Knowledge @lert for Wednesday 31st July

July 31, 2019 CCG Daily News

Primary Care Networks
The Community Network has published Primary care networks: a quiet revolution. This document provides a guide for provider organisations on how to engage effectively with PCNs. The paper draws on published guidance, discussions with PCN leaders in NHS England and NHS Improvement and discussions with providers of community services.

Management of asthma: guideline
The Scottish Intercollegiate Network and British Thoracic Society have updated their guideline British guideline on the management of asthma. This update includes a complete revision of the section on monitoring asthma including new information on predicting future risk of asthma attacks. It also updates sections on pharmacological management of asthma, supported self-management, non-pharmacological management of asthma, and management of acute asthma. It also includes a new checklist of information for patients and carers

Emergency admissions from care homes
The Health Foundation has published Emergency admissions to hospital from care homes: how often and what for? This briefing presents the results of a national analysis of emergency admissions from care homes across England, to provide insight into how often care home residents are being admitted to hospital and the types of conditions that are causing their admissions. Drawing on evaluations of four enhanced care packages provided to care home residents, it also explores the factors that may be most influential in reducing hospital admissions.

Rapid Diagnostic Centres (cancer)
NHS England and NHS Improvement have published Rapid Diagnostic Centres vision and 2019/20 implementation specification. This document outlines the vision and approach for how Rapid Diagnostic Centres will develop and support the transformation of cancer diagnosis services over time. It also provides an implementation specification for Cancer Alliances to begin setting up Rapid Diagnostic Centres in 2019/20.

Social enterprises
The NHS Confederation as published Social enterprises: part of the NHS family – an explanatory guide for the wider NHS. This guide describes social enterprises and the role they play in delivering better health and social care outcomes for the communities they serve.

NIHR Signals
The following research summaries have been added to the National Institute for Health Research website:

Enhancing supervision for postgraduate doctors in training
This report sets out what high quality supervision looks like for doctors in training and provides a practical toolkit to assist trainees and supervisors. It forms part of a suite of resources including a handbook, a standards document and animation film and aims to provide trainees, trainers and supervisors with easy to understand information to ensure supervision is delivered and received in the best possible way.

Emergency admissions to hospital from care homes: how often and what for?
This briefing from the Improvement Analytics Unit, a joint initiative between NHS England and the Health Foundation, finds that that more than four in ten (41 per cent) emergency admissions to hospital involving care home residents could be potentially avoided with better provision of preventative primary care, community support or NHS care in care homes.

NHS staff pay

The following reports relating to pay for NHS staff have been published:

The National Health Service Pay Review Body 32^nd Report: 2019 sets out the NHSPRB’s analysis of evidence provided by relevant organisations and makes observations on the pay of NHS staff paid under Agenda for Change for 2019/20
The Review Body on Doctors’ and Dentists’ remuneration 47^th Report 2019 sets out the DDRB’s analysis of evidence given by relevant organisations and makes recommendations for doctors’ and dentists’ pay and associated issues in England, Wales, Scotland and Northern Ireland.

NICE guidance

Quality Standard

QS187	Learning disability: care and support of people growing older
QS101	Learning disability: behaviour that challenges (updated)
QS35	Hypertension in pregnancy (updated)

Technology appraisal guidance

TA588	Nusinersen for treating spinal muscular atrophy
TA589	Blinatumomab for treating acute lymphoblastic leukaemia in remission with minimal residual disease activity

Interventional procedures guidance

IPG656	Transurethral laser ablation for recurrent non-muscle-invasive bladder cancer
IPG657	Ultrasound-guided high-intensity transcutaneous focused ultrasound for symptomatic uterine fibroids

Medtech innovation briefing

MIB187

HemaClear for bloodless surgical field during limb surgery

NICE guideline