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Knowledge @lert for Thursday 12th July

July 12, 2018 CCG Daily News

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Long stays dashboard
NHS Improvement has published The long-stays dashboard.  This is intended to help providers, CCGs and local authorities to monitor and manage hospital length of stay in acute hospitals.  It is accompanied by a number of resources.  An account is required to use the dashboard.


Adult social services revenue funding
The Department of Health and Social Care has published Adult personal social services: revenue funding 2018 to 2019.  This local authority social services letter (LASSL) confirms specific revenue funding and grant allocations for adult social care services.


Urology: GIRFT report
The Getting It Right First Time (GIRFT) programme has published Urology: GIRFT Programme National Specialty Report.  Following visits to 134 trusts providing urology services, this report examines the way that urology is currently provided in England and sets out 18 recommendations to improve the these services.  The recommendations bring opportunities for efficiencies and savings of up to £32.5m


Learning from ‘Never Events’
The Care Quality Commission has published an update on work to review issues that contribute to the occurrence of Never Events.  These slides provide an update to the work currently underway and list some of the main themes which are starting to emerge.


NHS quarterly monitoring report
The King’s Fund has published How is the NHS performing?  June 2018 quarterly monitoring report.  This survey of NHS finance directors takes stock of what has happened in the NHS over the last three months, including the recently announced funding offer.  It shows services remain under pressure. Additional link: King’s Fund blog


Improving care for people with MS
The Nuffield Trust has published Improving care for people with MS: the potential of data and technology.  This report maps out the technology already available for people with MS, and considers what more could be done with what is available and how data and technology could be better exploited in future to improve MS health care. Additional link: Nuffield Trust blog


NHS funding settlement
NHS Providers has published The NHS funding settlement: recovering lost ground.  Following the recent announcement of funding for the NHS, this report is intended to open a debate on how the new money could be divided between recovery, transformation, keeping up with rising costs and improving outcomes for patients, by focusing on the costs of recovering the NHS position on performance and finance which is the first step. Additional links: Interview – NHS Providers’ policy advisor (finance) | Blog – the ten year plan must be realistic about the scale of the recovery task ahead | Blog – Recovering lost ground in the NHS


Clinical commissioning policies
Following recommendations from the Clinical Priorities Advisory Group, NHS England has published a number of clinical commissioning policies for new treatments that will now be routinely available on the NHS.


Physiotherapy for musculoskeletal health and wellbeing
The National Institute for Health Research has published Moving forward: physiotherapy for musculoskeletal health and wellbeing.  This review includes 30 physiotherapy-related published studies funded by the National Institute for Health Research (NIHR) which have made a difference to musculoskeletal health and care.  It highlights evidence on why research in this area matters, assessment and matching patients to treatment, restoring musculoskeletal health and maintaining musculoskeletal wellbeing.


Physical activity: muscle and bone strengthening
Public Health England has published Muscle and bone strengthening and balance activities for general health benefits in adults and older adults (pdf).  This report is part of a suite of resources aimed at addressing the physical inactivity epidemic.  It summarises a rapid evidence review of muscle and bone strengthening and balance activities (MBSBA) for general health benefits in adults and older adults. It makes suggestions for actions to implement the findings for the public, practitioners and policy makers


Evidence based interventions
NHS England, in collaboration with other health organisations, has launched a consultation on Evidence Based Interventions.  The consultation looks at the design principles of the Evidence Based Interventions Programme for reducing the delivery of clinically ineffective interventions.  The finalised programme will be announced later this year.  The consultation closes on 28 September 2018.


10 priorities for the Secretary of State for Health and Social Care
The NHS Confederation has published Ten priorities for the new Secretary of State for Health and Social Care, Matthew Hancock.


NICE guidance

NG99 Brain tumours (primary) and brain metastases in adults
NG100 Rheumatoid arthritis in adults: management

 Quality standard

QS33 Rheumatoid arthritis in over 16s

Diagnostics guidance

DG33 Biomarker tests to help diagnose preterm labour in women with intact membranes

Medtech innovation briefing

MIB151 Airglove air warming system for venous access

Technology appraisal guidance

TA528 Niraparib for maintenance treatment of relapsed, platinum-sensitive ovarian, fallopian tube and peritoneal cancer
TA529 Crizotinib for treating ROS1-positive advanced non-small-cell lung cancer
TA530 Nivolumab for treating locally advanced unresectable or metastatic urothelial cancer after platinum-containing chemotherapy

NIHR Signals

  • Cartoons are promising for reducing dental anxiety in children
  • Opioid drugs are no better than standard painkillers for long-term back and joint pain
  • Oral ibuprofen may be an option for closing patent ductus arteriosus in premature babies
  • Fish oil supplements are ineffective for treating dry eyes
  • Cannabis derivative may reduce seizures in some severe drug-resistant epilepsies, but adverse events increase
  • Group-based diet and exercise programmes can lead to weight loss
  • Yoga-based exercise can improve well-being for older people
  • Early, intense rehabilitation helps recovery after serious traumatic head injury
  • Balanced electrolyte solutions give marginal benefit over saline for very ill patients

Statistics

  • Practice Level Prescribing – presentation level data – April 2018

Bulletins

  • Commissioning Excellence – July 2018
  • NICE Update for Primary Care – June 18
  • NICE News – June 2018
  • NICE in social care – May 2018
  • NICE in social care – June 2018
  • NICE in social care – July 2018

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