Will Stahl-Timmins. BMJ Blog
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Dunhill, L. HSJ: 22 January, 2016
Lord Carter, who is currently finalising his report into hospital efficiency, will announce a series of measures to save £750m by 2020 through better procurement practices, following a “systematic failure” of the NHS to capitalise on its potential buying power.
A single electronic catalogue for the NHS is a key part of the Department of Health’s existing “procurement transformation programme”, but this is not expected to be ready until 2018.
Lord Carter’s review is expected to recommend that trusts “urgently invest in their own catalogue systems”, HSJ understands, and should be mandated to make 80 per cent of relevant purchases through their catalogue by 2018.
To achieve this trusts should look to collaborate with others to deliver joint sourcing plans, and use third party analytics companies if necessary, the report is expected to say.
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Marcano-Belisario, J. S. et al. BMJ Open 2016;6:e009930
Introduction: Depression is one of the most common mental health disorders that may affect women during pregnancy. The prompt identification of this disorder, and the provision of treatment, may help to reduce the likelihood of post-partum depression, prevent severe forms of the disease, and reduce its intergenerational impact. Despite women’s repeated encounters with health services throughout their antenatal care, depression often goes undiagnosed. This is one area where mobile health could prove useful. We will assess the feasibility of using tablets to incorporate depression screening into antenatal pathways. We will also assess if survey layout could affect the quality of the data collected through these devices.
Methods and analysis: We will test the feasibility of using iPad Airs for the administration of the Whooley questions and the Edinburgh Postnatal Depression Scale (EPDS) to pregnant women attending antenatal clinics in England. We will assess the impact of survey layout on the quality of the responses given to these screening scales using a parallel, randomised controlled study design. We will calculate the positive predictive value, the negative predictive value and the false omission rate of the Whooley questions in comparison with the EPDS. We will calculate differences in data equivalence, time needed to complete the surveys, break-off rates, data completeness and requests for help between the 2 experimental groups: using all questions in one screen and navigation by vertical scrolling, or a single question per screen and navigation by multiple pages.
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