What do doctors and nurses think about development of clinical leadership?

Leadership development for health-care professionals is a priority within the NHS | British Journal of Hospital Medicine


Training is generally targeted at individual staff groups in isolation, even though contemporary leadership thinking recognizes the benefits of collaborative leadership between different clinical disciplines. Focussing on the attitudes and perceived training needs of undergraduate and qualified medical and nursing professionals, this article highlights the similarities and differences and will help to inform the design of existing and future leadership programmes.

Full reference: Lo, D. et al. (2017) What do doctors and nurses think about development of clinical leadership? British Journal of Hospital Medicine. Vol. 78 (No. 9) pp. 523–528

People at high risk of diabetes should undergo intensive lifestyle change, says NICE

All people in England at high risk of developing type 2 diabetes should be offered a place on an intensive lifestyle change programme, says updated guidance from NICE | BMJ


The guidance now states that anyone with a fasting glucose concentration between 5.5 and 6.9 mmol/L should be offered a place on such a programme but that priority should be given to anyone with a reading between 6.5 and 6.9 mmol/L, because of their increased risk of developing diabetes.

The guidance also states that anyone aged over 40 (except pregnant women), people aged 25-39 of south Asian, Chinese, African Caribbean, or black African origin, and people from other high risk ethnic minority groups should be offered a diabetes risk assessment, carried out at a general practice or a community pharmacy.

Transformational change

Leading Large Scale Change: A practical guide | NHS England Sustainable Improvement Team | NHS England Horizons Team

This guide from NHS England has been produced to help all those involved in seeking to achieve transformational change in complex health and care environments. This is a fully revised update of the original 2011 publication, responding to current health and care policy and practice, and introducing new concepts, tools and techniques to help deliver successful large scale change. It is relevant to all those involved in transformational change programmes such as Sustainability and Transformation Partnerships (STPs) and the development of new care models, and has relevance across public services.

The publication includes:

  • Updates on the leading transformational change models
  • The latest thinking from national and global improvement
    experts and change leaders
  • New tools, techniques and tips to help effectively progress
    large scale change programmes
  • Case studies and learning that will help leaders and
    change agents in health and care and across public
  • Signposting to a host of new online resources including
    videos, presentations and digital media links.

Full document: Leading Large Scale Change: A guide to leading large scale change through complex health and social care environments

large scale
Image source: http://www.england.nhs.uk


Improving work health for a healthy economy

New initiative launched to support small businesses in improving work health

Illness among working age people costs the UK economy £100 billion a year. About 330,000 every year become unemployed because of health-related issues.

However, workplace health and wellbeing programmes such as exercise, healthy eating and stop smoking support have been shown to make a real difference. Successful programmes such as these have been found to return £2 to £10 for every £1 spent, benefiting staff wellbeing and economic productivity.

Most big employers already have some plans in place that help to improve and protect their staff’s health but many small and medium enterprises (SMEs) do not currently benefit from such programmes.

PHE and Healthy Working Futures, a workplace health provider, has set out advice for SMEs, which account for 60% of private sector employment.

PHE has also created a series of guidance for employers on important issues, such as musculoskeletal (MSK) and mental health, impacting on employees with Business in the Community. Further advice is being developed covering issues including:

  • physical activity
  • diet and weight
  • drugs
  • alcohol
  • tobacco

Full press release at Public Health England

Preventing heart attacks and strokes

NHS launches new drive to save thousands of people from heart attacks and strokes | Public Health England


New analysis from Public Health England suggests that there is now an opportunity to prevent more than 9,000 heart attacks and at least 14,000 strokes over the next 3 years with better detection and management of:

  • high blood pressure
  • high cholesterol
  • atrial fibrillation (AF)

Around 5.5 million people in England have undiagnosed high blood pressure and nearly half a million have undiagnosed AF, which are both usually symptomless conditions that substantially increase the risk of stroke, heart attack, dementia and limb amputations.

The new analysis shows the scale of the prevention opportunity across England over 3 years if treatment of these high-risk conditions is optimised. Achieving optimal treatment in all people with diagnosed high blood pressure has the potential to avert up to 9,710 heart attacks and 14,500 strokes, saving up to £274 million. Achieving optimal treatment for those diagnosed with AF has the potential to avert up to 14,220 strokes, saving £241 million.

Full story at Public Health England

Making sense of social prescribing

This guide, commissioned by NHS England, provides an introduction to social prescribing and outlines different models of social prescribing. It also highlights the key factors for successful social prescribing schemes | University of Westminster

social prescribing
Image source: University of Westminster

Social prescribing has been in place for a good number of years now, albeit on a relatively small scale. Brandling and House (2009) for example, cite the Bromley-By-Bow scheme which was developed in the 1990s. Friedli and Watson reported on a social prescribing scheme for mental health in 2004

Many inspirational and hard working professionals have all come to the same conclusion – that we can do better for the person who stands before us. Since the inaugural conference of the Social Prescribing Network in January 2016, we have
identified far more social prescribing related projects than we ever expected. Bringing people together with a common purpose is always an exciting and powerful venture. We have seen a steady increase in the interest in developing and commissioning social prescribing schemes. Social prescribing was highlighted in the General Practice Forward View as a mechanism to support more integration of primary care with wider
health and care systems to reduce demand on stretched primary care services. Social prescribing schemes also help to integrate services and make improvements in the social and economic determinants of health.

Eating plenty of wholegrains cuts your risk of bowel cancer‏

Wholegrains and bowel cancer – what you need to know | CRUK


Eating plenty of wholegrains cuts your risk of bowel cancer, according to a new report. And it seems we can reap the benefits without making wild changes to our diets .

The news comes from a report produced by the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR), outlining the latest evidence on how we can reduce our risk of bowel cancer.

It focusses on the effects of diet, weight, physical activity and alcohol on bowel cancer risk. And with bowel cancer being the fourth most common cancer in the UK, finding ways to reduce our risk of the disease are important.

The WCRF studies all the evidence on a potential cause of cancer and decides whether that evidence is strong enough to support recommendations on ways we can reduce our risk.

Plans announced to fast-track NHS digital technology

New technology designed to improve patient access, won’t solve the GP workforce problem, lead doctors have said today | OnMedica

Image source: opensource.com – Flickr // CC BY-SA 2.0

Dr Richard Vautrey, chair of the British Medical Association’s GP Committee, has responded to health secretary Jeremy Hunt’s promise that every patient should be able to access medical records and book an appointment via an integrated app in 2018.

The health secretary is to outline the measures at today’s Health and Care Innovation Expo in Manchester.

The digital expansion plans include:

  • The expansion of the existing NHS 111 non-emergency phone line service to include a new online ‘triage’ service for less serious health problems.
  • An NHS-approved health apps to guide patient choice – NHS England will launch a library of NHS-assessed apps, as well as advising on other wearable devices, to ensure people can select reputable and effective products to monitor and improve their health.
  • A relaunch of the NHS Choices website to improve the range of services – it will be relaunched as NHS.UK with a fuller range of online patient services, including the ability to register with a GP, see and book appointments, and order and track prescriptions.
  • Instant access to personal health records online – inspired by the ‘blue button’ app in the US, the new NHS.UK site will also enable patients to securely download their personal health records.
  • More interactive, local information about the performance of health services.

Read the full overview here