The ESPAUR report includes national data on antibiotic prescribing and resistance, and hospital antimicrobial stewardship implementation. It forms a standard against which antimicrobial use and antimicrobial resistance can be compared in successive years and a resource for commissioning and implementing antimicrobial stewardship policies in England.
This paper aims to get behind the debate and explore the evidence for and against the extension to seven-day services. It analyses what is already known about seven-day provision from the work of NHS national bodies, NHS organisations and others, and explores what the evidence already shows about the case for an enhanced seven-day NHS.
The Royal College of Psychiatrists has published information and an interactive map which highlights the variations on the planned spend on children and adolescent mental health services by CCGs across the country during the period 2016/2017.
The Government has pledged to invest in child and adolescent mental health services, with £119 million of NHS funding allocated to clinical commissioning groups for this financial year and another £140 million promised for 2017/18, with an additional £30 million for eating disorder services.
Click on the map below and see spend in your area:
This report from The Nuffield Trust reviews the evidence that exists on digital technology and its impact on patients in primary care and the NHS. It explores the impact of seven types of digital services offered by the NHS:
Wearables and monitoring technology
Online triage tools
Online sources of health information and advice, targeted interventions and peer support
Online appointment booking and other transactional services
Online access to records and care plans
The report finds that patient-facing technology is already showing promise that it can improve care for patients and reduce strain on the stretched health service – particularly for people with long-term conditions such as diabetes or COPD. However, this rapidly evolving market comes with risks. Many apps, tools and devices have not been officially evaluated, meaning that their effectiveness is unknown. In some cases, technology can increase demand for services, disengage staff and have the potential to disrupt the way that patients access care.
Moreover, the report warns that policy-makers and politicians should avoid assuming that self-care-enabling technology will produce significant savings, at least in the short term.
The report also presents a series of lessons and recommendations to NHS professionals, leaders and policy-makers about how best to harness the potential of technology and avoid the pitfalls.
Only 2% of people affected by dementia say homecare workers have enough dementia training. | Alzheimer’s Society
An Alzheimer’s Society investigation has exposed a vicious cycle where a lack of dementia training for homecare workers results in intolerable stress for people with dementia, families and carers – and for the homecare workers themselves.
Poor quality homecare is leaving too many people with dementia spending the day in soiled clothing, going without food or water, or ending up in costly hospital or care home admissions when they could have stayed at home, where they want to be, for longer.
The investigation involved a survey of homecare workers with Unison, research into the sector with Skills for Care, Freedom of Information (FOI) requests to all local authorities in England, and a survey of over 1220 people affected by dementia to gather first-hand testimonies about homecare.
Key findings from the survey of over 1220 people affected by dementia include:
Only 2% of people affected by dementia say homecare workers ‘have enough dementia training
Half (49%) of people affected by dementia do not think that ‘homecare workers understand the specific needs of people with dementia’
More than a third (38%) of people affected by dementia do not think that ‘homecare workers know how to treat people with dementia with understanding and dignity
This quarterly monitoring report combines publicly available data on selected NHS performance measures with views from NHS finance directors and clinical commissioning group finance leads. The report now also includes views from general practitioners and practice managers, and unpublished activity data.
Freedom to speak up in primary care: guidance to primary care providers on supporting whistleblowing in the NHS | NHS England
This guidance aims to make it easier for all staff providing NHS primary care services to raise their concerns so that action can be taken and improvements made.
It details the principles and actions to apply in primary care when raising concerns about the delivery of primary care services to patients.
The guidance comes after Sir Robert Francis recommended that the principles outlined in his Freedom to Speak Up report be adapted for primary care, where smaller work settings can present challenges around anonymity and conflicts with employers.
An average 1 in 3 people across Great Britain have at least one long term condition. Caring for them accounts for around 50% of GP appointments and approximately 70% of the health and social care budget across the country.
As the third largest health profession in the UK, the Royal Pharmaceutical Society argues that the skills and expertise of pharmacists must be maximised within the multidisciplinary team to provide the best care for patients.
The RPS has published policy documents that focus on how the role of the pharmacist can be enhanced to prevent, identify, treat and support people with long term conditions, as part of a multidisciplinary approach.
Khera, A.V. et al. NEJM. Published online: 13 November 2016
Background: Both genetic and lifestyle factors contribute to individual-level risk of coronary artery disease. The extent to which increased genetic risk can be offset by a healthy lifestyle is unknown.
Methods: Using a polygenic score of DNA sequence polymorphisms, we quantified genetic risk for coronary artery disease in three prospective cohorts — 7814 participants in the Atherosclerosis Risk in Communities (ARIC) study, 21,222 in the Women’s Genome Health Study (WGHS), and 22,389 in the Malmö Diet and Cancer Study (MDCS) — and in 4260 participants in the cross-sectional BioImage Study for whom genotype and covariate data were available. We also determined adherence to a healthy lifestyle among the participants using a scoring system consisting of four factors: no current smoking, no obesity, regular physical activity, and a healthy diet.
Conclusions: Across four studies involving 55,685 participants, genetic and lifestyle factors were independently associated with susceptibility to coronary artery disease. Among participants at high genetic risk, a favorable lifestyle was associated with a nearly 50% lower relative risk of coronary artery disease than was an unfavorable lifestyle.