{"id":12680,"date":"2018-12-27T11:16:08","date_gmt":"2018-12-27T11:16:08","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=12680"},"modified":"2018-12-27T11:20:23","modified_gmt":"2018-12-27T11:20:23","slug":"knowledge-lert-for-thursday-27th-december-2","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2018\/12\/27\/knowledge-lert-for-thursday-27th-december-2\/","title":{"rendered":"Knowledge @lert for Thursday 27th December"},"content":{"rendered":"<p>&nbsp;<\/p>\n<hr \/>\n<p><strong>NHS safety culture: reducing never events<\/strong><br \/>\nThe Care Quality Commission has published <a href=\"https:\/\/www.cqc.org.uk\/publications\/themed-work\/opening-door-change\">Opening the door to change: NHS safety culture and the need for transformation<\/a>.\u00a0 This report examines the underlying issues in NHS trusts that contribute to the occurrence of Never Events and the learning that can be applied to wider safety issues.\u00a0 It finds that too many people are suffering unnecessary harm because NHS staff are not supported by sufficient training, and because the complexity of the current patient safety system makes it difficult for staff to ensure that safety is an integral part of everything they do.\u00a0 Additional link: <a href=\"https:\/\/www.cqc.org.uk\/news\/releases\/cqc-calls-change-safety-culture-across-nhs-reduce-avoidable-harm-0\">CQC press release<\/a><\/p>\n<hr \/>\n<p><strong>Financial sustainability of health and social care<\/strong><br \/>\nThe House of Commons Public Accounts Committee has published <a href=\"https:\/\/www.parliament.uk\/business\/committees\/committees-a-z\/commons-select\/public-accounts-committee\/news-parliament-2017\/department-of-health-and-social-care-accounts-report-published-17-19\/\">Department of Health and Social Care accounts<\/a>.\u00a0 The financial sustainability of health and social care is a serious and ongoing concern of the Committee.\u00a0 It finds the Department should provide an assessment of the impact of regional variations on patient care; urgent action needed on risks Brexit poses to recruitment and the supply of medical equipment; and\u00a0 the NHS 10-year plan must explain how the service will address the many challenges it faces.<\/p>\n<hr \/>\n<p><strong>Pain relief during pregnancy and breastfeeding<\/strong><br \/>\nThe Royal College of Obstetricians &amp; Gynaecologists has published <a href=\"https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/sip59\">Antenatal and postnatal analgesia (Scientific Impact Paper No. 59)<\/a>.\u00a0 Following reported concerns over the use of codeine during breast feeding, this paper reviews existing evidence-based guidance on the use of painkillers during and after pregnancy, as well as during breastfeeding.<\/p>\n<hr \/>\n<p><strong>Skills advisory panels<\/strong><br \/>\nThe NHS Confederation has published <a href=\"https:\/\/www.nhsconfed.org\/resources\/2018\/12\/skills-advisory-panels-briefing\">Skills advisory panels<\/a>.\u00a0 This briefing aims to provide an update on the skills advisory panels, which will play an important role in identifying, prioritising and addressing local skills gaps.\u00a0 It will be of particular interest to STPs and ICS leaders, including those responsible for strategy and workforce, and NHS HR Directors.<\/p>\n<hr \/>\n<p><strong>Complaints about the NHS<\/strong><br \/>\nThe Parliamentary and Health Service Ombudsman has published <a href=\"https:\/\/www.ombudsman.org.uk\/publications\/complaints-about-nhs-england-quarter-2-2018-19\">Complaints about the NHS in England: quarter 2 2018-19<\/a>.\u00a0 This report presents statistics on complaints about the NHS in England. It presents data about the NHS complaints received, assessed and investigated from July to September 2018, as well as the recommendations made.<\/p>\n<hr \/>\n<p><strong>Women\u2019s Mental Health Taskforce<\/strong><br \/>\nThe Department of Health and Social Care has published <a href=\"https:\/\/www.gov.uk\/government\/publications\/the-womens-mental-health-taskforce-report\">The Women\u2019s Mental Health Taskforce: final report<\/a>.\u00a0 This report sets out how women&#8217;s experience of mental ill health can differ to men\u2019s and the strategic priorities for the future.\u00a0 It urges commissioners and providers across the health and care system to take note of the report findings and to embed these in their work.<\/p>\n<hr \/>\n<p><strong>Cancer in children and young people<\/strong><br \/>\nNCEPOD has published <a href=\"https:\/\/www.hqip.org.uk\/resource\/medical-surgical-review-programme-cancer-in-children-teens-and-young-adults-report\/#.XBdg1Iv7RaQ\">On the right course? A review of the quality of care provided to patients aged 24 years and under who were receiving systemic anti-cancer therapy and subsequently died or were admitted to critical care. <\/a>\u00a0\u00a0This analysis of care delivered to children and young adults who either died or had an unexpected admission to critical care within 60 days of receiving systemic anti-cancer therapy (SACT) has shown a mixed picture of care received.<\/p>\n<hr \/>\n<p><strong>Clinically-assisted nutrition and hydration<\/strong><br \/>\nThe BMA and Royal College of Physicians have jointly published <a href=\"https:\/\/www.bma.org.uk\/advice\/employment\/ethics\/mental-capacity\/clinically-assisted-nutrition-and-hydration\">Clinically-assisted nutrition and hydration (CANH) guidance<\/a> to support doctors making decisions about CANH for adults who lack capacity.\u00a0 The guidance includes a decision-making flowchart, training materials, infographic and information for family and friends.<\/p>\n<hr \/>\n<p><strong>Cannabis-based medicines<\/strong><br \/>\nThe Royal College of General Practitioners has published <a href=\"http:\/\/www.rcgp.org.uk\/about-us\/news\/2018\/december\/rcgp-publishes-guidance-for-gps-on-cannabis-based-medicines-and-products.aspx\">Cannabis-based medicines: an interim desktop guide<\/a>. This guide provides practical information to support GPs to hold informed discussions and make decisions when patients request for cannabis. The guide outlines the key issues to consider around the use of cannabis-based products for medicinal purposes.<\/p>\n<hr \/>\n<p><strong>Robust system risk management<\/strong><br \/>\nThe Healthcare Financial Management Association has published <a href=\"https:\/\/www.hfma.org.uk\/publications\/details\/how-do-you-ensure-robust-system-risk-management-arrangements\">How do you ensure robust system risk management arrangements<\/a>. This briefing explores how to develop robust risk management arrangements across systems.<\/p>\n<hr \/>\n<p><strong>NICE guidance:<\/strong><\/p>\n<p><strong>NICE guideline <\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">NG117<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng117\">Bronchiectasis (non-cystic fibrosis), acute exacerbation: antimicrobial prescribing<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Technology appraisal guidance<\/strong><\/p>\n<table width=\"664\">\n<tbody>\n<tr>\n<td width=\"59\">TA550<\/td>\n<td width=\"605\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ta550\">Vandetanib for treating medullary thyroid cancer<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"59\">TA551<\/td>\n<td width=\"605\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ta551\">Lenvatinib for untreated advanced hepatocellular carcinoma<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"59\">TA552<\/td>\n<td width=\"605\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ta552\">Liposomal cytarabine\u2013daunorubicin for untreated acute myeloid leukaemia<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Interventional procedures guidance<\/strong><\/p>\n<table width=\"654\">\n<tbody>\n<tr>\n<td width=\"60\">IPG634<\/td>\n<td width=\"595\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ipg634\">Transcutaneous neuromuscular electrical stimulation for oropharyngeal dysphagia in adults<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"60\">IPG635<\/td>\n<td width=\"595\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ipg635\">Bronchial thermoplasty for severe asthma<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Medtech innovation briefing<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">MIB166<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/advice\/mib166\">Galaxy UNYCO for temporary stabilisation of lower limb fractures<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"59\">MIB167<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/advice\/mib167\">Video laryngoscopes to help intubation in people with difficult airways<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Diagnostics guidance<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">DG34<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/dg34\">Tumour profiling tests to guide adjuvant chemotherapy decisions in early breast cancer<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<p><strong>Statistics<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/general-and-personal-medical-services\/final-30-september-2018-experimental-statistics\">General Practice Workforce<\/a> &#8211; Final 30 September 2018, Experimental statistics<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-payments-to-general-practice\/england-2017-18\">NHS Payments to General Practice<\/a> &#8211; England, 2017\/18<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/learning-disability-services-statistics\/provisional-statistics-at-november-2018-mhsds-september-2018-final\">Learning Disability Services Monthly Statistics<\/a> &#8211; Provisional Statistics (AT: November 2018, MHSDS: September 2018 Final)<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/breast-screening-programme\/england---provisional-statistics-2017-18\">Breast Screening Programme, England<\/a> &#8211; Provisional Statistics 2017-18<\/li>\n<li><a href=\"https:\/\/www.england.nhs.uk\/statistics\/2018\/12\/20\/diagnostic-imaging-dataset-for-august-2018\/\">Diagnostic Imaging Dataset<\/a> \u2013 August 2018<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-sickness-absence-rates\/august-2018-provisional-statistics\">NHS Sickness Absence Rates<\/a> &#8211; August 2018, Provisional Statistics<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-workforce-statistics\/september-2018\">NHS Workforce Statistics<\/a> &#8211; September 2018<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-staff-earnings-estimates\/september-2018-provisional-statistics\">NHS Staff Earnings Estimates<\/a> &#8211; September 2018, Provisional Statistics<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/national-data-opt-out\/december-2018\/december-2018\">National Data Opt-Out<\/a> &#8211; December 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/publications\/surgical-site-infections-ssi-surveillance-nhs-hospitals-in-england\">Surveillance of surgical site infections in NHS hospitals in England<\/a>: 2017 to 2018<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/publications\/zoonoses-uk-annual-reports\">Zoonoses report UK<\/a> 2017<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/quarterly-reports-on-the-import-of-unlicensed-medicines\">Summary report for importation of unlicensed medicines<\/a> \u2013 1 July to 31 September 2018<\/li>\n<li><a href=\"https:\/\/improvement.nhs.uk\/resources\/monthly-data-patient-safety-incident-reports\/\">NRLS Monthly Report England<\/a> \u2013 December 2017 to November 2018<\/li>\n<li><a href=\"https:\/\/www.ombudsman.org.uk\/publications\/performance-against-our-service-charter-201819-quarter-2-july-september\">Parliamentary and Health Service Ombudsman: performance against our service charter 2018\/19<\/a> \u2013 July to September<\/li>\n<li><a href=\"https:\/\/www.ons.gov.uk\/releases\/livinglongerfittingitallinworkingcaringandhealthinlaterlife\">Living longer: fitting it all in \u2013 working, caring and health in later life<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"&nbsp; NHS safety culture: reducing never events The Care Quality Commission has published Opening the door to change: NHS safety culture and the need for transformation.\u00a0 This report examines the underlying issues in NHS trusts that contribute to the occurrence of Never Events and the learning that can be applied&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-12680","post","type-post","status-publish","format-standard","hentry","category-ccg","category-daily-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-3iw","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/12680","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=12680"}],"version-history":[{"count":5,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/12680\/revisions"}],"predecessor-version":[{"id":12695,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/12680\/revisions\/12695"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=12680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=12680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=12680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}