Contact the Library for further information on any of the topics listed below.

State of the Art Review. Sepsis: pathophysiology and clinical management – BMJ
Sepsis, severe sepsis, and septic shock represent increasingly severe systemic inflammatory responses to infection. Sepsis is common in the aging population, and it disproportionately affects patients with cancer and underlying immunosuppression. In its most severe form, sepsis causes multiple organ dysfunction that can produce a state of chronic critical illness characterized by severe immune dysfunction and catabolism. Contatct the Library for the full article.

View the infographic: http://www.bmj.com/content/353/bmj.i1585/infographic

Inpatient survey 2015 –  Care Quality Commission
This survey provides information on the experiences of people admitted to an acute or acute specialist NHS hospital in England in 2015. The results indicate that there have been small, but statistically significant improvements in a number of questions, compared with results dating back to the 2014, 2011 and 2006 surveys. This includes patients’ perceptions of the quality of communication between medical professionals (doctors and nurses) and patients, the standards of hospital cleanliness, the availability of help to eat when needed, the number of nurses on duty and being involved in decisions about their care and treatment.

Five evidence-based reasons why the NHS is better within Europe – Ara Darzi – Health Service Journal
As the EU referendum grows ever closer, Lord Darzi, Elias Mossialos and colleagues seek to redress a lack of evidence on the role of the union on our health system.

Hospital trust should lose major services – Health Service Journal
Bedford Hospital Trust should be stripped of major services including obstetrics and the majority of its emergency surgical care as part of a local service reconfiguration, a review has recommended.

£2.5bn PFI costs are not part of merger, chief executive insists – Health Service Journal
Nottingham University Hospitals Trust has refused to take on a £2.5bn private finance deal as part of its planned merger with Sherwood Forest Hospitals, HSJ has learned.

The Healthy Liverpool Children’s Programme – evaluating a local integration programme in the children’s sector.  Journal of Integrated Care, Volume 24, Issue 3, June 2016.
The paper reports the preliminary evaluation findings of an integration programme in the children’s health care sector in the North West of England. The programme was led by the local Clinical Commissioning Group (CCG) utilising a semi-autonomous working group model. It comprised horizontal and vertical integration. The evaluation reflects the emerging policy context of CCG leadership in the field of health care planning and commissioning.

Innovator hospital slashes A&E admissions but ambulance delays surge – Health Service Journal
Emergency admissions have fallen 14 per cent at a new specialist hospital hailed as the future of NHS urgent care since it opened last year, latest figures reveal.

How Northumbria is redesigning urgent care – Health Service Journal
Mike Waites examines how Northumbria Specialist Emergency Care Hospital is transforming emergency care provision in the North East, but not without significant teething problems

Eyes on Evidence
The latest edition of Eyes on Evidence (June 2016) includes the following items:

• Eyes on evidence: end of service
• Perioperative anticoagulation for people with atrial fibrillation
• Nurse-led titration of drug doses in chronic heart failure
• Basic versus advanced life support for medical emergencies
• Ulstrasound during pregnancy to identify small-for-gestational-age infants
• Balance training to prevent injuries from falls in older people
• Ongong effects of child contact arrangements in cases of domestic
• Evidence summaries from NICE’s Medicines and Prescribing Programme
• Case studies from the Quality and Productivity collection

Health Education England website survey
Health Education England is trying to gain insights from their website users about what experiences they have when using any of Health Education England’s websites, with a special focus on those websites around training and recruitment. They have set up a ten minute survey for users to register their thoughts with the aim of improving access to information. The survey closes on 12 June 2016.