Infection prevention and control: lessons from acute care in England

November 2015 | The Health Foundation

Infection control has been high on the political agenda and on the agenda of the NHS in England in recent years. There have been many successes, not least the reduction in MRSA bloodstream infections and cases of Clostridium difficile infection. However, other health care associated infections that have not been monitored as rigorously are growing in incidence. New infections, including the growing number of more resistant strains of bacteria, are in danger of spreading. As a result, infection control needs to remain central to the work of the NHS.

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This learning report is based on the findings of a large research study that identified and consolidated published evidence about infection prevention and control initiatives. The researchers synthesised this with findings from qualitative case studies in two large NHS hospitals, including the perspectives of service users.

via Infection prevention and control: lessons from acute care in England | The Health Foundation.

The evidence on doctors strikes and patient harm by BMJ talk medicine

BMJ talk medicine

Doctors considering strike action may worry about the effect on patients. David Metcalfe and colleagues examine the evidence and find that “patients do not come to serious harm during industrial action provided that provisions are made for emergency care.”

Read the full analysis:

via The evidence on doctors strikes and patient harm by BMJ talk medicine | Free Listening on SoundCloud.

Consequences of cancer Toolkit

Improvements in the diagnosis and treatment of cancer mean that more people are living longer after a cancer diagnosis, but not everyone is living well.

cancer toolkit
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The consequences of treatment can include physical and psychological effects, such as chronic fatigue, sexual difficulties, mental health problems, pain and urinary or gastrointestinal problems. Certain cancer treatments also increase the risk of other serious long-term conditions such as heart disease, osteoporosis or a second primary cancer.

Macmillan Cancer Support estimate that at least 625,000 people in the UK experience long term health conditions caused by cancer or its treatment – to estimate prevalence amongst GP practice populations, this is the equivalent of about 15 patients per 1500 list size.

Who is the toolkit for?

The toolkit provides resources and information for primary care professionals to identify and manage the consequences of cancer treatment, and support patients to live well after a cancer diagnosis. It is designed to be used by any general practice in the UK, and is appropriate for everyone who provides or commissions services for people living with and beyond cancer.

via Consequences of cancer Toolkit.

Dementia research institute

The UK’s first dementia research institute is set to receive up to £150m to tackle the disease.

Led by the Medical Research Council, the institute will bring together world-leading experts, universities and organisations to drive forward research and innovation in fighting dementia. The disease affects an estimated 850,000 in Britain, a figure that’s expected to double in the next 20 years.

The institute will have a central UK hub, with links to universities across the country and will build on the centres of excellence in dementia already operating across the UK.

Maternal mental health

The National Childbirth Trust has launched a baby blues campaign which aims to encourage people to talk more openly about maternal mental health, to avoid the mistake of dismissing potentially serious mental health issues in themselves, friends or family and to seek help. The charity says that almost one in five callers to its helpline have mental health worries to discuss, while almost a third have not spoken to a healthcare professional about their concerns.

Additional link: Royal College of Midwives press release

NICE guideline aims to cut premature birth rates | The BMJ

BMJ 2015; 351

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The National Institute for Health and Care Excellence (NICE) has produced a new guideline to try to reduce premature birth rates in England and Wales, which have shown no decline over the past 10 years.

More than 52 000 babies—around 7.3% of live births in England and Wales—were born preterm in 2012. Premature birth is the second most common cause of death in children under 5, and babies who are born early are more prone to health problems such as heart defects, lung disorders, cerebral palsy, and delayed development.

The guideline says that intravenous magnesium sulphate should be given to women at risk of preterm birth to reduce the risk of neurological disorders. It should be offered to women at 24 to 29 weeks of pregnancy and considered for women at 30 to 33 weeks who are in established preterm labour or are having a planned preterm birth within 24 hours.

via NICE guideline aims to cut premature birth rates | The BMJ.


Innovation & Improvement News

Doctors should support and educate their patients in the benefits of self-care, the BMA is highlighting during a national-awareness week. Self-Care Week runs from 16 to 22 November in England with the aim of encouraging patients to take control of their health throughout their lives. This includes urging patients to understand better how to look after minor ailments and how to prevent ill health through physical and mental well-being.

Read the BMA guidance on self-care

Find out more about Self Care Week


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Sharing decisions about antibiotics

Richard Lehman for Evidently Cochrane

It’s World Antibiotic Awareness Week, which aims highlight the problem of antibiotic resistance and encourage best practice in antibiotic use. Last week, a new Cochrane review was published which found that helping doctors and patients decide together about using antibiotics to treat some respiratory infections probably results in fewer being prescribed. In this guest blog, retired GP Richard Lehman explains why this is a good thing Sharing decisions about antibiotics – Evidently CochraneEvidently Cochrane.

CCG efficiency targets rise sharply as financial squeeze spreads | Health Service Journal

Clinical commissioning groups’ efficiency targets have risen by over a quarter this year in a sign that the financial strain on the health service is moving beyond the provider sector.

  • CCG QIPP targets up by more than 25 per cent in a year
  • Efficiency requirement shows financial squeeze is spreading beyond provider sector
  • Highest QIPP targets linked to CCGs in deficit
  • Many plans still relying on A&E activity reduction

CCG quality, innovation, productivity and prevention targets, published by NHS England, show that commissioners are aiming to save £1.8bn this financial year through their efficiency plans – an increase of 28 per cent on last year.


The data also shows the CCGs with the biggest QIPP challenges this year have targets to save more than 6 per cent of their annual funding allocation. In 2014-15, the largest QIPP targets were less than 5 per cent of allocation.

The average QIPP target has also risen, from less than 2 per cent of allocation to 2.3 per cent.


via CCG efficiency targets rise sharply as financial squeeze spreads | News | Health Service Journal.