This case study outlines how East Kent Hospitals University NHS Foundation Trust worked to improve experiences of staff in their first year of employment at the trust. The trust improved the overall on-boarding experience including starting induction before day one in the role and introducing an online portal for new starters, along with the benefits and the challenges of doing so. This work has resulted in an improvement in new starter turnover of nearly 20 per cent.
This guide, aimed at GP commissioners and providers, is designed to promote understanding of groups in the community who are experiencing barriers in accessing services. It provides resources to help address those barriers as improvements in access to GP services are rolled out.
NHS England has published a new dementia guide that sets out what good quality assessment, diagnosis and care looks like in relation to formal guidance, in addition to the views and expectations of people living with dementia and their carers.
The guide is shaped by the framework set by the NHS Mandate and has two clear requirements to enhance dementia care, through:
increasing the number of people being diagnosed with dementia, and starting treatment, within six weeks from referral; and
improving the quality of post-diagnostic treatment and support for people with dementia and their carers.
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This plan sets out measures to expand the mental health workforce in England and fulfil ambitions to improve mental health services. By 2020 to 2021 local areas will need to create 21,000 new posts in priority growth areas to deliver the improvements in services and support set out in the Five year forward view for mental health.
GPs could be asked to develop a national autism register to help end the ‘invisibility’ of autistic people in the health system | GP Online
NICE has recommended the register be implemented with a new QOF indicator.
The proposal follows the findings of the Westminster Commission on Autism, set up by the National Children’s Group and chaired by Labour MP Barry Sheerman. Its report found that 76% of autistic people and parents said their GP did not make any reasonable adjustments for them or their autistic child. The report said this was an indication that health professionals may not consistently identify and make accommodations for the needs of autistic people.
NICE said a register would make autistic patients more easily identifiable to healthcare professionals in GP practices and help staff adapt their approach to suit patients’ needs.
For example, NICE said, it would allow staff to arrange for autistic children to come for vaccinations at quieter times and turn lights down for those with sensory problems.
Health Secretary Jeremy Hunt has said there will be 21,000 more nurses, therapists and consultants working in mental health services in England by 2021 | BBC News
But the Royal College of Nursing (RCN) has questioned whether there is enough money and how these posts are going to filled. BBC Reality Check looked at who’s likely to be right. We’re talking about England because the running of health services is devolved to the other nations.
The government has pledged to spend an extra £1bn already promised for mental health services in England on the new staff. This is not new money from the Treasury but comes from existing NHS budgets.
Experts from the Nuffield Trust, a think-tank specialising in health policy, say £1bn would be more than enough to fund 21,000 nurses. Although we don’t know how many of the new jobs will be for nurses and how many will be for consultants – and of course their salaries vary widely – it seems the plan is roughly affordable, albeit with money that has to be found from elsewhere in NHS budgets.
But that still leaves the question of whether staff can be recruited to fill the posts in such a short timeframe.
The aim of this study is to determine the attitudes of physicians and trainees in regard to the roles of both cost-effectiveness and equity in clinical decision making | BMJ Open
Cost-effectiveness analysis does not accurately reflect the importance that medical professionals place on equity. Among medical professionals, practising physicians appear to be more egalitarian than residents-in-training, while medical students appear to be most utilitarian and cost-effective. Meanwhile, female respondents in all three cohorts favoured the more equitable option to a greater degree than their male counterparts. Healthcare policies that trade off equity in favour of cost-effectiveness may be unacceptable to many medical professionals, especially practising physicians and women.
This report, authored by Ipsos MORI, outlines the findings of qualitative research into the drivers and barriers to entry into general practice nursing (GPN) | NHS England
It finds that the general perception is that general practice is more suitable for older or more experienced nurses. As student placements in general practice are rare, there is a lack of opportunity for students to develop an understanding of the GPN role. The research also highlights the need for greater support for GPNs and the lack of standardisation in pay for GPN roles.
An integrative literature review | American Journal of Infection Control
Background: Guidelines on antimicrobial stewardship emphasize the importance of an interdisciplinary team, but current practice focuses primarily on defining the role of infectious disease physicians and pharmacists; the role of inpatient staff nurses as antimicrobial stewards is largely unexplored.
Methods: An updated integrative review method guided a systematic appraisal of 13 articles spanning January 2007-June 2016. Quantitative and qualitative peer-reviewed publications including staff nurses and antimicrobial knowledge or stewardship were incorporated into the analysis.
Results: Two predominant themes emerged from this review: (1) nursing knowledge, education, and information needs; and (2) patient safety and organizational factors influencing antibiotic management.
Discussion: Focused consideration to empower and educate staff nurses in antimicrobial management is needed to strengthen collaboration and build an interprofessional stewardship workforce.
Each £1 invested in public health interventions could offer an average return on investment to the wider health and social care economy of £14 | NIHR Signal
This systematic review looked at 52 studies where the return on each £1 ranged from -£21.3 to £221. Legislative interventions such as sugar taxes, and health protection interventions such as vaccination programmes, gave the highest returns on investment. Interventions such as anti-stigma campaigns, blood pressure monitoring and early education programmes, provided smaller (but still favourable) returns. National campaigns offered greater returns than local campaigns. Falls prevention provided the quickest return, within 18 months.
These findings apply to high-income countries. There are some limitations to the data, as a variety of calculation techniques were used and the quality of the included studies varied. However, these are unlikely to alter the direction or approximate size of these effects. The study shows how cost-effective public health interventions can be and should inspire future research into how to better implement what is already known.