Benign gynaecological care
The Royal College of Obstetricians and Gynaecologists has published Patterns of benign gynaecology care in English NHS hospital trusts.  The report, carried out in collaboration with the London School of Hygiene and Tropical Medicine, identifies a number of national indicators to provide an overview of benign gynaecological care in England. This includes inpatient care, emergency readmission and longer-term surgical outcomes.  Initial indicators suggest some variations in both care and longer-term outcomes between trusts.

Child to adult transition in clinical audit
The Healthcare Quality Improvement Partnership has published Addressing child to adult transition in national clinical audit: a guide.  This guide explores the topic of child to adult transition and its relevance to clinical audits It offers a practical guide on how to address transition through the different stages of audit development for those who commission, design and participate in national clinical audits and includes information on policies, guidelines, standards and healthcare commissioning incentives.

Temporary staffing agencies
NHS Improvement has announced the NHS could free up £480m to reinvest into NHS services and improve patient care if trusts filled temporary vacancies with workers from a ‘staff bank’ instead of using expensive staffing agencies.

Incentivising same-day discharges
The Centre for Health Economics has published Paying for efficiency: incentivising same-day discharges in the English NHS.  This report evaluates a pay-for-efficiency scheme that encourages hospitals to admit and discharge patients on the same calendar day where clinically appropriate.  It analyses administrative data for patients treated for 191 conditions for which same-day discharge is clinically appropriate — of which 32 are incentivised — during 2006-2014. The policy generally had a positive effect on planned conditions with a statistically significant effect in about a third of conditions. The results are more mixed for emergency conditions.

Self-harm in children
The Children’s Society has published The good childhood report 2018.  This report examines the state of children’s well-being in the UK from a survey of 10-17 year olds and their parents.  One of the main findings highlighted in the report was that nearly a quarter of girls aged 14 said they had self-harmed in a year.  The research also suggested both boys and girls can be harmed by gender stereotypes and pressure to live up to these expectations.

FolksLab toolkit
NHS England has published FolksLab Toolkit “The people’s laboratory”.  This guide provides an overview of how the FolksLab toolkit works to help staff in the health and care system run effective workshops.  The purpose of the FolksLab is to give participants space to share and understand a problem, generate multiple ideas to solve the problem and undertake a rapid prototype design, build and feedback exercise using a range of creative materials supplied.

Public engagement in research and innovation policymaking
Nesta has published Seven principles for public engagement in research and innovation policymaking.  This guide draws on the observations and learnings of Nesta’s Inclusive Innovation team, exploring why public involvement is essential and sharing seven key principles that could form the basis of a new model of public engagement in decision-making about research, technology and innovation.

Rethinking outpatient services
The Nuffield Trust has published Rethinking outpatient services: learning from an interactive workshop. This briefing summarises learning from an event to hear from people who had made significant changes to their outpatient services about what they did and the impact it had to date.  It focuses on three areas: how patients were referred to outpatient services, what happened when they were there, and follow-up care.

Integrated care and patient insight
The King’s Fund has published a long-read Joined up listening: integrated care and patient insight.  This article explores the opportunity that integrated care presents for using insight from people and populations to design services that meet their needs and reflect their priorities. This includes breaking down siloes within and between organisations to listen to what patients are saying across their entire pathway of care.

Integrating NHS pharmacy and medicines optimisation into STPs and ICSs
NHS England has published Integrating NHS pharmacy and medicines optimisation into Sustainability and Transformation Partnerships and Integrated Care Systems. This document describes the approach for “testing” the principles of a framework for NHS pharmacy and medicines integration within Sustainability and Transformation Partnership (STP) and Integrated Care System (ICS) pilot areas during 2018/19.

Atlas of Shared Learning
The following case studies have been added to the Atlas of Shared Learning:

• Intermediate care pathway – enhancing the Discharge to Assess model of care
• Dementia friendly patient identification wrist bands

• Practice nurses promoting flu vaccines to the homeless community by setting up a nurse-led outreach clinic with support from partners at Leicester CCG and Leicester City Council
• Reducing waiting times in phlebotomy outpatients
• Practice nurses promoting flu vaccines to the homeless community by setting up a nurse-led outreach clinic with support from partners at Leicester CCG and Leicester City Council
• Dementia friendly patient identification wrist bands
• Intermediate care pathway – enhancing the Discharge to Assess model of care

NHS England case studies

• C the Signs – How artificial intelligence (AI) is supporting referrals (identification of patients at risk of cancer)
• Breast cancer survivors control their follow-up care in Maidstone
• Rapid Access Diagnostic Clinic for vague symptoms at Guy’ and St Thomas’
• West Midlands is leading recruiter to national genomics programme

NICE surveillance reports
NICE has published the Surveillance Reports below.  These provide a summary of new evidence published related to a NICE guideline and include the decision that NICE has taken about the need to update the relevant clinical guideline in light of this new evidence.

• Fractures (complex): assessment and management (NG37, 2016) – surveillance decision: NICE will partially update the guideline
• Domestic violence and abuse: multi-agency working (PH50, 2014) – surveillance decision: NICE will not update the guideline
• Gallstone disease: diagnosis and management (CG188, 2014) – surveillance decision: NICE will not update the guideline
• Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors (CG110, 2010) – surveillance decision: NICE will not update the guideline
• Common mental health problems: identification and pathways to care (CG123, 2011) – surveillance decision: NICE will not update the guideline
• Venous thromboembolic diseases: diagnosis, management and thrombophilia testing (CG144, 2012) – surveillance decision: NICE propose no update of the guideline.

NICE guidance

Interventional procedures guidance

IPG626    Leadless cardiac pacemaker implantation for bradyarrhythmias

IPG627    Superior rectal artery embolisation for haemorrhoids

Technology appraisal guidance

     TA5  Lutetium (177Lu) oxodotreotide for treating unresectable or metastatic neuroendocrin tumours   

 Medtech innovation briefings

Statistics

• Dental Working Hours – 2016/17 and 2017/18: Working Patterns, Motivation and Morale [PAS]
• Dental Earnings and Expenses Estimates – 2016/17
• NHS Dental Statistics for England – 2017-18, Annual Report [PAS]
• GP Contract Services, England – 2018-19
• GP Earnings and Expenses Estimates – 2016/17
• GP Earnings and Expenses Estimates Time Series
• Maternity Services Monthly Statistics, England – May 2018, Experimental statistics
• Never Events data – 1 April to 31 July 2018
• National Data Opt-out – August 2018