Therapeutic interventions after abuse and neglect

Social Care Institute for Excellence & NICE| July 2018 | Therapeutic interventions after abuse and neglect: A quick guide for practitioners and managers supporting children, young people and families.

Social Care Institute for Excellence (SCIE) & NICE have produced a quick guide which provides an overview of evidence-based interventions that may be effective when working with children and young people who have experienced physical abuse, emotional abuse or neglect.

 

interventions
Image source: scie.org.uk

It includes information about the types of therapy that are appropriate for different age groups and describes the aims of each therapy. The guide also covers the principles that children and young people identified as being most important for people who work with them following abuse and neglect.

Interactive resource 

The guide can be downloaded from the SCIE website 

King’s Fund podcast: The NHS at 70: blow out the candles and make a wish

The King’s Fund | July 2018 | The NHS at 70: blow out the candles and make a wish

The latest podcast is available from The King’s Fund , this month’s edition considers as the NHS turns 70, what state is it in? What will it look like in another 70 years?

birthday-947438_1920

The podcast is available from The King’s Fund 

Alternatively, you can listen to it via Stitcher Acast or Spotify 

Campaign to increase number of BAME organ donors announced

Department of Health and Social Care | July 2018 | Campaign to increase number of BAME organ donors announced

A new campaign from the Department of Health and Social Care (DHSC) aims to increase organ donation rates within black, Asian and minority ethnic communities by raising awareness and breaking down barriers to donation. It will be delivered by NHS Blood and Transplant with support from the National BAME Transplant Alliance (NBTA).

blood-1328607_1280The campaign follows figures from NHS Blood and Transplant that show 21% of people who died on the waiting list last year were from a black, Asian or ethnic minority background. The figure was 15% a decade ago (Source: Department of Health and Social Care).

 

Full details from the campaign are available here 

In the news:

The Guardian Organ donation: we can break taboos among British BAME communities

Data reveals 7.4% rise in number of deaths caused by dementia

Figures released by the Office for National Statistics (ONS) show there has been a 7.4% increase in deaths from all forms of dementia – with a 5.3% increase in deaths from vascular and unspecified dementia, and a 13.9% increase in deaths from Alzheimer‘s disease

The Office for National Statistics latest figures reveal there were 533,253 deaths registered in England and Wales in 2017, a 1.6% increase from 2016. Data for 2017 shows that in total, there were 67,641 deaths attributed to Alzheimer’s disease or other forms of dementia – 13% of the total deaths recorded that year. This is a rise from 2016, when there were 62,948 deaths from dementia (12% of all those recorded).

Alzheimer’s Research UK is calling for urgent investment in dementia research, following the release of these new statistics. Dr Matthew Norton, Director of Policy and Strategy at Alzheimer’s Research UK, said:

“These figures yet again underline the overwhelming impact of dementia for the UK, and for hundreds of thousands of families who are hit by the condition. With one in four hospital beds occupied by someone with dementia and deaths from the condition rising, we must take urgent action. As well as support for dementia research, the condition must become a priority for the NHS 10-year plan”.

Full statistical release: Deaths registered in England and Wales: 2017 | ONS

See also: New data shows rise in deaths caused by dementia | Alzheimer’s Society

Expression of interest: Increasing Continuity of Care in General Practice

The Health Foundation | July 2018 | Expression of interest: Increasing Continuity of Care in General Practice

The Health Foundation have launched a new initiative- a funding programme to help improve patient care and outcomes by exploring ways to increase continuity of care within general practice.
appointment-appointment-book-blur-40568

The launch comes after research conducted by the Health Foundation  found that for patients with ambulatory care sensitive conditions, appointments with the same GP a greater proportion of the time have fewer unplanned hospital admissions (Source: The Health Foundation).

Full details and how to apply for the programme are available from The Health Foundation

Fish oil has little effect on heart disease risk

Cochrane Library| July 2018| Scientific expert reaction to Cochrane Review on omega-3 fatty acids

A new Cochrane review has shown that taking omega-3 fish oil supplements has little or no effect on the risk of experiencing heart disease, stroke or death. The systematic review (SR), combines the results of seventy-nine randomised trials involving over 100,000 people. Twenty-five studies were assessed as highly trustworthy because they were well designed and conducted. The majority of the studies included in the SR investigated the impact of giving a long-chain omega 3 supplement in a capsule form and compared it to a dummy pill.  Only a few assessed whole fish intake.

pills-3151088_1920

Prof Tim Chico, Professor of Cardiovascular Medicine and Honorary Consultant Cardiologist, University of Sheffield, said:

“This analysis of many studies shows clearly that omega-3 supplements do not reduce heart disease.  This is in keeping with medical practice; although there was a period where people who had suffered a heart attack were prescribed these on the NHS, this stopped some years ago.  Such supplements come with a significant cost, so my advice to anyone buying them in the hope that they reduce the risk of heart disease, I’d advise them to spend their money on vegetables instead.” (Source: Cochrane Library 

Related:

Scientific expert reaction to Cochrane Review on omega-3 fatty acids 

In the news:

The Times Omega-3 pills and fish oil ‘useless’ for preventing disease

The Telegraph Buy more vegetables instead of omega-3 supplements to improve heart health, report says 

BMJ Omega 3 supplements do not reduce risk of heart disease, stroke, or death, finds review

BBC News Fish oil supplements for a healthy heart ‘nonsense’

The Conversation Omega 3 supplements don’t protect against heart disease – new review

 

Radiology review

Care Quality Commission | July 2018 | Radiology review

A new report from the Care Quality Commission (CQC) sets out what the CQC found in their review of NHS radiology services in England. It calls for action to address reporting delays and keep people safe from harm.

anatomy-3003099_1920
What the CQC did:

To explore the extent of the problem we:

  • asked all NHS acute and community trusts to send us information about their reporting between August 2017 and October 2017
  • chose 30 trusts and looked in detail at their number of unreported images.

What they found:

  • The timescales for reporting on radiology examinations, and arrangements for monitoring and managing backlogs, vary widely between trusts.
  • There are few national standards that trusts can benchmark themselves against. This means they are not always clear what good looks like.
  • Even trusts that were monitoring their performance did not always report on time.
  • We found issues with staffing, including an average vacancy rate of 14% across trusts that responded. This supports existing evidence about the national difficulties in recruiting and retaining radiologists.

These issues call for local and national action, and public bodies will have to work together to address them.

CQC’s recommendations:

  • NHS trust boards should make sure:
    • they have effective oversight of radiology backlogs
    • they assess and manage risks to patients
    • they make good use of staffing and other resources to ensure timely reporting.
  • The National Imaging Optimisation Delivery Board should set out national standards for report turnaround times.
  • The Royal College of Radiologists and the Society and College of Radiographers should develop clear frameworks to help trusts manage turnaround times safely (Full details from CQC).

The full review, Radiology review: a national review of radiology reporting within the NHS in England, can be read at CQC

 

In the media:

BBC News Delays in radiology results ‘affecting patient care’

 

 

Elective care resources

NHS Improvement | July 2018 | How to write and review an access policy in line with best practice for referral to treatment and cancer pathways

NHS Improvement have added resources to their elective care model access policy resources:

How to write and review an access policy in line with best practice for referral to treatment and cancer pathways here

This covers:

  • Why is an access policy important?
  • What is the purpose of an access policy?
  • Who should be involved in developing the policy?
  • What should you include or exclude?
  • What questions should the access policy address?
  • When should you review it?
  • What happens next?

 

Elective care pathway analyser for referral to treatment can be accessed here The tool is designed to identify the main reasons for delays in referral to treatment and help operational teams to focus on interventions that will have the biggest impact on reducing waiting times.

Learning disabilities and CQC inspection reports

Public Health England | July 2018 | Learning disabilities and CQC inspection reports

 

 

 

 

 

Leadership in today’s NHS: delivering the impossible

The King’s Fund & NHS Providers | July 2018 | Leadership in today’s NHS: delivering the impossible

The King’s Fund & NHS Providers report the findings from their  survey of NHS trusts and foundation trusts conducted in 2017 by NHS Providers, the survey used qualitative interviews and a roundtable event with frontline leaders and national stakeholders.

Leadershop
Image source: kingsfund.org.uk

Among the findings from the survey:

  • Leadership vacancies are widespread, with director of operations, finance and strategy roles having particularly high vacancy rates and short tenures
  • A culture of blaming individuals for failure is making leadership roles less attractive. Organisations with the most significant performance challenges experience higher levels of leadership churn. National bodies need to do more to support leaders to take on and stay in these roles.
  • To tackle high leadership churn, national programmes should target professional roles  where concerns over the pipeline of future leaders is greatest. Regional talent
    management functions – largely absent since the abolition of strategic health authorities – should be rebuilt in the new joint NHS England and NHS Improvement regional teams (Source: The King’s Fund & NHS Providers).

The news release from The King’s Fund  can be viewed here

The summary is available here 

The report can be read at The King’s Fund