{"id":1103,"date":"2014-09-17T12:42:01","date_gmt":"2014-09-17T11:42:01","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=1103"},"modified":"2014-09-17T12:46:34","modified_gmt":"2014-09-17T11:46:34","slug":"knowledge-lert-for-wednesday-17th-september","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2014\/09\/17\/knowledge-lert-for-wednesday-17th-september\/","title":{"rendered":"Knowledge @lert for Wednesday 17th September"},"content":{"rendered":"

Strategic commissioning of long-term care: can we get more for less? \u00a0Laing & Buisson<\/strong>
\nThis white paper<\/a> seeks to analyse the state of the UK market in care services for older people, to identify the market failures (and achievements) and to ask if there are any ways to correct the failures \u2013 especially the key issue which dogs providers of care services working for a publicly funded clientele, which is the mismatch between public sector commissioners\u2019 need to contain costs in an extended period of austerity, and providers\u2019 need to earn an adequate return in order to sustain existing services and develop the new ones.<\/p>\n

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Due north: report of the Inquiry on Health Equity for the North –\u00a0Centre for Local Economic Strategies (CLES)<\/strong>
\nThis report <\/a>from an inquiry, commissioned by Public Health England, details evidence on trends in health inequalities and flowing from this provides a set of recommendations \u2013 based on the root causes of health inequalities \u2013 for policies that can address social inequalities in health within the North and between the rest of England.<\/p>\n

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Annual review 2013-14: a year of putting patients first –\u00a0NHS England<\/strong>
\nThis review <\/a>takes a look at some of NHS England’s highlights over the last year and includes real life case studies which show how patients have been put first.<\/p>\n

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Smart governance for health and well-being: the evidence –\u00a0World Health Organization Europe\u00a0<\/strong>
\nThis study <\/a>tracks recent innovations to address the priority determinants of health and categorizes them into five strategic approaches to smart governance for health. It relates the emergence of joint action by the health and non-health sectors, public and private actors and citizens.<\/p>\n

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Experiencing trustworthy leadership \u2013 Chartered Institute of Personnel and Development<\/strong>
\nFinds that followers experience those leaders as trustworthy who they perceived primarily as human, personal and relational. These findings <\/a>present challenges for both aspiring and current senior leaders as well as those charged within the HR profession for selecting and developing such people in the future. In order to build trust relations with their followers, leaders need to operate in a space of trust, essentially the environment where trust between leaders and followers can flourish.<\/p>\n

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Ectopic pregnancy and miscarriage \u2013 NICE quality standards [QS69]<\/strong>
\nService providers (secondary care services)\u00a0<\/strong><\/em>
\nEnsure that a system is in place <\/a>to enable women referred to early pregnancy assessment services to be seen by the service at least within 24\u00a0hours of referral.Ensure that protocols and equipment are in place for transvaginal ultrasound scans to be offered to women with a suspected ectopic pregnancy or miscarriage to identify the location and viability of the pregnancy.Ensure\u00a0that procedures and protocols are in place for women with a suspected miscarriage who have had an initial transvaginal ultrasound scan to be offered a second assessment to confirm the diagnosis.<\/p>\n

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Drug allergy: diagnosis and management of drug allergy in adults, children and young people \u2013 NICE guidelines [CG183]<\/strong>
\nThis clinical guideline <\/a>offers evidence-based advice on the diagnosis and management of drug allergy in adults, children and young people.<\/p>\n

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Dyspepsia and gastro\u2011oesophageal reflux disease: Investigation and management of dyspepsia, symptoms suggestive of gastro\u2011oesophageal reflux disease, or both \u2013 NICE guidelines [CG184]<\/strong>
\nThis guideline <\/a>updates and replaces NICE clinical guideline 17 (published August 2004). It offers evidence-based advice on the care and treatment of adults (aged 18 and over) with symptoms of dyspepsia, symptoms suggestive of gastro-oesophageal reflux disease (GORD), or both.\u00a0New recommendations have been added about investigation and referral, Helicobacter pylori eradication therapy, specialist management, and surveillance of Barrett\u2019s oesophagus in people with dyspepsia.<\/p>\n

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Long-acting reversible contraception (update) \u2013 NICE guidelines [CG30]\u00a0<\/strong>
\nThis guideline <\/a>offers the best-practice advice on the provision of information and care for women who are considering or using long-acting reversible contraceptive (LARC). Treatment and care should take into account women\u2019s individual needs and references.\u00a0Recommendations on progestogen-only subdermal implants in section 1.5 have been updated and replaced. The addendum to NICE clinical guideline 30 contains details of the methods and evidence used to update these recommendations.<\/p>\n

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Acute coronary syndromes (including myocardial infarction) \u2013 NICE quality standards [QS68]<\/strong>
\nThis quality standard <\/a>covers the diagnosis and management of acute coronary syndromes (including myocardial infarction) in adults aged 18 years and over. \u00a0It does not cover the secondary prevention of myocardial infarction, including rehabilitation; this will be covered by a separate quality standard.<\/p>\n

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NHS to plan for ‘transition’ year in 2015-16 –\u00a0Health Service Journal – Acute care news<\/strong>
\nThe coming financial year <\/a>will be a \u2018transition\u2019 period with few new national requirements so the NHS \u2018can focus on core aspects\u2019 such as financial sustainability and waiting time targets, NHS England has indicated.<\/p>\n

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Comparing lean and quality improvement –\u00a0Institute for Health Improvement (IHI)<\/strong>
\nThis white paper<\/a> discusses the relationship between quality improvement and lean and how either or both could best be utilised to improve care systems.<\/p>\n