Alcohol return on investment tool

As part of its savings and productivity collection, NICE has published Alcohol return on investment tool. The tool has been developed to help decision making on interventions and strategies to prevent and reduce alcohol use at local and sub-national levels. The tool enables the user to evaluate a portfolio of interventions in their geographical area and models the economic returns that can be expected in different payback timescales. The different interventions included in the tool can be mixed and matched to see which intervention portfolio or package provides the best ‘value for money’, compared with ‘no package of interventions’ or any other specified package.

Eyes on Evidence

The April 2015 issue of Eyes on Evidence has been published and includes the following items:

  • Social integration and risk of suicide in men
  • Surgical versus non-surgical treatment for fracture of the heel
  • Improving cardiovascular disease through networks of general practices
  • Antibiotics in fetal and early life and subsequent childhood asthma
  • Detecting atrial fibrillation in people who have had a stroke
  • Case studies from the Quality and Productivity collection
  • Evidence Updates: NICE has recently published an Evidence Update on:

Equity in the provision of palliative care

The London School of Economics and Political Science has published Equity in the Provision of Palliative Care in the UK: Review of Evidence.

The study was commissioned by Marie Curie and provides a summary of available academic and statistical evidence on inequities in palliative care for adults across the UK.  In particular, it aimed to identify and explore systematic differences in access or outcomes, between geographical areas, settings or different groups of service-users, and to do this, as far as possible, in the context of people’s different needs and preferences.  The report discusses the economic case for extending the reach of palliative care to those currently under-served, looking at the evidence on cost effectiveness and the costs of extending palliative care to those who would benefit from it but are not currently receiving it.

Hospital finances and productivity

The Health Foundation has published Hospital finances and productivity: in a critical condition? This report examines the financial performance of NHS providers, focusing on hospitals. It identifies areas of cost pressure using their financial accounts up to 2013/14 and quarterly reporting data up to December 2014 (Q3 2014/15). It also examines trends in efficiency and productivity from 2009/10 to 2013/14.
Additional link: NHS Confederation press release

NICE guidance – Medical technologies: VibraTip

NICE has published new medical technology guidance VibraTip for testing vibration perception to detect diabetic peripheral neuropathy (MTG22).   This guidance addresses specific technologies notified to NICE by manufacturers.  The ‘case for adoption’ recommendations are based on the claimed advantages of introducing the specific technology compared with current management of the condition. This ‘case’ is reviewed against the evidence submitted and expert advice. The medical technology guidance on VibraTip recommends further research. This recommendation is not intended to preclude the use of the technology in the NHS but to identify further evidence which, after evaluation, could support a recommendation for wider adoption.  NICE says that more research is needed before VibraTip can be used more widely in the NHS.

Evidence Update

NICE has published a new evidence update Promoting physical activity for children and young people (Evidence update 77).  It provides a summary of selected new evidence relevant to NICE public health guidance 17 ‘Promoting physical activity for children and young people’ (2009).

[To access this document, follow the link above and scroll down to the ‘public health’ section. The update is at the top of the list in this section.]

Toolkit to reduce poor experience of in-patient care

NHS England has published a toolkit to support NHS commissioners to reduce poor experience of in-patient care.  The toolkit has been developed to support NHS commissioners to work collaboratively with patients, carers and NHS provider organisations to reduce poor experience of in-patient care.  It has been co-designed with the help of a number of Clinical Commissioning.  It addresses key aspects of support identified by commissioners to assist improvement work and is intended to be updated annually.

Infection Statistics

MRSA bacteraemia: monthly data by attributed clinical commissioning group – February 2014 – February 2015
MRSA bacteraemia: monthly data by post infection review assignment – February 2014 – February 2015
MSSA bacteraemia: monthly data by NHS acute trust – February 2014 – February 2015
Clostridium difficile infection: monthly data by attributed clinical commissioning group – February 2014 – February 2015
Clostridium difficile infection: monthly data by NHS acute trust – February 2014 – February 2015