The Mental health of young women and girls

The Mental health of young women and girls: how to prevent a growing crisis | Mental Health Foundation

This policy paper from the Mental Health Foundation reports that the mental health of young women and girls is deteriorating, with the gap between men and women widening  over recent years.  The evidence section in this paper shows that the last 15 years have seen an unprecedented rise in reported mental health problems amongst young women and girls, with their needs reaching crisis levels.

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Image source: http://www.mentalhealth.org.uk

The paper makes a series of recommendations including:

  • identify pressure points and social determinants of mental health and wellbeing in young women and girls, to support the development of tailored mental health guidance aimed at preventing mental health problems for those at highest risk
  • improve the understanding of how to prevent mental health problems in young women by decision makers.

Full document: While your back was turned: How mental health policymakers stopped paying attention to the specific needs of women and girls

Implementing Better Births: Continuity of Carer

This guidance sets out how local maternity systems can improve their services so that women experience continuity in the clinicians providing their maternity care | NHS England

Continuity of care and relationship between care giver and receiver has been proven to lead to better outcomes and safety for the woman and baby, as well as offering a more positive and personal experience. It was also the single biggest request of women using maternity  services heard during the 2016 National Maternity Review report, ‘Better Births’.

This guidance outlines four main principles that will need to underpin the provision of continuity of carer models across the country:

1. Provide for consistency of the midwife and/or obstetrician who cares for a woman throughout the antenatal, intrapartum and postnatal periods.

2. Include a named midwife who takes on responsibility for co-ordinating a woman’s care throughout the antenatal, intrapartum and postnatal periods.

3. Enable the woman to develop an ongoing relationship of trust with her midwife

4. Where possible be implemented in both the hospital and community settings.

Full document: Implementing Better Births: Continuity of Carer

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Image Source: http://www.england.nhs.uk

 

Dignity in health care for people with learning disabilities

Dignity in health care for people with learning disabilities | The Royal College of Nursing  

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Image source: http://www.rcn.org.uk

This guidance aims to improve dignity in health care for people with learning disabilities.  It is designed particularly to support the nursing workforce but other health care and social care staff may find this useful.

The guidance concludes with information relating to the particular health needs that people with learning disabilities may have, and provides ideas on working in collaboration with other service providers.

Full guidance available here

Reducing prescriptions for over-the counter medicines

NHS England is launching a public consultation on reducing prescribing of over-the-counter medicines for 33 minor, short-term health concerns.

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These prescriptions include items for a condition:

  • That is considered to be self-limiting and so does not need treatment as it will heal of its own accord;
  • Which lends itself to self-care, i.e. that the person suffering does not normally need to seek medical care but may decide to seek help with symptom relief from a local pharmacy and use an over the counter medicine.

Vitamins/minerals and probiotics have also been included in the consultation proposals as items of low clinical effectiveness which are of high cost to the NHS.

NHS England has partnered with NHS Clinical Commissioners to carry out the consultation after CCGs asked for a nationally co-ordinated approach to the development of commissioning guidance in this area to ensure consistency and address unwarranted variation.  The intention is to produce a consistent, national framework for CCGs to use. The consultation closes on the 14 March 2018.

View the full consultation document here

The effect of good people management

This report illustrates the effect of good people management with an analysis of the NHS | What Works Centre for Wellbeing

This report found Trusts that made the most extensive use of good people management practices were over three times more likely to have the lowest levels of staff sickness absence and at least four times more likely to have the most satisfied patients.

They were also more than twice as likely to have staff with the highest levels of job satisfaction compared to NHS Trusts that made least use of these practices, and over three times more likely to have staff with the highest levels of engagement.

Full report: Good work, wellbeing and changes in performance outcomes: Illustrating the effects of good people management practices with an analysis of the National Health Service.

NHS takes 40 days to diagnose patients with cancer, study finds

The average time for a patient in England to be diagnosed with cancer is 40 days, a new study suggests | British Journal of General Practice | story via The Independent

Research published in the British Journal of General Practice has found that in 2014 the median number of days from first relevant presentation to the date of diagnosis was 40 days. This ranged from 15 days to 86 days.

The findings identify avenues for quality improvement activity and provide a baseline for future audit of the impact of 2015 National Institute for Health and Care Excellence guidance on management and referral of suspected cancer.

Health officials have set a target for all cancer patients to be diagnosed within 28 days by 2020.

Full reference: Swann, R. et al. | Diagnosing cancer in primary care: results from the National Cancer Diagnosis Audit | British Journal of General Practice | 18 December 2017

New approach to NHS clinical assessment could save thousands of lives

NHS England is asking every hospital trust to adopt the Royal College of Physicians’ new clinical assessment system, The National Early Warning
Score (NEWS) 

The National Early Warning Score (NEWS) has been produced by the Royal College of Physicians and is backed by the Royal College for Emergency Medicine, NHS Improvement, the Association of Ambulance Chairs and Sir Bruce Keogh, National Medical Director for NHS England.

The system was developed by the Royal College of Physicians with the aim of creating a standardised approach to clinical assessment across the country.

It is estimated that the NEWS is now being used in over 70% of trusts but NHS England is setting the goal of having the system in place across every acute and ambulance setting by 2019.

Having the NEWS adopted as the standard system will mean NHS staff who move between trusts are using a consistent set of measures for diagnosing patients.

Full story at NHS England

Diagnosing cancer in primary care

The British Journal of General Practice has published Diagnosing cancer in primary care: results from the National Cancer Diagnosis Audit. This audit shows that GPs are doing a good job at identifying patients they suspect of having cancer, and referring them in an appropriate and timely manner within five days of initial presentation. The findings highlight the usefulness of audits in taking a stocktake of where primary cancer is in cancer diagnosis across the NHS, and identifying areas for improvement moving forward.

State of medical education and practice in the UK

The General Medical Council has published The state of medical education and practice in the UK 2017. This seventh annual report on the state of medical education and practice in the UK sets out an overview of issues that feature prominently in healthcare. It examines the GMC data relating to the changing medical register and explores the patterns of complaints about different groups of doctors.