horizon scan october 2016 current awareness service for ... · current awareness service for health...

Horizon Scan October 2016 Current Awareness Service for Health Care Managers

Produced by William Harvey Library George Eliot Hospital NHS Trust

Sources: The King's Fund Information & Library Service health management and policy alert Current Awareness Service for Health (CASH) Department of Health (Open Government Licence)

NHS England (Crown Copyright)

For more information please contact Stephen Ayre 02476865464

http://kingsfund.blogs.com/health_management/

http://kingsfund.blogs.com/health_management/

http://www.tin.nhs.uk/

http://www.gov.uk/government/organisations/department-of-health

http://www.nationalarchives.gov.uk/doc/open-government-licence/

http://www.england.nhs.uk/

mailto:[email protected]

2

Cancer 4

Commissioning 5

Consultations 6

Dentistry 7

Education 8

ENT 10

Equality and Diversity 11

Finance 12

Geriatrics 15

Guidelines 16

Hospitals 17

Legal 19

Mental Health 20

Nursing and Midwifery 22

Obstetrics and Gynaecology 25

Paediatrics 27

Patients 30

Pharmacy 32

Public Health 36

Respiratory 38

Staff 39

Cancer 41

Commissioning 42

Consultations 43

Dentistry 44

Education 45

ENT 47

Equality and Diversity 48

Finance 49

Geriatrics 52

Guidelines 53

Hospitals 54

Legal 56

Mental Health 57

Nursing and Midwifery 59

Obstetrics and Gynaecology 62

Paediatrics 64

Patients 67

Pharmacy 69

3

Public Health 73

Respiratory 75

Staff 76

4

Cancer Date 04/10/2016 Title New cancer ratings published

Publisher King's Fund

Summary NHS England has today published new ratings providing a snapshot of how well different areas of the country are diagnosing and treating cancer and supporting patients. Based on data published over the course of the last two years, the Clinical Commissioning Group Improvement and Assessment Framework provides an initial baseline rating for six clinical priority areas, including cancer.

https://www.england.nhs.uk/cancer/2016/10/04/cancer-ratings/

Taken from King's Fund

Date 25/10/2016 Title NHS England launches biggest upgrade to NHS cancer treatment in 15 years

Publisher NHS England

Summary NHS England chief executive Simon Stevens has today (Tuesday) announced a £130m investment to kickstart the upgrade of radiotherapy equipment and transform cancer treatment across England. Around 4 in 10 of all NHS cancer patients are treated with radiotherapy, which typically uses high-energy radiation from a machine called a linear accelerator (‘Linac’). Radiotherapy is one of the three main cancer treatments, alongside cancer surgery and chemotherapy.

https://www.england.nhs.uk/cancer/2016/10/25/radiotherapy-fund/

Taken from NHS England



5

Commissioning Date 20/10/2016 Title The Future Of Commissioning


Summary This paper sets out a vision for the future of clinical commissioning. Developments such as accountable care organisations and Sustainability and Transformation Plans, are welcomed in the paper as having the potential to allow them to focus on fulfilling their strategic ambitions to work across the whole system and place- based commissioning of services for the benefit of patients.

http://kingsfund.blogs.com/health_management/2016/10/the-future-of- commissioning.html


http://kingsfund.blogs.com/health_management/2016/10/the-future-of-commissioning.html


6

Consultations Date 18/10/2016 Title Providing A 'Safe Space' In Healthcare Safety Investigations - Consultation


Summary The proposal outlined in this consultation will legally ensure that information that staff provide as part of a health service investigation will be kept confidential except where there is an immediate risk to patient safety, or where the High Court makes an order permitting disclosure. This broadly mirrors the procedures followed in air accidents investigations. The closing date for comments is 16 December 2016.

http://kingsfund.blogs.com/health_management/2016/10/providing-a-safe-space- in-healthcare-safety-investigations-consultation.html


http://kingsfund.blogs.com/health_management/2016/10/providing-a-safe-space-in-healthcare-safety-investigations-consultation.html


7

Dentistry Date 19/10/2016 Title A Rapid Review Of Evidence On The Cost-Effectiveness Of Interventions To Improve The Oral Health Of Children Aged 0-5 Years


Summary These resources were developed to support local authorities investing in the local commissioning of oral health improvement programmes for pre-school children. They were commissioned from the York Health Economics Consortium and developed in partnership with Public Health England.

http://kingsfund.blogs.com/health_management/2016/10/a-rapid-review-of- evidence-on-the-cost-effectiveness-of-interventions-to-improve-the-oral-health-of-


http://kingsfund.blogs.com/health_management/2016/10/a-rapid-review-of-evidence-on-the-cost-effectiveness-of-interventions-to-improve-the-oral-health-of-.html


8

Education Date 13/10/2016 Title HEE mandate 2016 to 2017

Publisher Department of Health

Summary The mandate to Health Education England (HEE) sets out the government's objectives for HEE to provide healthcare education and training.

https://www.gov.uk/government/publications/hee-mandate-2016-to-2017

Taken from DH

Date 13/10/2016 Title Delivering High Quality, Effective, Compassionate Care: Developing The Right People With The Right Skills And Right Values


Summary This mandate outlines the government's objectives for Health Education England to provide health care education and training for 2016-2017. The document reflects strategic objectives around workforce planning, health education and training and development. The mandate looks at how the healthcare workforce can be developed to improve care for patients through education and training.

http://kingsfund.blogs.com/health_management/2016/10/delivering-high-quality- effective-compassionate-care-developing-the-right-people-with-the-right-skil.html



http://kingsfund.blogs.com/health_management/2016/10/delivering-high-quality-effective-compassionate-care-developing-the-right-people-with-the-right-skil.html


9

Date 27/10/2016 Title The State Of Medical Education And Practice In The UK 2016


Summary This annual report explores how the medical profession has changed and reviews the education and practice of doctors in the UK. This year's report raises concerns that the health system and staff working within it are struggling to cope with a range of issues such as the increased pressure on health and social care services. The report outlines the response that the GMC will take to these increased pressures on doctors by taking a lighter touch on regulation.

http://kingsfund.blogs.com/health_management/2016/10/the-state-of-medical- education-and-practice-in-the-uk-2016.html


http://kingsfund.blogs.com/health_management/2016/10/the-state-of-medical-education-and-practice-in-the-uk-2016.html


10

ENT Date 19/10/2016 Title Improving Access To Cochlear Implantation: Change Lives And Save Society Money


Summary This report calls for a review of the National Institute for Health and Care Excellence guidelines on cochlear implants as new research shows that the UK has the most restrictive guidelines in Western Europe. It also shows that people with serious hearing loss often cost the NHS and other care services more by being denied an implant because of the greater risks of suffering from dementia and mental health problems when hearing loss is not addressed.

http://kingsfund.blogs.com/health_management/2016/10/improving-access-to- cochlear-implantation-change-lives-and-save-society-money.html


http://kingsfund.blogs.com/health_management/2016/10/improving-access-to-cochlear-implantation-change-lives-and-save-society-money.html


11

Equality and Diversity Date 20/10/2016 Title Doctors For Health Equity: The Role Of The World Medical Association, National Medical Associations And Doctors In Addressing The Social Determinants Of Health And Health Equity


Summary This report explores evidence and case studies to highlight the ways in which doctors, national medical associations and the World Medical Association (WMA) can act on the social determinants of health and improve health equity. A strategy for the WMA and national medical associations is outlined, as well as practical approaches for medical professionals and their associations to incorporate the social determinants of health into their everyday practice and broader societal

http://kingsfund.blogs.com/health_management/2016/10/doctors-for-health- equity-the-role-of-the-world-medical-association-national-medical-associations-


http://kingsfund.blogs.com/health_management/2016/10/doctors-for-health-equity-the-role-of-the-world-medical-association-national-medical-associations-an.html


12

Finance Date 13/10/2016 Title New specialised commissioning consultation launched


Summary NHS England has today launched a consultation on four related policies that describe how NHS England will make decisions on funding for treatments that are not currently routinely commissioned. The four policies are: in-year service developments, individual funding requests, funding experimental and unproven treatments, and continuing funding after clinical trials.

https://www.england.nhs.uk/2016/10/specialised-comms-consultation/


Date 14/10/2016 Title Consultation On Commissioning Policies


Summary This consultation seeks views on commissioning policies that describe how NHS England will make decisions on funding for treatments that are not currently routinely commissioned. The consultation aims to ensure that the policies help NHS England make effective, sustainable and fair uses of finite resources. The closing date for feedback is 15 January 2017.

http://kingsfund.blogs.com/health_management/2016/10/consultation-on- commissioning-policies.html



http://kingsfund.blogs.com/health_management/2016/10/consultation-on-commissioning-policies.html


13

Date 17/10/2016 Title Agency, Bank And Overtime Spending In Maternity Units In England In 2015


Summary This report is the result of FOI requests sent to all NHS trusts in England with maternity services and it found that in 2015, the NHS spent over £72 million on agency, overtime and bank midwives which is equivalent to the cost of over 3000 full-time midwives. The report highlights the need for improvement on workforce strategy within the NHS to ensure a more efficient use of resources and it also calls for the government to reconsider proposed plans to abolish nursing

http://kingsfund.blogs.com/health_management/2016/10/agency-bank-and- overtime-spending-in-maternity-units-in-england-in-2015.html


Date 28/10/2016 Title Recovering The Cost Of NHS Treatment For Overseas Patients


Summary This report has found that the Department of Health and the NHS, working with other parts of government, have made progress to recover more of the cost of treating overseas visitors who are not entitled to free hospital treatment but, if current trends continue and the charging rules remain the same, will not achieve the government’s ambition of recovering up to £500 million a year by 2017-18.

http://kingsfund.blogs.com/health_management/2016/10/recovering-the-cost-of- nhs-treatment-for-overseas-patients.html


http://kingsfund.blogs.com/health_management/2016/10/agency-bank-and-overtime-spending-in-maternity-units-in-england-in-2015.html


http://kingsfund.blogs.com/health_management/2016/10/recovering-the-cost-of-nhs-treatment-for-overseas-patients.html


14

Date 26/11/2016 Title Patient-Level Information And Costing Systems (PLICSs): A Mixed-Methods Study Of Current Practice And Future Potential For The NHS Health Economy


Summary Traditionally, the cost object in health care has been either a service line (e.g. orthopaedics) or a clinical intervention (e.g. hip replacement). In the mid-2000s, the Department of Health recommended that in the future the patient should be the cost object, to enable a better analysis of cost drivers in health care, resulting in PLICSs. Monitor proposes that PLICS data will now form the basis for mandatory prices for health-care services across all care settings. This study aimed to explore the current use of PLICSs and the potential for future use of PLICSs in

http://kingsfund.blogs.com/health_management/2016/10/patient-level- information-and-costing-systems-plicss-a-mixed-methods-study-of-current-


http://kingsfund.blogs.com/health_management/2016/10/patient-level-information-and-costing-systems-plicss-a-mixed-methods-study-of-current-practice-and-f.html


15

Geriatrics Date 26/10/2016 Title Evaluation Of An Intervention To Prevent Falls


Summary This report, commissioned by the US Government, evaluates the effectiveness of an intervention designed to prevent falls in the elderly, with a particular focus on fall-related injuries and on health care costs. The researchers concluded that the intervention did not have a substantial effect on health care costs. Although they did not find evidence that the intervention reduced A&E visits for fall-related injuries, they cautioned that the study was underpowered for this outcome and that a clinically meaningful effect could have gone undetected.

http://kingsfund.blogs.com/health_management/2016/10/evaluation-of-an- intervention-to-prevent-falls.html


http://kingsfund.blogs.com/health_management/2016/10/evaluation-of-an-intervention-to-prevent-falls.html


16

Guidelines Date 03/10/2016 Title Infant formula and foods for medical purposes: notification


Summary Guidance and notification forms for introducing medical foods and infant formula to the UK.

https://www.gov.uk/government/publications/infant-formula-and-foods-for- particular-nutritional-uses-parnuts-notification-requirements

Taken from DH

https://www.gov.uk/government/publications/infant-formula-and-foods-for-particular-nutritional-uses-parnuts-notification-requirements


17

Hospitals Date 12/10/2016 Title Understanding Patient Flow In Hospitals


Summary This briefing warns that the NHS can no longer find enough bed space to move patients through hospitals quickly and meet key A&E targets – and that its practice of counting patients at midnight means that the true scale of the squeeze is being missed. It estimates that 5.5 per cent of beds need to be free for cleaning and preparation if patients are to be moved through quickly enough to meet the commitment to admit or transfer emergency patients within four hours.

http://kingsfund.blogs.com/health_management/2016/10/understanding-patient- flow-in-hospitals.html


Date 20/10/2016 Title Building A Successful NHS Workforce: The Added Value Of Specialist Hospitals In England


Summary This report sets out the Federation’s recommendations on how the NHS can make the best use of staff to ensure they can deliver the care patients need now and into the future. It includes several recommendations on how this might be achieved.

http://kingsfund.blogs.com/health_management/2016/10/building-a-successful- nhs-workforce-the-added-value-of-specialist-hospitals-in-england.html


http://kingsfund.blogs.com/health_management/2016/10/understanding-patient-flow-in-hospitals.html


http://kingsfund.blogs.com/health_management/2016/10/building-a-successful-nhs-workforce-the-added-value-of-specialist-hospitals-in-england.html


18

Date 21/10/2016 Title Hospital Productivity Growth In The English NHS 2008/09 To 2013/14


Summary This report examines the extent to which NHS hospital trusts make better of their resources over time by increasing the number of patients they treat and the services that they deliver for the same or fewer inputs. The report finds that current methods of measuring productivity aren't appropriate for individual hospital trusts and that a new approach is needed.

http://kingsfund.blogs.com/health_management/2016/10/hospital-productivity- growth-in-the-english-nhs-200809-to-201314.html


http://kingsfund.blogs.com/health_management/2016/10/hospital-productivity-growth-in-the-english-nhs-200809-to-201314.html


19

Legal Date 19/10/2016 Title PHSO Review: Quality Of NHS Complaints Investigations: Government Response To The Committee’s First Report Of Session 2016–17


Summary This response centres around the creation of the Healthcare Safety Investigation Branch (HSIB). The responses are grouped into the key themes addressed by the report: learning not blaming, the role of the HSIB, the independence of HSIB, safe space, improving patient safety at the local level and creating the conditions for openness, learning and reconciliation.

http://kingsfund.blogs.com/health_management/2016/10/phso-review-quality-of- nhs-complaints-investigations-government-response-to-the-committees-first-


Date 27/10/2016 Title Consent: Supported Decision-Making: A Guide To Good Practice


Summary Traditionally clinical practice in the NHS has considered that it is up to doctors to decide what risks to communicate to patients. Recent case law has changed and doctors are now obliged to ensure that patients are aware of any and all risks that an individual patient might consider significant. This guidance is aimed at doctors and surgeons to help them understand this shift in the law, as well as giving them the tools to assist in improving their practice.

http://kingsfund.blogs.com/health_management/2016/10/consent-supported- decision-making-a-guide-to-good-practice.html


http://kingsfund.blogs.com/health_management/2016/10/phso-review-quality-of-nhs-complaints-investigations-government-response-to-the-committees-first-rep.html


http://kingsfund.blogs.com/health_management/2016/10/consent-supported-decision-making-a-guide-to-good-practice.html


20

Mental Health Date 04/10/2016 Title World Alzheimer Report 2016: Improving Healthcare For People Living With Dementia - Coverage, Quality And Costs Now And In The Future


Summary This report reviews research evidence on the elements of healthcare for people with dementia, and, using economic modelling, suggests how it should be improved and made more efficient. It argues that current dementia healthcare services are over-specialised, and that a rebalancing is required with a more prominent role for primary and community care which could increase capacity, limit the increased costs associated with scaling up coverage of care, and, coupled with the introduction of care pathways and case management, improve the coordination and integration of care.

http://kingsfund.blogs.com/health_management/2016/10/world-alzheimer-report- 2016-improving-healthcare-for-people-living-with-dementia-coverage-quality-


Date 12/10/2016 Title Hidden In Plain Sight: The Unmet Mental Health Needs Of Older People


Summary According to this report, the current availability of mental health services does not meet the increasingly high demand from our ageing population. It also found that over a third of Mental Health Trusts in England have no policies for providing integrated care for people over 65 with both mental and physical health needs.

http://kingsfund.blogs.com/health_management/2016/10/hidden-in-plain-sight- the-unmet-mental-health-needs-of-older-people.html


http://kingsfund.blogs.com/health_management/2016/10/world-alzheimer-report-2016-improving-healthcare-for-people-living-with-dementia-coverage-quality-an.html


http://kingsfund.blogs.com/health_management/2016/10/hidden-in-plain-sight-the-unmet-mental-health-needs-of-older-people.html


21

Date 26/10/2016 Title Attitudes To Dementia: Findings From The 2015 British Social Attitudes Survey


Summary This report outlines findings from a survey carried out by the National Centre for Social Research (NatCen) which examined public awareness of risk factors for dementia. It found that 28 per cent of the British public is unable to correctly identify any health and lifestyle factor that can increase the risk of developing dementia.

http://kingsfund.blogs.com/health_management/2016/10/attitudes-to-dementia- findings-from-the-2015-british-social-attitudes-survey.html


Date 26/10/2016 Title Towards Improved Decision Support In The Assessment And Management Of Pain For People With Dementia In Hospital: A Systematic Meta-Review And Observational Study


Summary Pain and dementia are common in older people, and impaired cognitive abilities make it difficult for them to communicate their pain. Accurate pain assessment in this vulnerable group is challenging for hospital staff, but essential for appropriate management. This study reviews the literature and explores staff and carer views to identify robust methods for identifying, assessing and managing pain.

http://kingsfund.blogs.com/health_management/2016/10/towards-improved- decision-support-in-the-assessment-and-management-of-pain-for-people-with- dementia-.html


http://kingsfund.blogs.com/health_management/2016/10/attitudes-to-dementia-findings-from-the-2015-british-social-attitudes-survey.html


http://kingsfund.blogs.com/health_management/2016/10/towards-improved-decision-support-in-the-assessment-and-management-of-pain-for-people-with-dementia-.html



22

Nursing and Midwifery Date 13/10/2016 Title Midwives' Voices, Midwives Realities: Findings From A Global Consulation On Providing Quality Midwifery Care


Summary This report outlines the findings of the first global survey of midwifery personnel and it reveals that too often midwives report their efforts are constrained by unequal power relations within the health system. It highlights the need to provide midwives with professional support (including better working conditions); stronger education and regulatory environments; and stronger advocacy around midwifery.

http://kingsfund.blogs.com/health_management/2016/10/midwives-voices- midwives-realities-findings-from-a-global-consulation-on-providing-quality-


Date 13/10/2016 Title Supporting Our Nurses And Midwives To Revalidate Through Electronic Staff Records (ESRs)


Summary This case study details how Peterborough and Stamford Hospitals NHS Foundation Trust is supporting their staff in revalidation using functionality within

http://kingsfund.blogs.com/health_management/2016/10/supporting-our-nurses- and-midwives-to-revalidate-through-electronic-staff-records-esrs.html


http://kingsfund.blogs.com/health_management/2016/10/midwives-voices-midwives-realities-findings-from-a-global-consulation-on-providing-quality-midwifery.html


http://kingsfund.blogs.com/health_management/2016/10/supporting-our-nurses-and-midwives-to-revalidate-through-electronic-staff-records-esrs.html


23

Date 19/10/2016 Title Why Midwives Leave - Revisited


Summary Midwives are leaving the profession and are being driven out by excessive workloads and poor staffing levels according to this report. The report details a survey of over two-thousand midwives across the UK who have left the profession in the last two years or are intending to leave in the next two years. It also makes recommendations to prevent this flow of midwives out of the profession and the NHS.

http://kingsfund.blogs.com/health_management/2016/10/why-midwives-leave- revisited.html


Date 21/10/2016 Title Unheeded Warnings: Health Care In Crisis: The UK Nursing Labour Market Review 2016


Summary This research highlights risks to the future nursing supply in England as it finds that half of nurses are aged 45 or over and are within ten years of being eligible for early retirement. In comparison, a decade ago just a third of the nursing workforce was aged 45 or over. The report calls on the government to scrap the pay cap for NHS staff to help to alleviate the retention crisis.

http://kingsfund.blogs.com/health_management/2016/10/unheeded-warnings- health-care-in-crisis-the-uk-nursing-labour-market-review-2016.html


http://kingsfund.blogs.com/health_management/2016/10/why-midwives-leave-revisited.html


http://kingsfund.blogs.com/health_management/2016/10/unheeded-warnings-health-care-in-crisis-the-uk-nursing-labour-market-review-2016.html


24

Date 21/10/2016 Title In The Red: Student Nurse Debt


Summary This report finds that two thirds of NHS students have had to take on work on top of their studies in order to supplement their income. The proportion of medical and health students taking on extra jobs has risen from 61 per cent to 68 per cent in the last decade and 64 per cent of those surveyed say that working these extra hours in affecting their ability to study.

http://kingsfund.blogs.com/health_management/2016/10/in-the-red-student- nurse-debt.html


http://kingsfund.blogs.com/health_management/2016/10/in-the-red-student-nurse-debt.html


25

Obstetrics and Gynaecology Date 06/10/2016 Title User Feedback In Maternity Services


Summary Patient feedback is an important tool for tracking the experience of those who use NHS services and, through this, the quality of care they receive. It also plays a key role in identifying problem areas and shaping service improvements. Maternity services are using a variety of feedback mechanisms, in addition to national tools, to help them understand women’s experience of maternity services. This report looks at what maternity services are doing locally to collect, analyse and act on user feedback. It describes the challenges of adopting the different approaches and highlights the features of organisations that are successful in user feedback activities.

http://kingsfund.blogs.com/health_management/2016/10/user-feedback-in- maternity-services.html


Date 17/10/2016 Title Safer Maternity Care: Next Steps Towards The National Maternity Ambition


Summary This action plan outlines the Department of Health's national ambition to halve rates of stillbirths, neonatal deaths, maternal deaths and brain injuries that occur during or shortly after birth, by 2030. The plan sets out the various measures that will be used to make NHS maternity services safer, such as: a £250,000 maternity safety innovation fund, published maternity ratings for CCGs to enable benchmarking and a new national quality improvement programme.

http://kingsfund.blogs.com/health_management/2016/10/safer-maternity-care- next-steps-towards-the-national-maternity-ambition.html


http://kingsfund.blogs.com/health_management/2016/10/user-feedback-in-maternity-services.html


http://kingsfund.blogs.com/health_management/2016/10/safer-maternity-care-next-steps-towards-the-national-maternity-ambition.html


26

Date 17/10/2016 Title Second round of funding aims to improve maternity services through patient feedback


Summary Maternity services have today been invited to put forward proposals on innovative ways of using patient feedback to improve services and the winning entries could receive up to £50,000 to help get their project up and running. Maternity Challenge Fund’s second round projects will continue to look at ways to improve maternity services through patient feedback but will explore how individual feedback can be best used.

https://www.england.nhs.uk/2016/10/second-round-funding/


Date 17/10/2016 Title Safer maternity care


Summary This action plan sets out the measures that will be used to make NHS maternity services safer.

https://www.gov.uk/government/publications/safer-maternity-care

Taken from DH



27

Paediatrics Date 05/10/2016 Title Consultation: Commissioning Medicines in Children


Summary NHS England has today (05 October 2016) launched a 30 day public consultation on a clinical commissioning policy proposition for commissioning medicines in children. There has already been extensive engagement on this national policy, it has been developed with the support and input of lead clinicians and patient and public representatives. This approach has helped ensure that the views of key stakeholders have informed and influenced the development of this policy to date. We now wish to test them further with wider groups of stakeholders.

https://www.england.nhs.uk/2016/10/medicines-in-children/


Date 10/10/2016 Title Caring for patients with pregnancy loss – Ruth Bender Atik


Summary Babyloss Awareness Week is held annually from October 9 to 15. Involving twenty- one pregnancy and baby loss charities in the UK, it’s a special opportunity to mark the brief lives of babies lost in pregnancy or soon after birth.The Miscarriage Association’s National Director, Ruth Bender Atik, takes a look at how we can improve experiences of care when loss occurs.

https://www.england.nhs.uk/2016/10/ruth-bender-atik/




28

Date 12/10/2016 Title Equality analysis: extension of childhood flu immunisation


Summary Equality analysis of the flu immunisation programme to all children aged 2 to less than 17 years old.

https://www.gov.uk/government/publications/equality-analysis-extension-of- childhood-flu-immunisation

Taken from DH

Date 19/10/2016 Title National reviews into children’s specialised services accelerated


Summary NHS England today announced more details of the accelerated national reviews into paediatric critical care and specialised surgery for children. The reviews, which are part of NHS England’s regular round of specialised commissioning service reviews, would normally take up to two years to complete, but have been fast tracked to run in parallel with other work on new nationally agreed standards for congenital heart disease.

https://www.england.nhs.uk/2016/10/child-specialised-services/


https://www.gov.uk/government/publications/equality-analysis-extension-of-childhood-flu-immunisation



29







30

Patients Date 13/10/2016 Title Patients to get faster access to the most cost effective treatments under proposed changes to NICE process


Summary Proposed changes to the way NICE appraises new treatments could see patients benefiting from the most cost effective treatments nearly three months faster than is currently the case. The proposals announced today, which are part of a joint consultation by NICE and NHS England, would see the introduction of a ‘fast track’ option for appraising technologies which offer exceptional value for money.

https://www.england.nhs.uk/2016/10/proposed-changes/


Date 24/10/2016 Title Accelerated Access Review: Final Report


Summary This report sets out recommendations on how patients could get quicker access to innovative new diagnostic tools, treatments, and medical technologies. It argues that streamlined processes could bring forward patient access to drugs by up to four years and patients will benefit from quicker access to medical technologies too. The report will help the NHS to provide the best care to patients, use funds more effectively, and create the conditions to help the life sciences industry continue to thrive.

http://kingsfund.blogs.com/health_management/2016/10/accelerated-access- review-final-report.html



http://kingsfund.blogs.com/health_management/2016/10/accelerated-access-review-final-report.html


31

Date 26/10/2016 Title Choosing Wisely


Summary As part of the Choosing Wisely campaign, AoMRC have outlined a list of 40 treatments and procedures which have limited clinical value or impact. The campaign calls for doctors and patients to have a fully informed conversation about the risks and benefits of treatments and procedures.

http://kingsfund.blogs.com/health_management/2016/10/choosing-wisely.html



32

Pharmacy Date 11/10/2016 Title Flu Vaccination: The Benefits Of A Community Pharmacy Service


Summary This briefing sets out evidence for community pharmacy vaccination services, showing that they can effectively augment the vaccination services provided by GP practices.

http://kingsfund.blogs.com/health_management/2016/10/flu-vaccination-the- benefits-of-a-community-pharmacy-service.html


http://kingsfund.blogs.com/health_management/2016/10/flu-vaccination-the-benefits-of-a-community-pharmacy-service.html


33

Date 19/10/2016 Title Proposals For Changes To The Arrangements For Evaluating And Funding Drugs And Other Health Technologies Appraised Through NICE’s Technology Appraisal And Highly Specialised Technologies Programmes


Summary NICE and NHS England have launched a consultation on changes to the arrangements for evaluating and funding drugs and other health technologies appraised through NICE’s Technology Appraisal and Highly Specialised Technologies programmes. The proposed changes could benefit patients by providing access to the most effective and cost-effective new treatments more quickly and will help the life sciences industry by increasing the opportunities for companies to help manage the introduction of their new technologies into the NHS. This consultation sets out a number of ways in which NICE and NHS England can provide an environment that encourages the life sciences industry and the NHS to work together in the best interests of patients. The closing date for comments is 13 January 2017.

http://kingsfund.blogs.com/health_management/2016/10/proposals-for-changes- to-the-arrangements-for-evaluating-and-funding-drugs-and-other-health-


http://kingsfund.blogs.com/health_management/2016/10/proposals-for-changes-to-the-arrangements-for-evaluating-and-funding-drugs-and-other-health-technolo.html


34

Date 20/10/2016 Title Pharmacy Integration Fund of £42 million announced


Summary NHS England has today (20 October 2016) announced a £42m Pharmacy Integration Fund (PhIF) to support pharmacy to transform how it operates across the NHS for the benefit of patients over the next two years. The Pharmacy Integration Fund will support community pharmacy as it develops new clinical pharmacy services, working practices and digital platforms to meet the public’s expectations for a modern NHS community pharmacy service.

https://www.england.nhs.uk/2016/10/pharmacy-integration-fund/


Date 21/10/2016 Title Community Pharmacy In 2016/17 And Beyond: Final Package


Summary This paper outlines plans to modernise community pharmacies, which will ensure a better quality service for patients and relieve pressure in other parts of the NHS. The changes include a reward system for high quality service and a pharmacy access scheme for isolated areas with higher health needs. The accompanying documentation explains the package of reforms, including changes to the community pharmacy contractual framework.

http://kingsfund.blogs.com/health_management/2016/10/community-pharmacy- in-201617-and-beyond-final-package.html



http://kingsfund.blogs.com/health_management/2016/10/community-pharmacy-in-201617-and-beyond-final-package.html


35

Date 21/10/2016 Title Funding Imposition For 2016/17 And 2017/18: Frequently Asked Questions


Summary These briefings provide answers to frequently asked questions relating to the new funding for community pharmacies in 2016/17 and 2017/18. It is accompanied by a briefing that is aimed at contractors as well.

http://kingsfund.blogs.com/health_management/2016/10/funding-imposition-for- 201617-and-201718-frequently-asked-questions.html


Date 31/10/2016 Title Medicines Use Review (MUR) Service (England)


Summary This briefing is aimed at health professionals outside of pharmacy and provides information on the MUR service and answers common questions about MURs.

http://kingsfund.blogs.com/health_management/2016/10/medicines-use-review- mur-service-england.html


http://kingsfund.blogs.com/health_management/2016/10/funding-imposition-for-201617-and-201718-frequently-asked-questions.html


http://kingsfund.blogs.com/health_management/2016/10/medicines-use-review-mur-service-england.html


36

Public Health Date 11/10/2016 Title Fiscal Policies For Diet And The Prevention Of Noncommunicable Diseases


Summary This report argues that taxing sugary drinks can lower consumption and reduce obesity, type 2 diabetes and tooth decay. The report predicts that fiscal policies that lead to at least a 20 per cent increase in the retail price of sugary drinks would result in proportional reductions in consumption of such products.

http://kingsfund.blogs.com/health_management/2016/10/fiscal-policies-for-diet- and-the-prevention-of-noncommunicable-diseases.html


Date 11/10/2016 Title New Care Models: Emerging Innovations In Governance And Organisation Form


Summary The 23 vanguard sites chosen to develop the multispecialty community provider (MCP) and primary and acute care system (PACS) new care models have been working to pool budgets and integrate services more closely. Some are continuing to use informal partnerships, but others are opting for more formal governance arrangements. Commissioners are grappling with how to contract for the new systems, while providers are exploring how to work together within emerging partnerships, how to allocate funding, and how to share risk and rewards. This report looks at the different approaches being taken by MCP and PACS vanguards to contracting, governance and other organisational infrastructure.

http://kingsfund.blogs.com/health_management/2016/10/new-care-models- emerging-innovations-in-governance-and-organisation-form.html


http://kingsfund.blogs.com/health_management/2016/10/fiscal-policies-for-diet-and-the-prevention-of-noncommunicable-diseases.html


http://kingsfund.blogs.com/health_management/2016/10/new-care-models-emerging-innovations-in-governance-and-organisation-form.html


37

Date 18/10/2016 Title Local Wellbeing, Local Growth


Summary These documents bring together the arguments for a Health in All Policies approach with a set of practical examples of implementation from the UK and around the world. They are aimed at local authority leaders, chief executives, other senior officers and councillors, and Directors of Public Health.

http://kingsfund.blogs.com/health_management/2016/10/local-wellbeing-local- growth.html


Date 26/10/2016 Title Sustainability And Climate Change: Opportunities For PHE


Summary This document outlines PHE’s plans to adapt to environmental threats such as climate change and to reduce the impact on the nation’s health. It also provides an update on the progress made so far by the Sustainability and Climate Change Programme Board.

http://kingsfund.blogs.com/health_management/2016/10/sustainability-and- climate-change-opportunities-for-phe.html


http://kingsfund.blogs.com/health_management/2016/10/local-wellbeing-local-growth.html


http://kingsfund.blogs.com/health_management/2016/10/sustainability-and-climate-change-opportunities-for-phe.html


38

Respiratory Date 11/10/2016 Title The dancing doctor on delivering a life saving asthma message – Tapas Mukherjee


Summary NHS England’s Clinical Entrepreneur, Tapas Mukherjee, discusses the important, life-saving messages behind the entertaining dancing doctor asthma video. Since its launch just over 3 weeks ago the video has been viewed over 30,000 times. I first had the idea when working on rotation at Glenfield Hospital in Leicester. During this time, I noticed that not all doctors were using asthma guidelines which could potentially prove problematic.

https://www.england.nhs.uk/2016/10/tapas-mukherjee/


Date 20/10/2016 Title Health Matters: Reducing The Burden Of Tuberculosis


Summary This resource provides information on the incidence of tuberculosis (TB) in England and calls to action for health professionals and local authorities. It outlines the actions that can be taken to further reduce TB incidence and associated health inequalities.

http://kingsfund.blogs.com/health_management/2016/10/health-matters- reducing-the-burden-of-tuberculosis.html



http://kingsfund.blogs.com/health_management/2016/10/health-matters-reducing-the-burden-of-tuberculosis.html


39

Staff Date 04/10/2016 Title HR And Social Media In The NHS: The Essential Guide For HR Directors And Managers


Summary This guide aims to help integrate social media into an organisation and covers three areas: recruitment, staff engagement and HR policy.

http://kingsfund.blogs.com/health_management/2016/10/hr-and-social-media-in- the-nhs-the-essential-guide-for-hr-directors-and-managers.html


Date 25/10/2016 Title NHS Terms And Conditions Of Service Handbook


Summary NHS Employers have launched the terms and conditions of service handbook for Agenda for Change staff in an interactive format which aims to make it easier to find information.

http://kingsfund.blogs.com/health_management/2016/10/nhs-terms-and- conditions-of-service-handbook.html


http://kingsfund.blogs.com/health_management/2016/10/hr-and-social-media-in-the-nhs-the-essential-guide-for-hr-directors-and-managers.html


http://kingsfund.blogs.com/health_management/2016/10/nhs-terms-and-conditions-of-service-handbook.html


40

Date 25/10/2016 Title Mutual recognition of professional qualifications in healthcare


Summary The consultation response outlines the changes relevant to health professions, specifically on the drafting of the regulations which will amend the UK health and care professions’ primary and secondary legislation. The consultation focused on a number of areas: proposed legislative changes content and minimum standards of training the EPC the alert mechanism guidance impact on protected characteristics monetary impacts

https://www.gov.uk/government/consultations/mutual-recognition-of-professional- qualifications-in-healthcare

Taken from DH

https://www.gov.uk/government/consultations/mutual-recognition-of-professional-qualifications-in-healthcare


41

Cancer Date 04/10/2016 Title New cancer ratings published


Summary NHS England has today published new ratings providing a snapshot of how well different areas of the country are diagnosing and treating cancer and supporting patients. Based on data published over the course of the last two years, the Clinical Commissioning Group Improvement and Assessment Framework provides an initial baseline rating for six clinical priority areas, including cancer.



Date 25/10/2016 Title NHS England launches biggest upgrade to NHS cancer treatment in 15 years


Summary NHS England chief executive Simon Stevens has today (Tuesday) announced a £130m investment to kickstart the upgrade of radiotherapy equipment and transform cancer treatment across England. Around 4 in 10 of all NHS cancer patients are treated with radiotherapy, which typically uses high-energy radiation from a machine called a linear accelerator (‘Linac’). Radiotherapy is one of the three main cancer treatments, alongside cancer surgery and chemotherapy.





42

Commissioning Date 20/10/2016 Title The Future Of Commissioning


Summary This paper sets out a vision for the future of clinical commissioning. Developments such as accountable care organisations and Sustainability and Transformation Plans, are welcomed in the paper as having the potential to allow them to focus on fulfilling their strategic ambitions to work across the whole system and place- based commissioning of services for the benefit of patients.

http://kingsfund.blogs.com/health_management/2016/10/the-future-of- commissioning.html




43

Consultations Date 18/10/2016 Title Providing A 'Safe Space' In Healthcare Safety Investigations - Consultation


Summary The proposal outlined in this consultation will legally ensure that information that staff provide as part of a health service investigation will be kept confidential except where there is an immediate risk to patient safety, or where the High Court makes an order permitting disclosure. This broadly mirrors the procedures followed in air accidents investigations. The closing date for comments is 16 December 2016.

http://kingsfund.blogs.com/health_management/2016/10/providing-a-safe-space- in-healthcare-safety-investigations-consultation.html




44

Dentistry Date 19/10/2016 Title A Rapid Review Of Evidence On The Cost-Effectiveness Of Interventions To Improve The Oral Health Of Children Aged 0-5 Years


Summary These resources were developed to support local authorities investing in the local commissioning of oral health improvement programmes for pre-school children. They were commissioned from the York Health Economics Consortium and developed in partnership with Public Health England.

http://kingsfund.blogs.com/health_management/2016/10/a-rapid-review-of- evidence-on-the-cost-effectiveness-of-interventions-to-improve-the-oral-health-of-




45

Education Date 13/10/2016 Title HEE mandate 2016 to 2017


Summary The mandate to Health Education England (HEE) sets out the government's objectives for HEE to provide healthcare education and training.


Taken from DH

Date 13/10/2016 Title Delivering High Quality, Effective, Compassionate Care: Developing The Right People With The Right Skills And Right Values


Summary This mandate outlines the government's objectives for Health Education England to provide health care education and training for 2016-2017. The document reflects strategic objectives around workforce planning, health education and training and development. The mandate looks at how the healthcare workforce can be developed to improve care for patients through education and training.

http://kingsfund.blogs.com/health_management/2016/10/delivering-high-quality- effective-compassionate-care-developing-the-right-people-with-the-right-skil.html





46

Date 27/10/2016 Title The State Of Medical Education And Practice In The UK 2016


Summary This annual report explores how the medical profession has changed and reviews the education and practice of doctors in the UK. This year's report raises concerns that the health system and staff working within it are struggling to cope with a range of issues such as the increased pressure on health and social care services. The report outlines the response that the GMC will take to these increased pressures on doctors by taking a lighter touch on regulation.

http://kingsfund.blogs.com/health_management/2016/10/the-state-of-medical- education-and-practice-in-the-uk-2016.html




47

ENT Date 19/10/2016 Title Improving Access To Cochlear Implantation: Change Lives And Save Society Money


Summary This report calls for a review of the National Institute for Health and Care Excellence guidelines on cochlear implants as new research shows that the UK has the most restrictive guidelines in Western Europe. It also shows that people with serious hearing loss often cost the NHS and other care services more by being denied an implant because of the greater risks of suffering from dementia and mental health problems when hearing loss is not addressed.

http://kingsfund.blogs.com/health_management/2016/10/improving-access-to- cochlear-implantation-change-lives-and-save-society-money.html




48

Equality and Diversity Date 20/10/2016 Title Doctors For Health Equity: The Role Of The World Medical Association, National Medical Associations And Doctors In Addressing The Social Determinants Of Health And Health Equity


Summary This report explores evidence and case studies to highlight the ways in which doctors, national medical associations and the World Medical Association (WMA) can act on the social determinants of health and improve health equity. A strategy for the WMA and national medical associations is outlined, as well as practical approaches for medical professionals and their associations to incorporate the social determinants of health into their everyday practice and broader societal

http://kingsfund.blogs.com/health_management/2016/10/doctors-for-health- equity-the-role-of-the-world-medical-association-national-medical-associations-




49

Finance Date 13/10/2016 Title New specialised commissioning consultation launched


Summary NHS England has today launched a consultation on four related policies that describe how NHS England will make decisions on funding for treatments that are not currently routinely commissioned. The four policies are: in-year service developments, individual funding requests, funding experimental and unproven treatments, and continuing funding after clinical trials.



Date 14/10/2016 Title Consultation On Commissioning Policies


Summary This consultation seeks views on commissioning policies that describe how NHS England will make decisions on funding for treatments that are not currently routinely commissioned. The consultation aims to ensure that the policies help NHS England make effective, sustainable and fair uses of finite resources. The closing date for feedback is 15 January 2017.

http://kingsfund.blogs.com/health_management/2016/10/consultation-on- commissioning-policies.html





50

Date 17/10/2016 Title Agency, Bank And Overtime Spending In Maternity Units In England In 2015


Summary This report is the result of FOI requests sent to all NHS trusts in England with maternity services and it found that in 2015, the NHS spent over £72 million on agency, overtime and bank midwives which is equivalent to the cost of over 3000 full-time midwives. The report highlights the need for improvement on workforce strategy within the NHS to ensure a more efficient use of resources and it also calls for the government to reconsider proposed plans to abolish nursing

http://kingsfund.blogs.com/health_management/2016/10/agency-bank-and- overtime-spending-in-maternity-units-in-england-in-2015.html


Date 28/10/2016 Title Recovering The Cost Of NHS Treatment For Overseas Patients


Summary This report has found that the Department of Health and the NHS, working with other parts of government, have made progress to recover more of the cost of treating overseas visitors who are not entitled to free hospital treatment but, if current trends continue and the charging rules remain the same, will not achieve the government’s ambition of recovering up to £500 million a year by 2017-18.

http://kingsfund.blogs.com/health_management/2016/10/recovering-the-cost-of- nhs-treatment-for-overseas-patients.html






51

Date 26/11/2016 Title Patient-Level Information And Costing Systems (PLICSs): A Mixed-Methods Study Of Current Practice And Future Potential For The NHS Health Economy


Summary Traditionally, the cost object in health care has been either a service line (e.g. orthopaedics) or a clinical intervention (e.g. hip replacement). In the mid-2000s, the Department of Health recommended that in the future the patient should be the cost object, to enable a better analysis of cost drivers in health care, resulting in PLICSs. Monitor proposes that PLICS data will now form the basis for mandatory prices for health-care services across all care settings. This study aimed to explore the current use of PLICSs and the potential for future use of PLICSs in

http://kingsfund.blogs.com/health_management/2016/10/patient-level- information-and-costing-systems-plicss-a-mixed-methods-study-of-current-




52

Geriatrics Date 26/10/2016 Title Evaluation Of An Intervention To Prevent Falls


Summary This report, commissioned by the US Government, evaluates the effectiveness of an intervention designed to prevent falls in the elderly, with a particular focus on fall-related injuries and on health care costs. The researchers concluded that the intervention did not have a substantial effect on health care costs. Although they did not find evidence that the intervention reduced A&E visits for fall-related injuries, they cautioned that the study was underpowered for this outcome and that a clinically meaningful effect could have gone undetected.

http://kingsfund.blogs.com/health_management/2016/10/evaluation-of-an- intervention-to-prevent-falls.html




53

Guidelines Date 03/10/2016 Title Infant formula and foods for medical purposes: notification


Summary Guidance and notification forms for introducing medical foods and infant formula to the UK.

https://www.gov.uk/government/publications/infant-formula-and-foods-for- particular-nutritional-uses-parnuts-notification-requirements

Taken from DH



54

Hospitals Date 12/10/2016 Title Understanding Patient Flow In Hospitals


Summary This briefing warns that the NHS can no longer find enough bed space to move patients through hospitals quickly and meet key A&E targets – and that its practice of counting patients at midnight means that the true scale of the squeeze is being missed. It estimates that 5.5 per cent of beds need to be free for cleaning and preparation if patients are to be moved through quickly enough to meet the commitment to admit or transfer emergency patients within four hours.

http://kingsfund.blogs.com/health_management/2016/10/understanding-patient- flow-in-hospitals.html


Date 20/10/2016 Title Building A Successful NHS Workforce: The Added Value Of Specialist Hospitals In England


Summary This report sets out the Federation’s recommendations on how the NHS can make the best use of staff to ensure they can deliver the care patients need now and into the future. It includes several recommendations on how this might be achieved.

http://kingsfund.blogs.com/health_management/2016/10/building-a-successful- nhs-workforce-the-added-value-of-specialist-hospitals-in-england.html






55

Date 21/10/2016 Title Hospital Productivity Growth In The English NHS 2008/09 To 2013/14


Summary This report examines the extent to which NHS hospital trusts make better of their resources over time by increasing the number of patients they treat and the services that they deliver for the same or fewer inputs. The report finds that current methods of measuring productivity aren't appropriate for individual hospital trusts and that a new approach is needed.

http://kingsfund.blogs.com/health_management/2016/10/hospital-productivity- growth-in-the-english-nhs-200809-to-201314.html




56

Legal Date 19/10/2016 Title PHSO Review: Quality Of NHS Complaints Investigations: Government Response To The Committee’s First Report Of Session 2016–17


Summary This response centres around the creation of the Healthcare Safety Investigation Branch (HSIB). The responses are grouped into the key themes addressed by the report: learning not blaming, the role of the HSIB, the independence of HSIB, safe space, improving patient safety at the local level and creating the conditions for openness, learning and reconciliation.

http://kingsfund.blogs.com/health_management/2016/10/phso-review-quality-of- nhs-complaints-investigations-government-response-to-the-committees-first-


Date 27/10/2016 Title Consent: Supported Decision-Making: A Guide To Good Practice


Summary Traditionally clinical practice in the NHS has considered that it is up to doctors to decide what risks to communicate to patients. Recent case law has changed and doctors are now obliged to ensure that patients are aware of any and all risks that an individual patient might consider significant. This guidance is aimed at doctors and surgeons to help them understand this shift in the law, as well as giving them the tools to assist in improving their practice.

http://kingsfund.blogs.com/health_management/2016/10/consent-supported- decision-making-a-guide-to-good-practice.html






57

Mental Health Date 04/10/2016 Title World Alzheimer Report 2016: Improving Healthcare For People Living With Dementia - Coverage, Quality And Costs Now And In The Future


Summary This report reviews research evidence on the elements of healthcare for people with dementia, and, using economic modelling, suggests how it should be improved and made more efficient. It argues that current dementia healthcare services are over-specialised, and that a rebalancing is required with a more prominent role for primary and community care which could increase capacity, limit the increased costs associated with scaling up coverage of care, and, coupled with the introduction of care pathways and case management, improve the coordination and integration of care.

http://kingsfund.blogs.com/health_management/2016/10/world-alzheimer-report- 2016-improving-healthcare-for-people-living-with-dementia-coverage-quality-


Date 12/10/2016 Title Hidden In Plain Sight: The Unmet Mental Health Needs Of Older People


Summary According to this report, the current availability of mental health services does not meet the increasingly high demand from our ageing population. It also found that over a third of Mental Health Trusts in England have no policies for providing integrated care for people over 65 with both mental and physical health needs.

http://kingsfund.blogs.com/health_management/2016/10/hidden-in-plain-sight- the-unmet-mental-health-needs-of-older-people.html






58

Date 26/10/2016 Title Attitudes To Dementia: Findings From The 2015 British Social Attitudes Survey


Summary This report outlines findings from a survey carried out by the National Centre for Social Research (NatCen) which examined public awareness of risk factors for dementia. It found that 28 per cent of the British public is unable to correctly identify any health and lifestyle factor that can increase the risk of developing dementia.

http://kingsfund.blogs.com/health_management/2016/10/attitudes-to-dementia- findings-from-the-2015-british-social-attitudes-survey.html


Date 26/10/2016 Title Towards Improved Decision Support In The Assessment And Management Of Pain For People With Dementia In Hospital: A Systematic Meta-Review And Observational Study


Summary Pain and dementia are common in older people, and impaired cognitive abilities make it difficult for them to communicate their pain. Accurate pain assessment in this vulnerable group is challenging for hospital staff, but essential for appropriate management. This study reviews the literature and explores staff and carer views to identify robust methods for identifying, assessing and managing pain.

http://kingsfund.blogs.com/health_management/2016/10/towards-improved- decision-support-in-the-assessment-and-management-of-pain-for-people-with- dementia-.html







59

Nursing and Midwifery Date 13/10/2016 Title Midwives' Voices, Midwives Realities: Findings From A Global Consulation On Providing Quality Midwifery Care


Summary This report outlines the findings of the first global survey of midwifery personnel and it reveals that too often midwives report their efforts are constrained by unequal power relations within the health system. It highlights the need to provide midwives with professional support (including better working conditions); stronger education and regulatory environments; and stronger advocacy around midwifery.

http://kingsfund.blogs.com/health_management/2016/10/midwives-voices- midwives-realities-findings-from-a-global-consulation-on-providing-quality-


Date 13/10/2016 Title Supporting Our Nurses And Midwives To Revalidate Through Electronic Staff Records (ESRs)


Summary This case study details how Peterborough and Stamford Hospitals NHS Foundation Trust is supporting their staff in revalidation using functionality within

http://kingsfund.blogs.com/health_management/2016/10/supporting-our-nurses- and-midwives-to-revalidate-through-electronic-staff-records-esrs.html






60

Date 19/10/2016 Title Why Midwives Leave - Revisited


Summary Midwives are leaving the profession and are being driven out by excessive workloads and poor staffing levels according to this report. The report details a survey of over two-thousand midwives across the UK who have left the profession in the last two years or are intending to leave in the next two years. It also makes recommendations to prevent this flow of midwives out of the profession and the NHS.

http://kingsfund.blogs.com/health_management/2016/10/why-midwives-leave- revisited.html


Date 21/10/2016 Title Unheeded Warnings: Health Care In Crisis: The UK Nursing Labour Market Review 2016


Summary This research highlights risks to the future nursing supply in England as it finds that half of nurses are aged 45 or over and are within ten years of being eligible for early retirement. In comparison, a decade ago just a third of the nursing workforce was aged 45 or over. The report calls on the government to scrap the pay cap for NHS staff to help to alleviate the retention crisis.

http://kingsfund.blogs.com/health_management/2016/10/unheeded-warnings- health-care-in-crisis-the-uk-nursing-labour-market-review-2016.html






61

Date 21/10/2016 Title In The Red: Student Nurse Debt


Summary This report finds that two thirds of NHS students have had to take on work on top of their studies in order to supplement their income. The proportion of medical and health students taking on extra jobs has risen from 61 per cent to 68 per cent in the last decade and 64 per cent of those surveyed say that working these extra hours in affecting their ability to study.

http://kingsfund.blogs.com/health_management/2016/10/in-the-red-student- nurse-debt.html




62

Obstetrics and Gynaecology Date 06/10/2016 Title User Feedback In Maternity Services


Summary Patient feedback is an important tool for tracking the experience of those who use NHS services and, through this, the quality of care they receive. It also plays a key role in identifying problem areas and shaping service improvements. Maternity services are using a variety of feedback mechanisms, in addition to national tools, to help them understand women’s experience of maternity services. This report looks at what maternity services are doing locally to collect, analyse and act on user feedback. It describes the challenges of adopting the different approaches and highlights the features of organisations that are successful in user feedback activities.

http://kingsfund.blogs.com/health_management/2016/10/user-feedback-in- maternity-services.html


Date 17/10/2016 Title Safer Maternity Care: Next Steps Towards The National Maternity Ambition


Summary This action plan outlines the Department of Health's national ambition to halve rates of stillbirths, neonatal deaths, maternal deaths and brain injuries that occur during or shortly after birth, by 2030. The plan sets out the various measures that will be used to make NHS maternity services safer, such as: a £250,000 maternity safety innovation fund, published maternity ratings for CCGs to enable benchmarking and a new national quality improvement programme.

http://kingsfund.blogs.com/health_management/2016/10/safer-maternity-care- next-steps-towards-the-national-maternity-ambition.html






63

Date 17/10/2016 Title Second round of funding aims to improve maternity services through patient feedback


Summary Maternity services have today been invited to put forward proposals on innovative ways of using patient feedback to improve services and the winning entries could receive up to £50,000 to help get their project up and running. Maternity Challenge Fund’s second round projects will continue to look at ways to improve maternity services through patient feedback but will explore how individual feedback can be best used.



Date 17/10/2016 Title Safer maternity care


Summary This action plan sets out the measures that will be used to make NHS maternity services safer.


Taken from DH



64

Paediatrics Date 05/10/2016 Title Consultation: Commissioning Medicines in Children


Summary NHS England has today (05 October 2016) launched a 30 day public consultation on a clinical commissioning policy proposition for commissioning medicines in children. There has already been extensive engagement on this national policy, it has been developed with the support and input of lead clinicians and patient and public representatives. This approach has helped ensure that the views of key stakeholders have informed and influenced the development of this policy to date. We now wish to test them further with wider groups of stakeholders.



Date 10/10/2016 Title Caring for patients with pregnancy loss – Ruth Bender Atik


Summary Babyloss Awareness Week is held annually from October 9 to 15. Involving twenty- one pregnancy and baby loss charities in the UK, it’s a special opportunity to mark the brief lives of babies lost in pregnancy or soon after birth.The Miscarriage Association’s National Director, Ruth Bender Atik, takes a look at how we can improve experiences of care when loss occurs.





65

Date 12/10/2016 Title Equality analysis: extension of childhood flu immunisation


Summary Equality analysis of the flu immunisation programme to all children aged 2 to less than 17 years old.

https://www.gov.uk/government/publications/equality-analysis-extension-of- childhood-flu-immunisation

Taken from DH









66







67

Patients Date 13/10/2016 Title Patients to get faster access to the most cost effective treatments under proposed changes to NICE process


Summary Proposed changes to the way NICE appraises new treatments could see patients benefiting from the most cost effective treatments nearly three months faster than is currently the case. The proposals announced today, which are part of a joint consultation by NICE and NHS England, would see the introduction of a ‘fast track’ option for appraising technologies which offer exceptional value for money.



Date 24/10/2016 Title Accelerated Access Review: Final Report


Summary This report sets out recommendations on how patients could get quicker access to innovative new diagnostic tools, treatments, and medical technologies. It argues that streamlined processes could bring forward patient access to drugs by up to four years and patients will benefit from quicker access to medical technologies too. The report will help the NHS to provide the best care to patients, use funds more effectively, and create the conditions to help the life sciences industry continue to thrive.

http://kingsfund.blogs.com/health_management/2016/10/accelerated-access- review-final-report.html





68

Date 26/10/2016 Title Choosing Wisely


Summary As part of the Choosing Wisely campaign, AoMRC have outlined a list of 40 treatments and procedures which have limited clinical value or impact. The campaign calls for doctors and patients to have a fully informed conversation about the risks and benefits of treatments and procedures.




69

Pharmacy Date 11/10/2016 Title Flu Vaccination: The Benefits Of A Community Pharmacy Service


Summary This briefing sets out evidence for community pharmacy vaccination services, showing that they can effectively augment the vaccination services provided by GP practices.

http://kingsfund.blogs.com/health_management/2016/10/flu-vaccination-the- benefits-of-a-community-pharmacy-service.html




70

Date 19/10/2016 Title Proposals For Changes To The Arrangements For Evaluating And Funding Drugs And Other Health Technologies Appraised Through NICE’s Technology Appraisal And Highly Specialised Technologies Programmes


Summary NICE and NHS England have launched a consultation on changes to the arrangements for evaluating and funding drugs and other health technologies appraised through NICE’s Technology Appraisal and Highly Specialised Technologies programmes. The proposed changes could benefit patients by providing access to the most effective and cost-effective new treatments more quickly and will help the life sciences industry by increasing the opportunities for companies to help manage the introduction of their new technologies into the NHS. This consultation sets out a number of ways in which NICE and NHS England can provide an environment that encourages the life sciences industry and the NHS to work together in the best interests of patients. The closing date for comments is 13 January 2017.

http://kingsfund.blogs.com/health_management/2016/10/proposals-for-changes- to-the-arrangements-for-evaluating-and-funding-drugs-and-other-health-




71

Date 20/10/2016 Title Pharmacy Integration Fund of £42 million announced


Summary NHS England has today (20 October 2016) announced a £42m Pharmacy Integration Fund (PhIF) to support pharmacy to transform how it operates across the NHS for the benefit of patients over the next two years. The Pharmacy Integration Fund will support community pharmacy as it develops new clinical pharmacy services, working practices and digital platforms to meet the public’s expectations for a modern NHS community pharmacy service.



Date 21/10/2016 Title Community Pharmacy In 2016/17 And Beyond: Final Package


Summary This paper outlines plans to modernise community pharmacies, which will ensure a better quality service for patients and relieve pressure in other parts of the NHS. The changes include a reward system for high quality service and a pharmacy access scheme for isolated areas with higher health needs. The accompanying documentation explains the package of reforms, including changes to the community pharmacy contractual framework.

http://kingsfund.blogs.com/health_management/2016/10/community-pharmacy- in-201617-and-beyond-final-package.html





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Date 21/10/2016 Title Funding Imposition For 2016/17 And 2017/18: Frequently Asked Questions


Summary These briefings provide answers to frequently asked questions relating to the new funding for community pharmacies in 2016/17 and 2017/18. It is accompanied by a briefing that is aimed at contractors as well.

http://kingsfund.blogs.com/health_management/2016/10/funding-imposition-for- 201617-and-201718-frequently-asked-questions.html


Date 31/10/2016 Title Medicines Use Review (MUR) Service (England)


Summary This briefing is aimed at health professionals outside of pharmacy and provides information on the MUR service and answers common questions about MURs.

http://kingsfund.blogs.com/health_management/2016/10/medicines-use-review- mur-service-england.html






73

Public Health Date 11/10/2016 Title Fiscal Policies For Diet And The Prevention Of Noncommunicable Diseases


Summary This report argues that taxing sugary drinks can lower consumption and reduce obesity, type 2 diabetes and tooth decay. The report predicts that fiscal policies that lead to at least a 20 per cent increase in the retail price of sugary drinks would result in proportional reductions in consumption of such products.

http://kingsfund.blogs.com/health_management/2016/10/fiscal-policies-for-diet- and-the-prevention-of-noncommunicable-diseases.html


Date 11/10/2016 Title New Care Models: Emerging Innovations In Governance And Organisation Form


Summary The 23 vanguard sites chosen to develop the multispecialty community provider (MCP) and primary and acute care system (PACS) new care models have been working to pool budgets and integrate services more closely. Some are continuing to use informal partnerships, but others are opting for more formal governance arrangements. Commissioners are grappling with how to contract for the new systems, while providers are exploring how to work together within emerging partnerships, how to allocate funding, and how to share risk and rewards. This report looks at the different approaches being taken by MCP and PACS vanguards to contracting, governance and other organisational infrastructure.

http://kingsfund.blogs.com/health_management/2016/10/new-care-models- emerging-innovations-in-governance-and-organisation-form.html






74

Date 18/10/2016 Title Local Wellbeing, Local Growth


Summary These documents bring together the arguments for a Health in All Policies approach with a set of practical examples of implementation from the UK and around the world. They are aimed at local authority leaders, chief executives, other senior officers and councillors, and Directors of Public Health.

http://kingsfund.blogs.com/health_management/2016/10/local-wellbeing-local- growth.html


Date 26/10/2016 Title Sustainability And Climate Change: Opportunities For PHE


Summary This document outlines PHE’s plans to adapt to environmental threats such as climate change and to reduce the impact on the nation’s health. It also provides an update on the progress made so far by the Sustainability and Climate Change Programme Board.

http://kingsfund.blogs.com/health_management/2016/10/sustainability-and- climate-change-opportunities-for-phe.html






75

Respiratory Date 11/10/2016 Title The dancing doctor on delivering a life saving asthma message – Tapas Mukherjee


Summary NHS England’s Clinical Entrepreneur, Tapas Mukherjee, discusses the important, life-saving messages behind the entertaining dancing doctor asthma video. Since its launch just over 3 weeks ago the video has been viewed over 30,000 times. I first had the idea when working on rotation at Glenfield Hospital in Leicester. During this time, I noticed that not all doctors were using asthma guidelines which could potentially prove problematic.



Date 20/10/2016 Title Health Matters: Reducing The Burden Of Tuberculosis


Summary This resource provides information on the incidence of tuberculosis (TB) in England and calls to action for health professionals and local authorities. It outlines the actions that can be taken to further reduce TB incidence and associated health inequalities.

http://kingsfund.blogs.com/health_management/2016/10/health-matters- reducing-the-burden-of-tuberculosis.html





76

Staff Date 04/10/2016 Title HR And Social Media In The NHS: The Essential Guide For HR Directors And Managers


Summary This guide aims to help integrate social media into an organisation and covers three areas: recruitment, staff engagement and HR policy.

http://kingsfund.blogs.com/health_management/2016/10/hr-and-social-media-in- the-nhs-the-essential-guide-for-hr-directors-and-managers.html


Date 25/10/2016 Title NHS Terms And Conditions Of Service Handbook


Summary NHS Employers have launched the terms and conditions of service handbook for Agenda for Change staff in an interactive format which aims to make it easier to find information.

http://kingsfund.blogs.com/health_management/2016/10/nhs-terms-and- conditions-of-service-handbook.html






77

Date 25/10/2016 Title Mutual recognition of professional qualifications in healthcare


Summary The consultation response outlines the changes relevant to health professions, specifically on the drafting of the regulations which will amend the UK health and care professions’ primary and secondary legislation. The consultation focused on a number of areas: proposed legislative changes content and minimum standards of training the EPC the alert mechanism guidance impact on protected characteristics monetary impacts

https://www.gov.uk/government/consultations/mutual-recognition-of-professional- qualifications-in-healthcare

Taken from DH



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