Progressive Neurological Conditions Toolkit

NHS England | August 2019 | Progressive Neurological Conditions Toolkit

A new toolkit from NHS RightCare has been designed to support systems to understand the priorities in care for people living with various progressive neurological conditions.

The toolkit covers the following neurological conditions;:

  • multiple sclerosis (MS)
  • motor neurone disease (MND)
  • Parkinson’s and the atypical Parkinsonism’s of multiple system atrophy (MSA)
  • progressive supranuclear palsy (PSP)
  • corticobasal degeneration (CBD)

The toolkit provides opportunity to assess and benchmark current systems to find opportunities for improvement

Full details from NHS RightCare

RightCare Progressive Neurological Conditions Toolkit

See also:

NHS RightCare [press release] Improving care for people with progressive neurological conditions


How doctors in senior leadership roles establish and maintain a positive patient-centred culture

General Medical Council | August 2019 | How doctors in senior leadership roles establish and maintain a positive patient-centred culture Research report for the General Medical Council 

Research commissioned by the General Medical Council (GMC) set out to explore the lived experiences of doctors in senior leadership roles, their leadership journeys, the everyday challenges, and what they see as their role in shaping their organisation’s culture. As part of the research 27 in-depth qualitative interviews were conducted with senior doctors in leadership across a broad sample of organisation types and roles. 

The report is available from the GMC 

GMC How doctors in senior leadership roles establish and maintain a positive patient-centred culture


Gen Xers more likely to die by suicide and drug poisoning

Office for National Statistics | August 2019 | Gen Xers more likely to die by suicide and drug poisoning 

An ONS statistical release indicates that a generation of people born in England and Wales in the 1960s and 1970s (Generation X) are dying by suicide and drug poisonings in greater numbers. In the late 1980s there was a shift away from the middle-aged being the age group at which most people died by suicide, to those in their 20s. A similar shift to those in their 20s dying from drug poisonings became visible in the early 1990s.
In the news:

BBC News Deaths by suicide and drugs highest among Generation X

OnMedica Current middle aged generation has highest risk of suicide

The Times Generation X most likely to die from drug overdoses



Why not home? Why not today?’ reducing length of stay action cards and case studies

NHS England | August 2019 | Reducing length of stay: Case studies

NHS England has published two  reducing length of stay (RLoS) case studies from Kettering General Hospital  NHS Foundation Trust and South Warwickshire NHS Foundation Trust which provide practical insights in to how NHS organisations have applied the reducing length of stay key principles, the impact this has had and how patients have benefited.

As part of the Why not home? Why not today? campaign NHS England highlight the most important things that healthcare professionals should be doing each day to reduce hospital stays.  To this end they have produced  action cards for doctors, healthcare assistants, nursing associates, pharmacy teams, nurses and therapists.

All action cards available from NHS England 

Case studies available here 

A chink of light? Tackling the under-funding of social care

NHS Confederation | August 2019 | A chink of light? Tackling the under-funding of social care

A new briefing released by Health for Care a coalition, led by the NHS Confederation, a coalition of 15 national health organisations, calls on the government to deliver a sustainable social care system in England, backed up by a long-term financial settlement. NHS Confederation looks to identify the factors that have been placing a strain on adult social care in recent years and what the future pressures could be. This briefing analyses the anticipated adult social care funding gap in 2019/20, concluding that to maintain the status quo, the cash injection required is between £1.1 billion and £2.5 billion (Source: NHS Confederation).

The briefing is available from NHS Confederation 

See also:

NHS Confederation Largest public petition of its kind calls on Prime Minister to end the crisis in care

Social enterprises: part of the NHS family – an explanatory guide for the wider NHS

NHS Confederation | July 2019 | Social enterprises: part of the NHS family – an explanatory guide for the wider NHS

NHS Confederation has produced a  guide to Social enterprises: part of the NHS family – an explanatory guide for the wider NHSproduced with Social Enterprise UK, will help you get to grips with social enterprises and the role they play in delivering better health and social care outcomes for the communities they serve (Source: NHS Confederation). 

Social enterprises are central to the diversity of health and care provision in the UK. Collectively, they have a turnover of £1.5bn and employ around 100,000 staff. Around a third of all community health services are delivered by social enterprises and they play a significant role in the delivery of out of hours care and a host of other services and their leaders play a key role in system leadership across the country.

Many of the largest social enterprises originally ‘span out’ of the statutory NHS bodies – and staff and patients still recognise them now as fundamentally part of the NHS. Social enterprises reinvest their surpluses back into their services and into the communities they serve and the vast majority are rated good or outstanding by the CQC.
Image source:


Social enterprises: part of the NHS family – an explanatory guide for the wider NHS


Healthwatch: How easy to use are services if you have a sensory impairment?

Healthwatch | August 2019 | How easy to use are services if you have a sensory impairment?

Healthwatch has consulted with people with some form of sensory loss impairment to learn more about accessing health services with sensory loss impairment. 

Those who were consulted who are deaf or have a hearing impairment say they can find it challenging to use the telephone booking system used by GP surgeries, with many practices operating a triage system where the patient is called back by the GP before being able to make an appointment.


A similar difficulty is experienced by those who receive a letter from the hospital and are asked to telephone to arrange a date for their appointment.

A common theme that emerged from the consultation was that staff awareness of sensory impairments appears to be a continuous issue, particularly at GP surgeries. People told us they would like more staff to ask whether they need help and how their needs can be met.

Individuals consulted also say they can lack autonomy and confidentiality which negatively impacts their independence and cause them to feel that they have limited control over their health and care needs (Source: Healthwatch).

Full news item available from Healthwatch 


[NICE Guideline update] Alcohol-use disorders: prevention

NICE | August 2019| Alcohol-use disorders: prevention

 NICE has published its surveillance decision and will update the guideline on alcohol-use disorders: prevention (NICE guideline PH24). Areas indicated for update are:

  • screening children and young people aged 10 to 15 years, and 16 and 17 years (recommendations 6 and 7)
  • brief advice and extended brief interventions in adults (recommendations 10 and 11).

Full details are available from NICE 

Workforce Race Equality Standard 2018/19

Care Quality Commission | August 2019 | Workforce Race Equality Standard

The Care Quality Commission (CQC) has published its annual report -Workforce Race Equality Standard 2018/19 (WRES) on the experiences of BME staff to ensure equal access to career opportunities and fair treatment in the workplace.

According to the CQC, this year’s data shows progress in Indicators 2, 3 and 4:

  • the likelihood of white staff being appointed from shortlisting is the same as for BME staff
  • the data tells us there is no difference in the likelihood of a BME colleague entering a formal disciplinary process compared to a white colleague
  • this year’s data shows that there is no difference in the relative likelihood of white staff accessing non-mandatory learning compared to BME staff

The CQC still has lots of work to do in other areas such as ensuring BME representation at senior levels and reducing the gap in bullying and harassment. The CQC will be developing a robust action plan with the Race Equality Network and other colleagues to raise and accelerate our ambition in achieving a fair and inclusive workplace (Source: CQC).

Care Quality Commission Workforce Race Equality Standard 2018/19