Knowledge @lert for Thursday 23rd March

March 23, 2017 CCG Daily News Uncategorized

Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients With Suspected Infection Presenting to the Emergency Department
This piece of research has lead to a practice changing update on DynaMed Plus*. It concludes that among adults with suspected infection admitted to an ICU, an increase in SOFA score of 2 or more had greater prognostic accuracy for in-hospital mortality than SIRS criteria or the qSOFA score. These findings suggest that SIRS criteria and qSOFA may have limited utility for predicting mortality in an ICU setting. [*available with NHS Athens Account – contact the library for further details]

Six Steps to Managing Demand in Adult Social Care – a performance management approach – Institute of Public Care (IPC) at Oxford Brookes University
Critical steps for managing demand in social care, as well as a range of strategic objectives and suggested performance indicators and targets.
The steps are:

Managing demand through the front door of the Council
Managing demand from acute hospitals
Effective short-term interventions for people in the community
Designing the care system for people with long term needs
Developing a workforce to manage demand
Governance and management arrangements to sustain improvements

CCG decides minor injury units to be closed and replaced – Health Service Journal
Clinical leaders in Yorkshire have decided to close three minor injuries units and replace the others with urgent care centres as part of a major reconfiguration of services.

Surge in child emergency admissions prompts new care standards – BMJ
The rising number of children attending emergency departments has prompted experts to produce new standards for specialist assessment units to deal with demand and help prevent children from being admitted to hospital inappropriately.

Self-care: everybody’s talking about it – Regional Voices
This paper highlights the need to support patients to better manage their own health and the need for greater recognition of the potential for voluntary and community services contribution towards this. The discussion paper outlines the benefits of promoting self-care approaches and the briefing for the voluntary and community sector contains case studies.

NHS procurement transparency: NHS Standard Contract [updated guidance] – Department of Health
This updated document provides guidance to all NHS foundation and non-foundation trusts on the actions to take to increase openness and clarity about NHS procurement. Although this document is not applicable to independent sector providers of NHS healthcare, such providers may wish to consider the benefits of adopting the guidance in this document.

The actions focus on:

opening up public procurement
being transparent about expenditure
sharing expenditure data

Staff at inadequate trusts worst for reporting patient harm – Health Service Journal
Staff working at NHS trusts rated inadequate by the Care Quality Commission are significantly more likely to witness harmful errors but less likely to report them, a CQC report has found.

Government’s mandate to NHS England
The Department of Health has published The Government’s mandate to NHS England for 2017-18. This mandate to NHS England sets out the government’s objectives for NHS England, as well as its budget. It sets out plans to ensure that NHS England delivers the best care and support to NHS patients, but also continues to deliver the reform and renewal needed to sustain the NHS for the future.

Finance directors survey
NHS Providers has published NHS finance directors survey: NHS Providers report (pdf). This report presents the results of a survey of finance and commercial directors in NHS trusts and foundation trusts in England in February 2017. It asked questions concerning how financial plans are progressing for the next financial year, what the financial outlook is, and how providers have responded to the issues related to control totals.

Delivering an Outcomes-based NHS: Creating the Right Conditions – OHE Seminar Briefing
Summary of a seminar given by Dr Nicholas Hicks, COBIC (Capitated Outcomes-Based Incentivised Care).
The COBIC approach involves six elements: (1) defined population and scope, (2) desired outcomes associated with indicators, (3) service model redesign, (4) financial analysis and defined budget, (5) agreed contract form and duration, describing incentives and risks, and (6) readied and prepared service providers.
Includes discussion of the Bedfordshire Musculoskeletal (MSK) project, where COBIC worked with Bedfordshire CCG to improve MSK care and outcomes, and to decrease per capita costs.

Guidance: Hospital tap water scheme: current distribution – Public Health England
Updated: Added hospital tap water scheme: distribution HTW9 request form. The examination covered will be Pseudomonas aeruginosa and the distribution will consist of 2 samples.

Clinical commissioning group guidance on senior appointments, including accountable officer – NHS England
Updated policy and procedures for appointing a new accountable officer to a CCG.

NICE guidance
NICE guideline
NG66 Mental health of adults in contact with the criminal justice system

Evidence summaries
ES9 Parkinson’s disease with end-of-dose motor fluctuations: opicapone
ES10 Hyperhidrosis: oxybutynin

NICE Shared Learning
NICE has published the following Share Learning case studies:

Statistics