospitals in England and Wales now have a system in place for more flexible family visiting; a large number (88%) of carers (and/or patients) receive a copy of the discharge plan; and more staff report being able to access finger food or snacks for patients with dementia.

Key areas for improvement include striving to ensure that more hospitals assess for delirium and that any member of staff involved in the care of people with dementia must have training relevant to their grade and include identification and management of delirium. This training should be recorded to provide assurance to the public and regulators.

For further detail and to download the report, click here

NHS health information available through Amazon’s Alexa

The NHS is collaborating with Amazon to provide reliable health information from the NHS website through voice-assisted technology | Department of Health and Social Care

Voice-assisted technology will help patients, especially the elderly, blind and those who cannot access the internet through traditional means, to get professional, NHS-verified health information in seconds, through simple voice commands.

Amazon’s algorithm uses information from the NHS website to provide answers to voice questions such as:

  • “Alexa, how do I treat a migraine?”
  • “Alexa, what are the symptoms of flu?”
  • “Alexa, what are the symptoms of chickenpox”

amazon-echo-dot-3597986_1280.pngThe technology has the potential to reduce the pressure on the NHS and GPs by providing information for common illnesses.

Voice search has been increasing rapidly. By 2020, half of all searches are expected to be made through voice-assisted technology.

NHSX will look at ways of making more NHS services available to all patients through digital technology. The announcement supports the commitment in the NHS Long Term Plan to make more NHS services available digitially.

Full story at Department of Health and Social Care

Towards mental health equality

Towards mental health equality: a manifesto for the next Prime Minister | The Mental Health Policy Group

towards
Image source: http://www.mentalhealth.org.uk

This manifesto sets out the following five key areas that the next Prime Minister must address in order to improve the lives of people with mental health problems and promote the mental health of the nation:

  1. Take action to prevent mental illness
  2. Create a cross-government plan for mental health and establish a ‘mental health in all policies’ approach across government
  3. Reform the Mental Health Act
  4. Ensure everyone can access the right mental health support, in the right place, at the right time
  5. Build a mental health workforce fit for the future

Full document: Towards mental health equality: a manifesto for the next prime minister