Comprehensive Care: Older people living with frailty in hospitals – NIHR Dissemination Centre 
Comprehensive Care looks at the concept of ‘frailty’ in older people living in hospital.  It covers four key aspects of caring for older people living with frailty in hospital: Assessment; identifying and managing symptoms associated with frailty in hospital; discharge planning; and caring environments.
It features:

• 33 published studies
• 20 ongoing research projects
• Questions to ask about the care of older people with frailty in hospitals

Supporting research in the NHS: consultation – NHS England
This consultation seeks views on proposals to simplify and standardise the process for getting research projects up and running in the NHS. Feedback on the proposals will be accepted until 1 February 2018.

Response to the consultation on the draft Ionising Radiation (Medical Exposure) Regulations 2018 – Department of Health (DH)
This document summarises responses to a consultation on transposing EU directives on protection against the dangers arising from medical exposure to radiation.

Variation in emergency admissions within CCG areas
NHS England has published Challenging Health Inequalities: support for CCGs. This document aims to help identify areas of variation in emergency admissions in more and less deprived CCGs, and to promote a discussion where variation occurs. It is designed to support the CCG Improvement and Assessment Framework (IAF) health inequalities data on the myNHS website.

Degree apprenticeships guide refreshed – NHS Employers 
NHS Employers’ guide to degree apprenticeships has been updated with a new section on healthcare science apprenticeships. More information available on the Trust’s apprenticeships webpage

Britain’s industrial strategy and the NHS
The NHS Confederation has published Building a Britain for the future: understanding the Industrial Strategy white paper. On 27 November 2017 the Government published its industrial strategy. This briefing explains the Industrial Strategy’s aims and objectives, why it matters for the NHS and how the health service can play a part locally in and thus benefit from, realising the strategy. This briefing will be of interest for: NHS chief executives; chairs and non-executive directors, commissioners; workforce; transformation; innovation and public health.

Clinical negligence in hospital trusts
The House of Commons Public Accounts Committee has published 5^th Report Managing the costs of clinical negligence in hospital trusts.  The committee found that despite the spiralling costs for clinical negligence for trusts over the last decade, the government has been disappointingly slow and complacent in its response. The committee highlighted that there still seems to be a prevailing attitude of defensiveness in the NHS when things go wrong, and a reluctance to admit mistakes, which is likely to be leading to more clinical negligence claims.

Winter flow project
The Royal College of Emergency Medicine has launched its annual Winter flow project to look at system-wide pressures impacting on the emergency care system over the winter period. The project sees data collected from over 50 sites across the UK on a weekly basis and measures four hour performance, acute bed capacity, delayed transfers of care, cancelled elective operations and the number of locums and agency staff sites employ.

Commissioning guidance for improved diabetic foot care
The Royal College of Podiatry has launched an online commissioner’s guide aimed at improving diabetic foot care.  The online toolkit resource aims to support CCGs in England to commission improved services for diabetic foot disease. It provides information on: the impact of diabetic foot ulcers and amputations on patients’ lives and on NHS costs; the potential for improved care to transform lives and reduce NHS expenditure, and what good care looks like and how to restructure services and pathways.

Statistics

• Female Genital Mutilation: July to September 2017
• Conceptions to women aged under 18 in England and Wales: July to September 2016
• National General Practice Profiles: 2017 annual data update
• School-age children profile: 2017 update
• Cancer services profiles: 2017 update
• Young people profile: 2017 update
• End of Life Care Profiles: December 2017 update
• The UK 2017 Health Profile (pdf)

Bulletins

• Social Care Institute for Excellence SCIELine: 1 December 2017

HSJ Roundup (contact the Library for further details)

• Fourth trust joins hospital alliance ahead of pathology merger 
  A major alliance of acute providers in the West Midlands is being expanded to include a fourth trust, HSJ has learned.
• Half of online health services deemed ‘not safe’ in CQC inspections 
  A new regime for inspecting online health services has revealed nearly half were not providing a safe service for patients, according to Care Quality Commission reports.
• NHS DTOCs increase despite national push 
  The number of NHS bed days lost to delayed transfers of care increased in the second quarter of 2017-18 compared to the first, despite a national target to cut delayed discharges, analysis of official data reveals.
• Mental health trusts could be put in ‘impossible position’ by rule changes 
  Changes to the rules governing the detention of mental health patients in police cells could put trusts in an “impossible position” if there are not enough resources to improve access to hospital care, leading sector figures have warned.
• CCG gears up for second attempt at urgent care contract 
  Commissioning leaders in the North East are to begin new procurement proceedings for urgent care services after the previous contracting attempt broke down in the summer.

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

• UHMBT reaches flu vaccination target for frontline staff University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) has reached its target of vaccinating 75% of its frontline staff against flu – but is now aiming even higher! As with other trusts across the country, UHMBT had been set the target of vaccinating at least 75% of front line staff against flu this winter. […]
• 15 Minute Stroke Topic Training for Nurses and HCAs on the Acute Stroke Unit at the RUH, Bath Following recognition that the nurses and HCAs on the ASU find it very difficult to attend longer training sessions, an idea was developed to provide short bursts of training specifically aimed at them and provided at a time that suited them. We planned eight 15 minute sessions, once a week, at 13:30 on the ward. […]
• Advice and Guidance reducing GP outpatient referrals The Advice and Guidance (A&G) service allows GPs to seek advice from secondary care consultants and enables the management of patients in primary care. This service was implemented in Guildford and Waverley CCG with the intention to reduce the number of GP referrals for first outpatient appointments by supporting GPs to manage patients safely in […]
• Physiotherapy Student Weekends @PTOTSLTdept In light of the National movement towards 7 day working, the Royal United Hospitals Critical Care (CCS) and Surgical Physiotherapy team felt it would be ideal to trial Physiotherapy students working at weekends to explore the impact on patient care. This activity was based on a model used at St Georges, London. 4 year 3 […]
• NHS ask people of Cumbria to get snapping in latest recruitment efforts NHS organisations in Cumbria are asking the public to help them in their latest efforts to recruit health professionals to the county. North Cumbria University Hospitals NHS Trust (NCUH) and Cumbria Partnership NHS Foundation Trust (CPFT) have launched an appeal for photos that represent what it’s like to live and work in Cumbria. The photos […]