{"id":1808,"date":"2015-06-09T15:25:42","date_gmt":"2015-06-09T14:25:42","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=1808"},"modified":"2015-06-09T15:25:42","modified_gmt":"2015-06-09T14:25:42","slug":"knowledge-lert-for-tuesday-9th-june","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2015\/06\/09\/knowledge-lert-for-tuesday-9th-june\/","title":{"rendered":"Knowledge @lert for Tuesday 9th June"},"content":{"rendered":"

Options for integrated commissioning
\n<\/strong><\/b>The Kings Fund has published Options for integrated commissioning: beyond Barker<\/a>.\u00a0 This report explores the options for implementing the recommendation from the Independent Commission on the Future of Health and Social Care in England regarding a single ring-fenced budget and a single local commissioner. It assesses evidence of past joint commissioning attempts, studies the current policy framework and local innovations in integrated budgets and commissioning, and considers which organisation is best place to take on the role of single local commissioner.<\/p>\n

\n

Sexual health commissioning in local government
\n<\/strong><\/b>The Local Government Association has publishedSexual health commissioning in local government<\/a>. This report highlightsnine case studies which showcase local government experience of commissioning sexual health services since taking over this responsibility in April 2013. The studies outline the steps taken to collaborate not only within and between local authorities but also with NHS England and Clinical Commissioning Groups.<\/p>\n

\n

Dementia from the inside
\n<\/strong><\/b>The Social Care Institute for Excellence has produced a new resource Dementia from the inside<\/a>.\u00a0 This film highlights what it might feel like to live with dementia. Viewers will experience a little of what it is like to find yourself in a world that seems familiar and yet doesn\u2019t always make sense. The incidents pictured in this film and memories recounted are based upon true experiences gathered from people living with dementia.\u00a0 It is aimed at professionals and the public.<\/p>\n

\n

The community matron’s role in providing end-of-life care.\u00a0Liddament, Angela,\u00a0Journal of Community Nursing<\/strong>
\nThe phasing out of the Liverpool Care Pathway and the introduction of\u00a0the The Leadership Alliance for the Care of Dying People’s (LACDP’s)\u00a0five priorities of care has enabled clinicians working in end-of-life care\u00a0to step back and re-evaluate their practice<\/a> (LACDP, 2014). The review\u00a0of end-of-life care services, More Care, Less Pathway (Neuberger, 2013)\u00a0highlighted areas that needed urgent improvement. These included\u00a0recognising when a person is dying but understanding the need for\u00a0ongoing assessment; having a senior named clinician for all patients;\u00a0and improving the communication skills of all clinicians involved in\u00a0end-of-life care through tire development of educational programmes.\u00a0Non-malignant diseases are particularly challenging and in these cases\u00a0it can be hard to recognise when a person is nearing tire end of Iris or her\u00a0life. Community matrons have their own unique relationship with the\u00a0people on their caseload and can often provide untapped expertise and\u00a0support as their condition deteriorates.<\/p>\n

\n

Redesigning continence services: rehabilitation and cost-effectiveness.\u00a0AM\u00a0Appleyard, Jane; Bastone, Stephanie.\u00a0Journal of Community Nursing.<\/strong>
\nThe number of NHS patients requiring containment products\u00a0such as pads is increasing year on year due to an ageing\u00a0population. Patients with long-term conditions are increasingly\u00a0being cared for at home, and although incontinence is not a\u00a0disease it is often a symptom associated with other health issues.\u00a0Community nurses are seeing patients with more complex\u00a0needs, but incontinence is often not the primary reason for their\u00a0visit.<\/a> Containment products can be seen \u2014 both by patients and\u00a0their carers \u2014 as the most effective way to manage incontinence\u00a0and nurses are often put under pressure to prescribe pads, while\u00a0continence services are being challenged to review the way\u00a0care is delivered through innovation and the effective use of\u00a0technology. This article will look at the redesign of a continence\u00a0service that has involved the development of a community\u00a0continence team (CCT), along with a summary of the initially\u00a0encouraging performance indicators. The CCT aims to provide\u00a0a comprehensive continence assessment with a focus on\u00a0rehabilitation. The principles underpinning this service redesign\u00a0could be applied to any community nursing team.<\/p>\n

\n

Cosmetic surgery draft guidance
\n<\/strong>The General Medical Council (GMC) has launched a consultation on draft guidance for all doctors who offer cosmetic interventions<\/a>. The proposed guidance sets out the standards that will be expected of all UK doctors who carry out cosmetic procedures, both surgical and non-surgical. It also aims to help patients understand what to expect from their doctor. The consultation runs from 8 June 2015 to 1 September 2015 and will be available on the GMC\u2019s website.\u00a0 The final guidance is expected to be published in early 2016.<\/p>\n

\n

NICE Do not do recommendations: lower urinary tract symptoms in men
\n<\/strong>Following the publication of the NICE guideline Lower urinary tract symptoms in men: assessment and management (NG97) earlier this month, NICE has published a series of \u2018Do not do\u2019 recommendations<\/a> in relation to the guidance. These are clinical practices, identified during the development of guidance that should be discontinued or not used routinely.<\/p>\n

\n

King\u2019s Fund calls for merger of NHS and social care budgets \u2013 Health Service Journal<\/strong>
\nThere should be a single pooled budget for all health and social care services in every area by 2020 at the latest<\/a>, according to a new report by the King\u2019s Fund. \u00a0The study<\/a>, which has been shared exclusively with HSJ and its sister title Local Government Chronicle, also recommends that the Department of Health be given control of the national budget for social care.<\/p>\n