NHS England | November 2018 | NHS to provide life changing glucose monitors for Type 1 diabetes patients
Simon Stevens Chief Executive of NHS England has announced that thousands of people with diabetes will be able to access Freestyle Libre; a wearable sensor that means those with the condition no longer need to rely on inconvenient and sometimes painful finger prick blood tests, as the device works by relaying glucose levels to a smart phone or e-reader. This announcement marks an end to the current variation some people in different parts of the country were experiencing.
The pioneering technology should ultimately help people with Type 1 diabetes achieve better health outcomes and benefits for patients include:
Easily noticing when sugar levels are starting to rise or drop, so action can be taken earlier
Giving patients more confidence in managing their own condition
Not having to do as many finger-prick checks (Source: NHS England)
NHS England | November 2018 |Instant messaging services a “vital part of the NHS toolkit” during a crisis
New guidance from NHS England will help NHS organisations and staff to make a judgement on how and when to use instant messaging safely in acute clinical settings, taking in to account data sharing and data privacy rules.
Simple steps that staff should take include:
Only using apps and other messaging tools that meet the NHS encryption standard
Not allowing anyone else to use their device
Disabling message notifications on their device’s lock-screen to protect patient confidentiality
Keeping separate clinical records and delete the original messaging notes once any advice has been transcribed and attributed in the medical record.
Dr Helgi Johannsson, Consultant in Anaesthesia at Imperial College Healthcare NHS Trust, set up a major incident instant messaging group to help coordinate his hospital’s response to Grenfell Tower after learning a key lesson during the Westminster attack.
Dr Simon Eccles, Chief Clinical Information Officer for Health and Care, said: “Helping people during a crisis like the Grenfell fire, demands a quick response and instant messaging services can be a vital part of the NHS toolkit. Health service staff are always responsible about how they use patients’ personal details and these new guidelines will help our doctors and nurses to make safe and effective use of technology under the most intense pressure.” (Source: NHS England)
NHS England | October 2018 |Quick Guide: the role of allied health professionals in supporting people to live well with and beyond cancer
Two years after the launch of AHPs into Action, NHS England have produced a quick guide intended to support health and care staff who share an interest in making faster progress in improving outcomes for people living with or beyond cancer. This includes Cancer Alliances, cancer care teams, primary care teams, provider organisations, commissioners, third sector organisations, education and research institutions, alongside AHPs and the professional bodies that represent them. This quick guide is aligned with ongoing work by NHS England to promote equality and reduce health inequalities.
This quick guide aims to:
1. Support the improvement of care and services for people with cancer.
2. Raise the profile of the role of AHPs in leading the design and delivery of care and
support for people affected by cancer.
3. Encourage, support and inspire AHPs to recognise their central role and to lead on this agenda.
4. Share examples of innovative AHP practice in cancer care.
5. Highlight the aspects of strategic transformation that are particularly relevant to AHPs and explain how this links to everyday AHP practice. (Source: NHS England)
NHS England | October 2018 | NHS Quality Checkers draft toolkits
NHS England have produced draft documents of the NHS Quality Checkers toolkit: the patient surveys are for people with a learning disability who have used the services being quality checked to give feedback on their experiences.
NHS England | October 2018| Towards commissioning for workplace compassion: a support guide
NHS England has produced a support guide for workplace compassion; this document includes evidence-informed guidance and good practice for commissioners and for providers to support them in achieving compassion in the workplace and so create an NHS culture of compassion for all (Source: NHS England).
A new video on the NHS England website was produced from a conversation between two junior doctors (a GP trainee and a hospital trainee). The video shows the junior doctors exploring solutions for common clinical scenarios based on their own experience, to enhance the patient journey and improve the primary and secondary care interface.
NHS England intend the video to be used as a starting point for discussions about how to deal with specific situations and issues that arise, in a spirit of collaboration.
The video emerged out of a recognition that there was a lack of awareness amongst junior doctors of the implications of work generated in secondary care and the direct impact on primary care workload and patient care. They aimed to build a culture of collaborative working as a team of professionals across different organisations, which breaks down barriers and delivers joined-up care for maximum benefit to the patient.
The induction for junior doctors on joining a new setting covered common procedures but, as an extremely busy programme, did not cover working as one system across different care providers, for the benefit of the patient (Source: NHS England).
Two case studies from primary care have been added to NHS England’s suite of case studies:
Wokingham paramedic home visiting model The Wokingham General Practice (GP) Alliance has delivered a primary-care led integrated paramedic home visiting model. This model sees patients, who urgently need a home visit, being seen by a paramedic, rather than their GP. The paramedic provides holistic one-stop care. They seek to solve the immediate problem, and take steps to ensure it is rectified and does not recur, working closely with integrated health, social and voluntary services. The service has delivered exceptionally positive outcomes. As well as reducing demand on GP workload, it has improved patient experience, and led to better management of pressures on other parts of the local health and care system. Full details here
Barlow Medical Centre in South Manchester has 12 whole time equivalent GPs and 3.8 whole time equivalent nurses, serving a patient population of over 14,000.
The practice’s appointments system is set up to provide both ‘on the day’ and bookable appointments. To speak to a clinician (GP or nurse), or get an ‘on the day’ appointment, telephone triage is used. A large number of calls were being requested per day which was putting pressure on clinicians’ time. To find a way to ease the pressure the practice participated in the Productive General Practice (PGP) Quick Start programme delivered by NHS England’s Sustainable Improvement team. The programme is part of the support available through the General Practice Forward View. Read the case study in full from NHS England