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.
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.
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).
The 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).
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”.
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.
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).
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.
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
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.
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.
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
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
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 accessedhere 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.
Public Health England | July 2018 | Learning disabilities and CQC inspection reports
People with learning disabilities are at risk of poor health and premature death. Consistent with their legal duties under the Equality Act (2010), NHS trusts are required to make reasonable adjustments to their care, such as longer appointment times, to tackle the health inequalities experienced by people with learning disabilities. Public sector organisations have a legal duty to ‘anticipate’ difficulties prior to their occurrence and not wait until they emerge.
A new report from Public Health England-Learning disabilities and CQC inspection reports- investigates the extent to which health care for people with learning disabilities is mentioned within CQC inspection reports of 30 general acute hospitals trusts conducted using the specific learning disability questions. Specific questions addressed in this report are:
do CQC inspection reports mention people with learning disabilities?
where issues concerning people with learning disabilities are reported in CQC hospital inspection reports, what issues and reasonable adjustments are reported?
are there any relationships between comments made in the inspection reports and CQC ratings of the Trusts? (Source: PHE)
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.
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