Knowledge @lert for Monday 4th June

June 4, 2018 CCG Improvement

Emergency readmissions to hospital
The Nuffield Trust and the Health Foundation have published Emergency readmissions: trends in emergency readmissions to hospital in England. This report, part of the QualityWatch research programme, looks at hospital data detailing patient diagnoses and the reasons behind emergency hospital readmissions between 2010/11 and 2016/17. It aims to highlight where improved quality of care in hospital or the community might have prevented readmission. The analysis tracks a 19% rise in patients being readmitted to hospital in an emergency within 30 days of discharge between 2010/11 and 2016/17. Within this, the author identifies a 41.3% rise in emergency readmissions for conditions they classify as “potentially preventable”.

Corporate records retention and disposal schedule and guidance – NHS England
This document outlines the policy for the retention and disposal of records held by NHS England. It provides guidance for all NHS England staff on managing corporate information and records.

Two week wait cancer capacity and demand tool – NHS Improvements
A model to help you understand your two week wait demand and estimate the capacity you may need to meet it.

NHS managers should develop a stronger voice for good management – looks at how good management can influence productivity and value

How to communicate well in a crisis – examines why preparation is key when it comes to managing communications during emergencies

Hospital reconfiguration: if workforce is the problem, why is workforce not the solution? Hospital reconfiguration may not be the first solution to workforce problems

Winter flow report
The Royal College of Emergency Medicine has published RCEM winter flow project: final report: June 2018. This report summarises data collected weekly from 56 sites between October 2017 and March 2018 measuring four-hour performance, acute bed capacity, delayed transfers of care, cancelled elective operations and the number of locums and agency staff sites employ. The report confirms that, despite some improvements, winter of 2017/18 was one of the worst for emergency care system performance in the history of the NHS.

Adverse childhood experiences
The Department of Health and Social Care has published the following documents:

A trauma-informed health and care approach for responding to child sexual abuse and exploitation – includes personal case studies and recommendations for a trusted relationship model.
Routine enquiry about adverse childhood experiences: implementation pack pilot evaluation, final report – findings from a pilot implementation pack to support routine enquiry about adverse childhood experiences

Pathways for alcohol treatment
Public Health England has published Developing pathways for alcohol treatment. This guidance is about developing pathways for referral and care and for patients whose routine alcohol screening in secondary care suggests that they may be alcohol dependent. It may be of use to commissioners and planners.

Innovation and technology payment
NHS England has published NHS England innovation and technology payment 2018 to 2019 technical notes. This guidance is provided as a supporting document for the Innovation and Technology Payment 2018 – 2019. It sets out the innovations, specifications, reimbursement and reporting requirements.

National health campaigns in June