Planning medicines support

The Social Care Institute for Excellence in partnership with NICE has published Discussing and planning medicines support: a quick guide for home care managers providing medicines support. This guide will be helpful to managers of services where it has been agreed that medicines support will be included as part of the home care service. It covers: discussing medicines support; The 6 rights of medicines administration; planning and reviewing medicines support and medicines policy.

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NICE approves breakthrough breast cancer drugs

NICE confirms that it will recommend that breakthrough cancer drugs palbociclib and ribociclib be provided on the NHS for women with advanced breast cancer| story via OnMedica

There are around 45,000 new diagnosis of breast cancer each year in England and it is estimated that around 8,000 of these people would be eligible for treatment with either palbociclib or ribociclib.

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In draft guidance, NICE said breast cancer patients should have routine access to these two life extending drugs after a new deal with their manufacturing companies who agreed to lower the price and who gave more evidence for their effectiveness.

Palbociclib (Ibrance) from Pfizer and ribociclib (Kisqali) from Norvatis, are recommended for people with hormone receptor (HR) positive, HER2 negative locally advanced or secondary breast cancer.

NICE said that although there were some uncertainties on how long they extend the life expectancy of people with this type of breast cancer, these promising new drugs were found to stall the growth of cancer for an extra 10 months on average.

Smoking cessation in secondary care: acute and maternity settings

Self-assessment framework for NHS acute trusts to develop local action to reduce smoking prevalence and the use of tobacco. | Public Health England

This self-assessment tool breaks down the NICE guidance into 4 areas:

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  • systems required to implement the guidance
  • communication required
  • training that will help staff to successfully implement the recommendations
  • treatments that should be available to support staff and service users

This self-assessment tool supports all of the recommendations applicable to acute services in the NICE guidelines on Smoking cessation in secondary care.

Public Health England has also developed a suite of resources including a self-assessment tool to support the implementation of NICE guidance in mental health settings.

NICE takes key role in new European project for faster access to Alzheimer’s disease drugs

Patients’ priorities will be brought to the fore in new Alzheimer’s project | NICE

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NICE is taking part in a European project to speed up the development of new drugs to treat Alzheimer’s disease.

The ROADMAP initiative aims to establish a sustainable platform for real world evidence generation on Alzheimer’s disease.

The new project provides a unique and game-changing opportunity to gather evidence from other sources, such as electronic health records, and discover what outcomes are important to patients and carers.

Alzheimer’s disease, and the different ways it presents and progresses in different people, poses a difficulty for traditional clinical trials which do not always provide answers decision makers such as NICE would be looking for when assessing new drugs to treat the disease.

Read the full news story here

NICE: Traditional under the tongue temperature-taking helps patients avoid hypothermia during surgery

Traditional under the tongue or armpit temperature-taking are among the recommended ways of monitoring a patient’s temperature to help avoid hypothermia during surgery, says NICE.

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The updated guideline on preventing and managing hypothermia during surgery also says that some familiar methods of taking a patient’s temperature – such as infrared ear thermometers and forehead strips – should not be used to measure the temperature in adults before, during or after surgery.

Hypothermia is classed as the body temperature dropping below 36.0°C – if this happens during surgery it can lead to the patient losing more blood, more chance of heart problems, and slower healing.  Normal body temperature is typically in a range between 36.5ºC and 37.5ºC.

Read the full overview here

Patients should be more involved in decisions about their care, says @NICEcomms

NICE | Published online: 19 September 2016

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Image source: NICE

A new collaborative, made up of the UK’s leading health care organisations including NICE, has set out plans that will help get patients more involved in decisions about their care.

Research has shown that when clinicians and health care professionals work together with their patient, more appropriate decisions are made about their care.

Called the ‘Shared Decision Making Collaborative’, the group of organisations made up of NICE, NHS England, the General Medical Council, professional bodies, patient organisations and universities, will work together to ensure shared decisions about care become a reality in everyday clinical practice.

A consensus statement and action plan outlines each organisation’s intentions and commitments to promote a move away from paternal medicine, so that care is delivered with the patient, not at the patient.

View the full statement here

Tackling falling child vaccination rates

vaccination-1215279_960_720NICE is developing priorities to help ensure unvaccinated children across the country get the protection they need.  In some areas of the country, fewer than 1 in 5 children are vaccinated against diseases such as polio and diphtheria. Experts have warned that unless uptake rates improve there is a risk of these diseases making a comeback.

Last year only a quarter of local authorities met World Health Organization targets to vaccinate 95% of children against measles, mumps and rubella.  A draft quality standard from NICE, out for consultation until 29 September, sets out how to drive up the number of under 19s who receive vaccinations.