{"id":13920,"date":"2019-07-31T09:17:49","date_gmt":"2019-07-31T08:17:49","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=13920"},"modified":"2019-07-31T09:18:47","modified_gmt":"2019-07-31T08:18:47","slug":"knowledge-lert-for-wednesday-31st-july","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2019\/07\/31\/knowledge-lert-for-wednesday-31st-july\/","title":{"rendered":"Knowledge @lert for Wednesday 31st July"},"content":{"rendered":"<hr \/>\n<p><strong>Primary Care Networks<\/strong><br \/>\nThe Community Network has published <a href=\"https:\/\/nhsproviders.org\/resource-library\/primary-care-networks-a-quiet-revolution\">Primary care networks: a quiet revolution. <\/a>\u00a0This document provides a guide for provider organisations on how to engage effectively with PCNs.\u00a0 The paper draws on published guidance, discussions with PCN leaders in NHS England and NHS Improvement and discussions with providers of community services.<\/p>\n<hr \/>\n<p><strong>Management of asthma: guideline<\/strong><br \/>\nThe Scottish Intercollegiate Network and British Thoracic Society have updated their guideline <a href=\"https:\/\/www.sign.ac.uk\/sign-158-british-guideline-on-the-management-of-asthma.html\">British guideline on the management of asthma<\/a>.\u00a0\u00a0 This update includes a complete revision of the section on monitoring asthma including new information on predicting future risk of asthma attacks.\u00a0 It also updates sections on pharmacological management of asthma, supported self-management, non-pharmacological management of asthma, and management of acute asthma.\u00a0 It also includes a new checklist of information for patients and carers<\/p>\n<hr \/>\n<p><strong>Emergency admissions from care homes<\/strong><br \/>\nThe Health Foundation has published <a href=\"https:\/\/www.health.org.uk\/publications\/reports\/emergency-admissions-to-hospital-from-care-homes\">Emergency admissions to hospital from care homes: how often and what for?<\/a>\u00a0 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.\u00a0 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.<\/p>\n<hr \/>\n<p><strong>Rapid Diagnostic Centres (cancer)<\/strong><br \/>\nNHS England and NHS Improvement have published <a href=\"https:\/\/www.england.nhs.uk\/publication\/rapid-diagnostic-centres-vision-and-2019-20-implementation-specification\/\">Rapid Diagnostic Centres vision and 2019\/20 implementation specification<\/a>.\u00a0 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.<\/p>\n<hr \/>\n<p><strong>Social enterprises<\/strong><br \/>\nThe NHS Confederation as published <a href=\"https:\/\/www.nhsconfed.org\/resources\/2019\/07\/social-enterprises--part-of-the-nhs-family-an-explanatory-guide-for-the-wider-nhs\">Social enterprises: part of the NHS family \u2013 an explanatory guide for the wider NHS<\/a><u>.<\/u>\u00a0 This guide describes social enterprises and the role they play in delivering better health and social care outcomes for the communities they serve.<\/p>\n<hr \/>\n<p><strong>NIHR Signals<\/strong><br \/>\nThe following research summaries have been added to the National Institute for Health Research website:<\/p>\n<ul>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000794\/copd-rehabilitation-may-improve-anxiety-and-depression\">Pulmonary rehabilitation may modestly improve anxiety and depression in adults with chronic obstructive pulmonary disease<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000795\/mass-media-public-health-campaigns-new-evidence\">Mixed evidence shows some impact of \u00a0mass media campaigns promoting tobacco control, physical activity and sexual health<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000796\/lung-cancer-staging-by-whole-body-mri-scans\">Whole-body MRI scans are as accurate as standard imaging pathways for lung cancer staging<\/a><\/li>\n<li><a href=\"https:\/\/discover.dc.nihr.ac.uk\/content\/signal-000797\/identifying-metastatic-disease-in-colorectal-cancer-with-whole-body-mri\">Whole-body MRI is effective for identifying metastatic disease in colorectal cancer patients<\/a><\/li>\n<\/ul>\n<hr \/>\n<p><strong>Enhancing\u00a0supervision for postgraduate doctors in training\u00a0<\/strong><br \/>\nThis <a href=\"https:\/\/www.hee.nhs.uk\/sites\/default\/files\/documents\/SupervisionReport_%20FINAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">report <\/a>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.<\/p>\n<hr \/>\n<p><strong>Emergency\u00a0admissions to hospital from care homes: how often and what for?\u00a0\u00a0<\/strong><br \/>\nThis <a href=\"https:\/\/www.health.org.uk\/sites\/default\/files\/upload\/publications\/2019\/Emergency-admissions-from-care-homes-IAU-Q02.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">briefing <\/a>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.<\/p>\n<hr \/>\n<p><strong>NHS staff pay<\/strong><\/p>\n<p>The following reports relating to pay for NHS staff have been published:<\/p>\n<ul>\n<li>The <a href=\"https:\/\/www.gov.uk\/government\/publications\/national-health-service-pay-review-body-32nd-report-2019\">National Health Service Pay Review Body 32<sup>nd<\/sup> Report: 2019<\/a> sets out the NHSPRB\u2019s analysis of evidence provided by relevant organisations and makes observations on the pay of NHS staff paid under Agenda for Change for 2019\/20<\/li>\n<li>The <a href=\"https:\/\/www.gov.uk\/government\/publications\/review-body-on-doctors-and-dentists-remuneration-47th-report-2019\">Review Body on Doctors\u2019 and Dentists\u2019 remuneration 47<sup>th<\/sup> Report 2019<\/a> sets out the DDRB\u2019s analysis of evidence given by relevant organisations and makes recommendations for doctors\u2019 and dentists\u2019 pay and associated issues in England, Wales, Scotland and Northern Ireland.<\/li>\n<\/ul>\n<hr \/>\n<p><strong>NICE guidance<\/strong><\/p>\n<p><strong>Quality Standard<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">QS187<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/qs187\">Learning disability: care and support of people growing older<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"59\">QS101<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/qs101\">Learning disability: behaviour that challenges<\/a> (updated)<\/td>\n<\/tr>\n<tr>\n<td width=\"59\">QS35<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/qs35\">Hypertension in pregnancy<\/a> (updated)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><strong>Technology appraisal guidance<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">TA588<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ta588\">Nusinersen for treating spinal muscular atrophy<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"59\">TA589<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ta589\">Blinatumomab for treating acute lymphoblastic leukaemia in remission with minimal residual disease activity<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><strong>Interventional procedures guidance<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">IPG656<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ipg656\">Transurethral laser ablation for recurrent non-muscle-invasive bladder cancer<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"59\">IPG657<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ipg657\">Ultrasound-guided high-intensity transcutaneous focused ultrasound for symptomatic uterine fibroids<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><strong>Medtech innovation briefing<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">MIB187<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/advice\/mib187\">HemaClear for bloodless surgical field during limb surgery<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>NICE guideline<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">NG42<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng42\">Motor neurone disease: assessment and management<\/a> (updated)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><strong>Clinical guideline<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"59\">CG173<\/td>\n<td width=\"531\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/cg173\">Neuropathic pain in adults: pharmacological management in non-specialist settings<\/a> (updated)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<p><strong>Statistics<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/deaths-registered-in-england-and-wales-series-dr-2018--2\">Deaths registered in England and Wales (series DR): 2018<\/a><\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/deaths-registered-by-area-in-england-and-wales-monthly-provisional-june-2019\">Deaths registered by area in England and Wales, monthly provisional<\/a> &#8211; June 2019<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/community-life-survey-2018-19\">Community Life Survey 2018-19<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-workforce-statistics\/april-2019\">NHS Workforce Statistics<\/a> &#8211; April 2019<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-sickness-absence-rates\/january-2019-to-march-2019-and-annual-summary-2010-11-to-2018-19\">NHS Sickness Absence Rates January 2019 to March 2019 and Annual Summary 2010-11 to 2018-19<\/a><\/li>\n<li><a href=\"https:\/\/app.box.com\/s\/og3q86aqejc99okxe9xyvpfvo21xai21\/file\/306723044116\">Trends in children\u2019s body mass index between 2006\/07 and 2016\/17<\/a><\/li>\n<li><a href=\"https:\/\/improvement.nhs.uk\/resources\/monthly-data-patient-safety-incident-reports\/\">National Reporting and Learning System monthly report England<\/a> \u2013 July 2018 to June 2019<\/li>\n<li><a href=\"https:\/\/www.nuffieldtrust.org.uk\/public\/files\/2019-07\/outpatients\/#1\">Outpatients: snapshot of a year<\/a> (Nuffield Trust)<\/li>\n<li><a href=\"https:\/\/www.england.nhs.uk\/statistics\/2019\/07\/30\/national-wheelchair-q1-201920\/\">National Wheelchair Data Collection<\/a> \u2013 Quarter 1 2019\/20<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/female-genital-mutilation\/april-2018---march-2019\">Female Genital Mutilation (FGM) &#8211; April 2018 to March 2019, Annual Report, Experimental Statistics Report<\/a><\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/fit-notes-issued-by-gp-practices\/march-2019\">Fit Notes Issued by GP Practices, England<\/a> &#8211; March 2019<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/appointments-in-general-practice\/june-2019\">Appointments in General Practice<\/a> &#8211; June 2019<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/practice-level-prescribing-data\/may-2019\">Practice Level Prescribing<\/a> \u2013 May 2019<\/li>\n<li><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/recorded-dementia-diagnoses\/2018-19\/rec-dem-diag-201819\">Recorded Dementia Diagnoses, England, 2018-19<\/a><\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/provisional-monthly-hospital-episode-statistics-for-admitted-patient-care-outpatient-and-accident-and-emergency-data-april-2019-may-2019-m02\">Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data<\/a> &#8211; April 2019 &#8211; May 2019<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/provisional-accident-and-emergency-quality-indicators-for-england-april-2019-by-provider\">Provisional Accident and Emergency Quality Indicators for England<\/a> &#8211; April 2019, by provider<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/provisional-accident-and-emergency-quality-indicators-for-england-may-2019-by-provider\">Provisional Accident and Emergency Quality Indicators for England<\/a> &#8211; May 2019, by provider<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/breastfeeding-at-6-to-8-weeks-after-birth-2018-to-2019-quarterly-data\">Breastfeeding at 6 to 8 weeks<\/a> \u2013 Quarter 4, January to March 2019<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/health-visitor-service-delivery-metrics-2018-to-2019\">Health visitor service delivery metrics<\/a> \u2013 Quarter 4, 2018 to 2019<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/child-development-outcomes-at-2-to-2-and-a-half-years-2018-to-2019\">Child development outcomes at 2 to 2 and half years<\/a> \u2013 Quarter 4, 2018 to 2019<\/li>\n<\/ul>\n<hr \/>\n<p><strong>Bulletins<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.gov.uk\/government\/publications\/vaccine-update-issue-297-july-2019\">Vaccine update<\/a> \u2013 July 2019<\/li>\n<li><a href=\"https:\/\/mailchi.mp\/e0e7864f6be8\/nhs-communications-bulletin-issue-205935\">NHS Communications Bulletin<\/a> \u2013 26 July 2019<\/li>\n<\/ul>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"Primary Care Networks The Community Network has published Primary care networks: a quiet revolution. \u00a0This document provides a guide for provider organisations on how to engage effectively with PCNs.\u00a0 The paper draws on published guidance, discussions with PCN leaders in NHS England and NHS Improvement and discussions with providers 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