The Knowledge @lert Service

A current awareness service for staff and students at Southport & Ormskirk hospitals

Knowledge @lert for Tuesday 17th March

March 17, 2020 CCG Daily News

Evidence based resources relating to COVID-19 compiled by the Library & Knowledge Service:

  • BMJ Best Practice – BMJ’s clinical decision support tool 
    • Covid-19
    • SARS
    • Middle East respiratory syndrome
  • Dynamed – Clinician-focused tool designed to facilitate efficient and evidence-based patient care.
    • COVID-19 (Novel Coronavirus)
    • Middle East Respiratory Syndrome Coronavirus (MERS-CoV)
    • Upper Respiratory Infection (URI) in Adults and Adolescents
    • Acute Respiratory Distress Syndrome (ARDS)
    • Community-acquired Pneumonia in Adults
  • UpToDate – CORONAVIRUS DISEASE 2019 (COVID-19) PANDEMIC
  • Access to GIDEON (Global Infectious Diseases and Epidemiology Online Network) has been enabled for all NHS Athens accounts nationally until end of April.  
    In the context of the spread of COVID19, this resource provides a tracker to identify areas and countries with cases and the number of cases, epidemiological reports, and clinical information. Click here to access.  (Please note that the link to GIDEON is in the menu bar at the top, not in the list of Ovid products). There is also a tutorial available https://tools.ovid.com/gideon/
  • National Library of Medicine (USA) Coronavirus Disease 2019 (COVID-19)
    Information pulled together by the National Library of Medicine based in Bethesda, Maryland, USA on the Coronavirus (Covid-19).
  • Research on COVID-19 and mortality published yesterday by the Imperial College COVID-19 Response Team
    The global impact of COVID-19 has been profound, and the public health threat it represents is the most serious seen in a respiratory virus since the 1918 H1N1 influenza pandemic. Here we present the results of epidemiological modelling which has informed policymaking in the UK and other countries in recent weeks. In the absence of a COVID-19 vaccine, we assess the potential role of a number of public health measures – so-called non-pharmaceutical interventions (NPIs) – aimed at reducing contact rates in the population and thereby reducing transmission of the virus. In the results presented here, we apply a previously published microsimulation model to two countries: the UK (Great Britain specifically) and the US. We conclude that the effectiveness of any one intervention in isolation is likely to be limited, requiring multiple interventions to be combined to have a substantial impact on transmission.

Coronavirus news from the HSJ
The Health Service Journal has made the section of its website dealing with Covid-19 free to view.


NHS Confederation: Shielding the NHS is a priority
Following strict guidance relating to the coronavirus outbreak being introduced by the Prime Minister, Chief Executive of the NHS Confederation, Niall Dickson, has called for us to protect our national healthcare service.


Junior doctors’ rotations paused amid covid-19 pandemic – Health Service Journal
Junior doctors’ rotations have been put on hold as the NHS continues to prepare for combating the coronavirus pandemic.


Total UK cases COVID-19 Cases – Update
Dashboard showing reported cases of coronavirus in the UK, including new cases, cases by upper tier local authority in England and number of deaths.


National Audit of Inpatient Falls
The Royal College of Physicians has published National Audit of Inpatient Falls: audit report 2020.  This first report of the continuous National Audit of Inpatient Falls focuses on patients in England and Wales who sustained an isolated hip fracture (IHF) between January and August 2019.


Improving maternity services
The Care Quality Commission has published Getting safer faster: key areas for improvement in maternity services.  This briefing is based on an analysis of published inspection reports, the findings from the 2019 maternity survey and discussions with providers and members of the public at a co-production event held last year.  It focuses on governance, leadership and risk management; individual staff competencies, team working and multi-professional training; and active engagement with women using maternity services.


NHS corporate governance map
The Healthcare Financial Management Association has updated its NHS corporate governance map.  The map brings together the key guidance and models to support effective corporate governance within the NHS. This update provides links to new items from national bodies as well as recent briefings from HFMA.


Procurement in the NHS
The Good Governance Institute and Connect Health have published Reimagining procurement in the NHS.  This report reflects on the findings of a series of engagement activities and presents some key learning for the NHS on the implementation of a new procurement approach. The report also explores the concept of best value and provides a series of case studies, and tools to support the development and implementation of a new procurement regime.


Clinical Commissioning Policies
NHS England and NHS Improvement have published the following Clinical Commissioning Policies:

  • Stereotactic ablative radiotherapy (SABR) for Hepatocellular Carcinoma (adults)
  • Stereotactic ablative radiotherapy (SABR) for patients with metachronous extracranial oligometastatic cancer (all ages)
  • Mercaptamine hydrochloride viscous eyedrops for corneal cystine deposits in people aged older than 2 years
  • Dexrazoxane for preventing cardiotoxicity in children and young people (under 25 years) receiving high-dose anthracyclines or related drugs for the treatment of cancer
  • Canakinumab for treating periodic fever syndromes: TRAPS, HIDS/MKD and FMF (ages 2 years and older)
  • Human coagulation factor X for hereditary factor X deficiency (all ages)
  • Vonicog alfa for the treatment and prevention of bleeding in adults with von Willebrand disease
  • Temozolomide as adjuvant treatment for people with newly diagnosed anaplastic astrocytoma without 1p/19q codeletion following surgery and radiotherapy (Adults)

Statistics

  • A&E attendances and emergency admissions – February 2020
  • Ambulance Quality Indicators: Clinical Outcomes – October 2019 data
  • Ambulance Quality Indicators: Systems Indicators – February 2020 data
  • Appointments in general practice – January 2020
  • Combined Performance Summary – February 2020
  • Community Services Statistics – November 2019
  • Critical care bed capacity and urgent operations cancelled – January 2020
  • Delayed Transfers of Care  – January 2020
  • Diagnostics waiting times and activity – January 2020
  • Monthly hospital activity data – January 2020
  • Mental Health Early Intervention in Psychosis – January 2020
  • Mental Health Services Monthly Statistics Final – December 2019, Provisional January 2020

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Covid-19 Knowledge Update 12th March

Knowledge @lert for Friday 20th March

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