Knowledge @lert for Thursday 21st July
Are we up for the challenge of the STPs? – NHE
Sustainability and transformation plans (STPs) have been all NHS and council leaders can talk about in recent months. But do they have what it takes to truly transform the health and social care system, and are organisations up for the challenge? Luana Salles reports. One of the most memorable analogies made during this year’s NHS…
Vanguards: from set-up to delivery – NHE
At this year’s Health+Care Show, NHS England’s national lead for primary and acute care systems (PACS) in the New Care Models programme, Jacob West, updated attendees on the recent progress of the up-and-coming Vanguards. Luana Salles reports. One of the first things attendees heard at this year’s Health+Care conference…
NHS sets out plan to road test maternity services of the future – NHS England
NHS England has today (21 July) laid out new plans to improve maternity services and is calling on local areas to road test new ways of working. The Maternity Transformation Programme has now identified nine working areas to take forward implementation of the recommendations set out in the report of the national maternity review, Better […]
Five ways to leave an organisation well – NHE
Karen Lynas, interim managing director at NHS Leadership Academy, explores how to successfully leave an organisation and team and do so well enough to ensure the success of what you leave behind. We’ve recently started a new support offer for newly appointed chief executives looking particularly at their first 100 days. Indeed, we…
New figures reveal the extent to which UK health services are reliant on staff trained in the EU – RCN
The RCN is today calling on the Government to secure the future of EU nurses working in the UK. The call comes as new figures reveal the extent to which the health service is reliant on them, and the potential damage that continuing uncertainty over their future could have on trusts’ ability to provide safe care. The figures obtained from the Nursing and Midwifery Council (NMC) show there are currently more than 33,000 EU trained nurses registered to work in the UK – which is more than the total number of nurses working in Wales.
Good governance – The Good Governance Institute
The Good Governance Institute has published two new reports that consider issues contributing to the better governance of healthcare organisations. The reports are as follows:
Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture – BMJ Qual Saf August 2016
These findings suggest that managers need to pay attention to the training needs of office staff, since this was an area with one of the greatest gaps in perceptions. In addition, both office managers and physicians need to encourage more open communication. As medical offices innovate to improve value, efficiency and patient-centred care, it is important that they continue to foster shared perceptions about what organisational members need, understanding that those perceptions may differ systematically by job position.
Crew resource management training in the intensive care unit. A multisite controlled before-after study – BMJ Qual Saf August 2016
There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these non-technical skills. The present study evaluated the effectiveness of CRM in the ICU.
‘Big question marks’ over how CCGs will pay for £200m care hike – Health Service Journal
A price hike to the cost of NHS funded nursing at care homes of nearly £200m a year could put “significant pressure” on clinical commissioning groups’ budgets, commissioning leaders have warned.
NHS England plans to heal relations between government and junior doctors – BMJ
NHS England has concerns over the morale of NHS staff and will look again at the work conditions and training arrangements of junior doctors, NHS leaders have told MPs. Relations have been strained by the recent industrial dispute and the government’s decision to impose a new contract on junior doctors later this summer despite that contract being rejected by a majority of junior doctor BMA members in a ballot.
DH avoids ‘excess vote’ on budget, but faces NAO concern – Health Service Journal
The Department of Health will not have to request extra cash from parliament to cover overspending in 2015-16, but is expected to face concerns over its annual accounts from the National Audit Office, HSJ understands.
Trusts given eight days to declare ‘unsustainable service’ plans – Health Service Journal
Trusts and sustainability and transformation plan leaders have been given eight working days to show how they will consolidate back-office and pathology services and put “unsustainable services” on a secure footing.
Health technology – NHS England
The Widening Digital Participation Programme run by NHS England and the Tinder Foundation have published Health and Digital: reducing inequalities, improving society: an evaluation of the widening digital participation programme. The idea was to see how improved digital health literacy could improve the health outcomes for groups most likely to experience health inequalities. As a result of the programme 59% of learners report feeling more confident to use online tools to manage their health, 65% feel more informed and 52% say they feel less lonely with 62% saying they feel happier as a result of social contact, an important indicator for overall wellbeing.
Raising concerns e-learning module now available – NHS Employers
Health Education England has developed a new e-learning resource to help equip healthcare staff to raise concerns.
Manchester to launch single ‘out of hospital provider’ in April – Health Service Journal
STRUCTURE: Health leaders in Manchester will aim to create a single provider of out of hospital services by April 2017, as well as merging two major teaching trusts.
Eyes on Evidence
The latest edition of Eyes on Evidence (July 2016) includes the following items:
- Eyes on Evidence: end of service
- Modified Valsalva manoeuvre for supraventricular tachycardia
- Effects of calcium intake on bone mineral density and fracture risk
- Bleeding risk with anticoagulants in atrial fibrillation or venous thromboembolism
- Urgent referral for suspected cancer
- Behavioural support with pharmacotherapy for smoking cessation
- Improving physical activity among older people in the community
- Evidence summaries from NICE’s Medicines and Prescribing Programme
Statistics
Care Information Choices, England – July, 2016
Gender ratios at birth in Great Britain – 2010 to 2014
Bulletins
Drug Safety Update – July 2016
NHS Workforce Bulletin: 18 July 2016