{"id":12126,"date":"2018-10-17T11:04:58","date_gmt":"2018-10-17T10:04:58","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=12126"},"modified":"2018-10-17T11:04:58","modified_gmt":"2018-10-17T10:04:58","slug":"knowledge-lert-for-wednesday-17th-october","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2018\/10\/17\/knowledge-lert-for-wednesday-17th-october\/","title":{"rendered":"Knowledge @lert for Wednesday 17th October"},"content":{"rendered":"<hr \/>\n<p><strong>NHS funding settlement<\/strong><br \/>\nThe NHS Confederation has produced an infographic illustrating <a href=\"http:\/\/www.nhsconfed.org\/resources\/2018\/10\/the-reality-behind-the-2019-24-nhs-funding-settlement\">The reality behind the 2019-24 NHS funding settlement<\/a>.\u00a0 The infographic outlines the financial challenge facing the NHS over the next five years.\u00a0 It warns that commissioners and providers will need to continue to make considerable efficiency savings and also looks at why the NHS deficit has developed, despite considerable efficiency savings delivered by both providers and commissioners.<\/p>\n<hr \/>\n<p><strong>Child health in England<\/strong><br \/>\nThe Royal College of Paediatrics and Child Health has published <a href=\"https:\/\/www.rcpch.ac.uk\/resources\/child-health-england-2030-comparisons-other-wealthy-countries\">Child health in 2030 in England: comparisons with other wealthy countries<\/a>.\u00a0 This report uses long-term historical data to project outcomes for children and young people\u2019s health in 2030. The report concludes that whilst England is middle of the pack for some outcomes, on the majority England is likely to fall further behind other wealthy countries over the next decade.<\/p>\n<hr \/>\n<p><strong>Commissioning for workplace compassion<\/strong><br \/>\nNHS England has published <a href=\"https:\/\/www.england.nhs.uk\/publication\/towards-commissioning-for-workplace-compassion-a-support-guide\/\">Towards commissioning for workplace compassion: a support guide<\/a>.\u00a0 This document includes evidence-informed guidance and good practice for commissioners and for providers to support them in achieving compassion in the workplace and so create an NHS culture of compassion for all.\u00a0 NHS England has also produced two infographics providing information on \u2018<a href=\"https:\/\/www.england.nhs.uk\/publication\/why-caring-for-the-people-who-care-matters\/\">Why caring for the people who care matters<\/a>\u2019.<\/p>\n<hr \/>\n<p><strong>Cost effective treatments and initiatives<\/strong><br \/>\nThe National Institute for Health Research (NIHR) has published a Highlight <a href=\"https:\/\/www.dc.nihr.ac.uk\/highlights\/nine-ways-research-could-save-the-nhs-money.htm\">Nine ways research could save the NHS money<\/a>.\u00a0 This highlight provides nine treatments and initiatives that are cost effective for the NHS including weight loss surgery, misaligned shoulder fractures, rotavirus vaccine, public health interventions, oxygen levels for acute bronchiolitis in children, routine replacement of intravenous cannulae, behavioural activation, oral surgery in primary care, and uterine polyps.<\/p>\n<hr \/>\n<p><strong>National Confidential Enquiry into Patient Outcome and Death<\/strong><br \/>\n<strong>NCEPOD has published <\/strong><a href=\"https:\/\/www.hqip.org.uk\/resource\/ncepod-common-themes-and-recommendations\/#.W8BLZ9dKhaQ\">National Confidential Enquiry Into Patient Outcome and Death: themes and recommendations common to all hospital specialties<\/a>.\u00a0 This report examines NCEPOD\u2019s previously published reports that review in-hospital perioperative deaths and quality of medical care.\u00a0 It looks at the recommendations within a set of chosen themes observed across these reports and brings these together into a set of general recommendations.<\/p>\n<hr \/>\n<p><strong>Addressing delayed discharges<\/strong><br \/>\nThe NHS Confederation has published <a href=\"http:\/\/www.nhsconfed.org\/resources\/2018\/10\/helping-to-address-delayed-discharges-in-south-london\">Helping to address delayed discharges in South London: the HAWK\/SLaM service<\/a>.\u00a0 This case study describes a specialist service which brings together housing, clinicians and discharge teams to work with patients whose housing problems are delaying their discharge from hospital.<\/p>\n<hr \/>\n<p><strong>Integrated Care Providers<\/strong><br \/>\nThe Department of Health and Social Care has launched a consultation <a href=\"https:\/\/www.gov.uk\/government\/consultations\/directions-for-integrated-care-providers-icps\">Directions for integrated care providers (ICPs)<\/a>.\u00a0\u00a0\u00a0 This consultation set outs the draft directions for those providing primary care as part of an ICP and asks if the draft provisions for a new ICP contract are effective and sufficient, and whether there are other impacts the government should be aware of.<\/p>\n<hr \/>\n<p><strong>Price increases for generic medicines<\/strong><br \/>\nThe Public Accounts Committee has published <a href=\"https:\/\/www.parliament.uk\/business\/committees\/committees-a-z\/commons-select\/public-accounts-committee\/news-parliament-2017\/medicine-supplies-brexit-17-19\/\">Price increases for generic medicines<\/a>.\u00a0 Following the prices increase in certain generic medicines during 2017, the committee examines how the system coped.\u00a0 The report concludes the impact of generic drug price rises highlights the need for clarity now and after the UK\u2019s departure from the EU to ensure patients have access to medicines.<\/p>\n<hr \/>\n<p><strong>Living with multiple conditions<\/strong><br \/>\nThe Taskforce on Multiple Conditions has published <a href=\"https:\/\/richmondgroupofcharities.org.uk\/sites\/default\/files\/final_just_one_thing_after_another_report_-_singles.pdf\">\u201cJust one thing after another\u201d: living with multiple conditions<\/a> (pdf).\u00a0 This document shares learning from interviews with the 10 people living with two or more long-term conditions.\u00a0 It sets out their everyday experiences. perceptions of quality of life and changes they would like.<\/p>\n<hr \/>\n<p><strong>Advance care planning <\/strong><br \/>\nCompassion in Dying has published <a href=\"https:\/\/compassionindying.org.uk\/library\/advance-care-planning-in-general-practice-does-policy-match-reality\/\">Advanced care planning in general practice \u2013 does policy match reality?<\/a>\u00a0 This report presents the findings from a Freedom of Information request to CCGs which revealed gaps between national level policies, the efforts of CCGs in relation to advance care planning and the practice that takes place in GP surgeries.<\/p>\n<hr \/>\n<p><strong>NHS Standard Contract provisions across primary and secondary care<\/strong><br \/>\nNHS England has published <a href=\"https:\/\/www.england.nhs.uk\/publication\/standard-contract-provisions-primary-and-secondary-care-implementation-toolkit\/\">2017-19 NHS Standard Contract provisions across primary and secondary care: implementation toolkit for local systems<\/a>.\u00a0 This document sets out ways in which organisations can collaborate locally to implement the provisions relating to primary and secondary care.\u00a0 The toolkit includes: practical steps for enabling implementation; case studies; example local primary \/secondary care agreement involving LMC, CCG and secondary care provider; and detailed guidance to facilitate conversations between CCGs and providers.<\/p>\n<hr \/>\n<p><strong>CCG funding allocations briefing<\/strong><br \/>\nThe House of Commons Library has published <a href=\"https:\/\/researchbriefings.parliament.uk\/ResearchBriefing\/Summary\/CBP-8399\">NHS Funding: Clinical Commissioning Groups<\/a>.\u00a0 This briefing and Excel file gives details of funding allocations for each CCG from 2013\/14 to 2020\/21. The briefing paper also gives details of the process used to allocate the funds.<strong>\u00a0<\/strong><\/p>\n<hr \/>\n<p><strong>Safety critical patient communications<\/strong><br \/>\nNHS Improvement has published <a href=\"https:\/\/improvement.nhs.uk\/resources\/improving-safety-critical-spoken-communication\/\">Spoken communication and patient safety in the NHS<\/a>.\u00a0 This research examines the issues surrounding spoken communication of safety critical information. It identifies six key areas that present challenges.<\/p>\n<hr \/>\n<p><strong>NIHR Signals<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000659\/better-pain-relief-for-women-in-labour\">Better pain relief for women in labour<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000654\/financial-incentives-may-help-workers-quit-smoking\">Financial incentives may help workers quit smoking<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000655\/negative-pressure-dressings-are-no-better-than-standard-dressings-for-open-fractures\">Negative pressure dressings are no better than standard dressings for open fractures<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000656\/no-benefit-from-monitoring-antiepileptic-drug-levels-in-pregnancy\">No benefit from monitoring antiepileptic drug levels in pregnancy<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000657\/non-urgent-attendances-to-emergency-departments-are-more-common-among-younger-adults\">Non-urgent attendances to emergency departments are more common among younger adults<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000658\/patient-centred-care-for-multimorbidity-improves-patient-experience-but-quality-of-life-is-unchanged\">Patient-centred care for multi-morbidity improves patient experience, but quality of life is unchanged<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000651\/keyhole-surgery-is-more-effective-than-physiotherapy-for-hip-impingement\">Keyhole surgery is more effective than physiotherapy for hip impingement<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000649\/two-antiplatelet-drugs-may-prevent-further-strokes-but-increase-major-bleeds\">Two antiplatelet drugs may prevent further strokes but increase major bleeds<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000650\/routine-measurement-of-grip-strength-can-help-assess-frailty-in-hospital\">Routine measurement of grip strength can help assess frailty in hospital<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000652\/nationally-around-half-of-people-making-urgent-calls-for-an-ambulance-are-not-taken-to-hospital\">The proportion of patients not transported to emergency departments after an ambulance is called varies across the country<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000653\/virtual-reality-therapy-reduces-fear-of-heights\">Virtual reality therapy reduces fear of heights<\/a><\/li>\n<\/ul>\n<hr \/>\n<p><strong>Statistics<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nice-technology-appraisals-in-the-nhs-in-england-innovation-scorecard\/to-march-2018\">NICE Technology Appraisals in the NHS in England (Innovation Scorecard)<\/a> &#8211; to March 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/ambulance-quality-indicators-clinical-outcomes-may-2018-data\">Ambulance Quality Indicators: clinical outcomes<\/a> \u2013 May 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/ambulance-quality-indicators-systems-indicators-september-2018-data\">Ambulance Quality Indicators: systems indicators<\/a> \u2013 September 2018<\/li>\n<li><a href=\"https:\/\/www.england.nhs.uk\/publication\/wheelchair-services-operational-data-collection-quarter-1-dataset-april-june-2018\/\">Wheelchair services: Operational Data Collection<\/a> \u2013 Quarter 1 dataset (April \u2013 June 2018)<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/deaths-at-home\">Compendium &#8211; Deaths at home<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/years-of-life-lost\">Compendium \u2013 Years of life lost<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/mortality-from-diabetes\">Compendium \u2013 Mortality from diabetes<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/mortality-from-coronary-heart-disease\">Compendium \u2013 Mortality from coronary heart disease<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/mortality-from-stroke\">Compendium \u2013 Mortality from stroke<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/mortality-from-suicide-or-suicide-and-injury-undetermined\">Compendium \u2013 Mortality from suicide or suicide and injury undetermined<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/clinical-indicators\/compendium-of-population-health-indicators\/compendium-mortality\/current\/mortality-from-respiratory-diseases\">Compendium \u2013 Mortality from respiratory disease<\/a><\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/publications\/sexually-transmitted-infections-yorkshire-and-humber-data\">Sexually transmitted infections in Yorkshire and Humber<\/a> \u2013 2017 data<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/monthly-hospital-activity-data-for-august-2018\">Monthly hospital activity data<\/a> \u2013 August 2018<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/hospital-episode-statistics-for-admitted-patient-care-outpatient-and-accident-and-emergency-data\/april-2018---august-2018\">Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data<\/a> &#8211; April 2018 &#8211; August 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/ae-attendances-and-emergency-admissions-for-september-2018-and-quarterly-report-q2\">A&amp;E attendances and emergency admissions<\/a> \u2013 September 2018 and Q2 report<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/accident-and-emergency-quality-indicators\/august-2018\">Provisional Accident and Emergency Quality Indicators for England<\/a> &#8211; August 2018, by provider<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/hospital-outpatient-activity\/2017-18\">Hospital Outpatient Activity<\/a> &#8211; 2017-18<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/diagnostics-waiting-times-and-activity-for-august-2018\">Diagnostics waiting times and activity<\/a> \u2013 August 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/mixed-sex-accommodation-breaches-for-august-2018\">Mixed sex accommodation breaches<\/a> \u2013 August 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/delayed-transfers-of-care-for-august-2018\">Delayed transfers of care<\/a> \u2013 August 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/critical-care-bed-capacity-and-urgent-operations-cancelled-for-august-2018\">Critical care bed capacity and urgent operations cancelled<\/a> \u2013 August 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/referral-to-treatment-waiting-times-statistics-for-consultant-led-elective-care-for-august-2018\">Referral to treatment waiting times statistics for consultant-led elective care<\/a> \u2013 August 2018<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"NHS funding settlement The NHS Confederation has produced an infographic illustrating The reality behind the 2019-24 NHS funding settlement.\u00a0 The infographic outlines the financial challenge facing the NHS over the next five years.\u00a0 It warns that commissioners and providers will need to continue to make considerable efficiency savings and also&hellip;\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[37,15],"tags":[],"class_list":["post-12126","post","type-post","status-publish","format-standard","hentry","category-ccg","category-daily-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-39A","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/12126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/comments?post=12126"}],"version-history":[{"count":5,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/12126\/revisions"}],"predecessor-version":[{"id":12148,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/12126\/revisions\/12148"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=12126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=12126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=12126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}