Patient safety alert: Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies – NHS Improvement
A warning alert has been issued on the risk of harm and death from infusing total parenteral nutrition too rapidly in babies.

Freedom to Speak Up guardian survey 2017: findings and recommendations – Care Quality Commission (CQC)
This report outlines the results of a survey of NHS whistleblowing guardians which aimed to understand how the role has been implemented, who is being appointed to the role and guardians’ views on the Freedom to Speak Up initiative. The report makes ten recommendations for the development of the role as a result of the findings of the survey.

Improving staff retention: a guide for employers – NHS Employers
This guide reflects and builds upon the work that NHS Employers has been doing since late 2016 with 92 NHS trusts, to identify and implement actions that can reduce the rate of leavers in NHS organisations. It also includes a number of case studies that illustrate the breadth of work that is being done across the NHS to improve staff retention.

Standards for general practice nurses
The Queen’s Nursing Institute has launched General Practice Nurse Standards: voluntary standards for education and practice.  The standards have been designed to reflect the requirements of this role, working in new models of care and to reflect the rapid changes in the primary care environment.

Steering towards strategic commissioning
NHS Clinical Commissioners has published Steering towards strategic commissioning: transforming the system.  This analysis, informed by a survey and interviews with CCG leaders, found there is a strong belief that healthcare commissioning must continue to be clinically led, operate at a scale larger than a CCG footprint, retain its purchasing function and remain accountable to the local population.

Fair organisational decision making
RAND Europe has published Understanding how organisations ensure that their decision making is fair.  The General Medical Council commissioned RAND Europe to conduct a study examining the tools, practices and processes used by organisations to support fair decision making.

Practical guidance on sharing of information and information governance for all NHS organisations specifically for Prevent and the Channel process – NHS England
This guidance is intended to assist those involved in information sharing and information governance for the purpose of Prevent, a counter-terrorism safeguarding programme. It is designed to assist in the decision making process about the appropriateness of sharing information (particularly sensitive health information) such as the decisions made by Caldicott Guardians.

NICE guidance:
NICE guideline

Interventional Procedure Guidance

Clinical Guideline (update)

Quality Standard (update)

Public health guideline (update)

Technology appraisal guidance (update)

Statistics

• Psychological Therapies: reports on the use of IAPT services, England – June 2017 final
• Personal well-being in the UK – April 2016 to March 2017
• Deaths registered by area in England and Wales, monthly provisional – August 2017
• National life tables, UK – 2014 to 2016
• Estate Returns Information Collection summary page and dataset for ERIC 2016/17
• National patient safety incident reports – September 2017
• Organisation patient safety incident reports – 27 September 2017

HSJ Roundup (contact the Library for further details)

• Smallest hospital trust moves closer to downgrade and merger 
  England’s smallest acute trust has moved a step closer to downgrading its emergency services, with the publication of proposals for “a new community focused role… at the heart of the new model of care”.
• Staffing agencies’ profits fall after national squeeze on rates 
  The four largest agencies supplying temporary medical staff to the NHS have seen a 24 per cent fall in turnover, HSJ analysis reveals.
• CCGs overspend by £60m but only one revises forecast 
  Local commissioners overspent against their financial plans by nearly £60m in the four months to August, but NHS England still expects them to deliver a near-breakeven position by the end of 2017-18.
• Previously blocked trust merger could be complete in a year 
  A long awaited merger between two foundation trusts in a leading accountable care system could be completed within a year.
• NHS trusts with most E coli infections revealed 
  Infections from E coli cost the NHS more than £50m a year and are associated with 5,000 patient deaths, official data reveals.
• Nine trusts plan pharma network to save £17m 
  Nine acute trusts are collaborating on a pharmaceutical network that could achieve efficiency savings estimated at more than £17m.
• Consultant shortages mean sepsis standards ‘unachievable’ 
  The National Institute for Health and Care Excellence has clarified its latest advice on sepsis after warnings that a shortage of consultants makes the standards “unachievable”.
• Triple trust merger delayed
  A merger between three West Midlands trusts to create one of the biggest community and mental health providers in the county has been delayed, HSJ can reveal.
• Moving trust to new hospital is ‘best suboptimal solution’
  A clinical review has found plans to move maternity services in Liverpool offer the ‘best suboptimal solution’ for patients in the city.
• NHS trusts to offer whistleblowers ‘trial employment’
  A pool of NHS trusts prepared to offer trial employment to whistleblowers is being created by NHS Improvement.
• Labour would bring PFI contracts ‘back into the NHS’
  A Labour government would “bring” private finance initiative contracts “back in house”, the shadow chancellor has announced.
• ‘Status quo is not an option’ as seven trusts agree joint working deal 
  Seven trusts in an acute care vanguard have ruled out a merger as part of a joint working agreement to reconfigure services.

Our Fabulous NHS – Academy of Fabulous Stuff
***Get involved*** –  share your fab stuff!

• BDCFT Falls Prevention – Safe and Well checks A PIONEERING partnership to support vulnerable people at risk of falls has been launched district-wide following a successful pilot in Keighley. Bradford District Care NHS Foundation Trust has teamed-up with West Yorkshire’s fire and rescue service for the 18-month scheme. All firefighters throughout Bradford and Airedale will be trained to identify, as part of their […]
• New acute stroke unit opens to patients after major investment Patients in North Lancashire and South Cumbria will now benefit from a brand new stroke unit at the Royal Lancaster Infirmary (RLI), thanks to a major investment of over £1m. The Huggett Suite, is based in the Centenary Building, and will provide the RLI with six acute stroke beds and an assessment bay. In addition […]
• Rotational Apprenticeship schemes across health and social care The Health Education England working across Kent, Surrey and Sussex (HEE KSS) career progression programme piloted health and social care rotational apprenticeship programmes in West Sussex and Kent which aimed to improve education, training and development opportunities available to those aspiring to or working in health and social care. They had placements in an acute/community […]