{"id":2332,"date":"2016-02-11T11:17:16","date_gmt":"2016-02-11T11:17:16","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=2332"},"modified":"2016-02-11T11:20:15","modified_gmt":"2016-02-11T11:20:15","slug":"knowledge-lert-forthursday-11th-february","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2016\/02\/11\/knowledge-lert-forthursday-11th-february\/","title":{"rendered":"Knowledge @lert for Thursday 11th February"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Dalton tells Hunt to &#8216;do what is necessary&#8217; on junior doctors&#8217; contract &#8211; Health Service Journal<\/strong><br \/>\nSir David Dalton has written to Jeremy Hunt advising the government to <a href=\"http:\/\/www.hsj.co.uk\/topics\/workforce\/breaking-dalton-tells-hunt-to-do-what-is-necessary-on-junior-doctors-contract\/7002346.article\" target=\"_blank\">do \u201cwhatever it deems necessary\u201d <\/a>after a final offer for junior doctors was refused by the British Medical Association.<br \/>\n<a href=\"mailto:soh-tr.hanleylibrary@nhs.net?subject=Article Request - Dalton tells Hunt to 'do what is necessary' on junior doctors' contract - Health Service Journal \" target=\"_blank\">E-mail me this article<\/a><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Acute Frailty Network \u2013 Dr Jack Hawkins \u2013 Academy of Fabulous NHS Stuff<\/strong><br \/>\nCan we get a movement? The <a href=\"http:\/\/www.fabnhsstuff.net\/2016\/02\/11\/acute-frailty-network-dr-jack-hawkins\/\" target=\"_blank\">acute frailty network<\/a> has been going for over a year now. It was born, sister of the successful ambulatory emergency care network, in the spring of Autumn of 2014. Cohort one is nearly over, and we have been impressed that the conversations we are able to have with ten different teams are broadly the same:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Agree an aim, a vision for good care<\/li>\n<li>Get a team together, find our patients by using simple tools<\/li>\n<li>Do the same things with them every time (CGA) as early as possible<\/li>\n<li>Evaluate what we are doing and embed the good and leave what\u2019s not working<\/li>\n<\/ul>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Pathology Optimisation \u2013 Academy of Fabulous NHS Stuff<\/strong><br \/>\nPathology Optimisation is an <a href=\"http:\/\/ift.tt\/1V4pw29\" target=\"_blank\">innovative way of ensuring that patients receive the best care possible from the use of laboratory testing<\/a>. \u00a0Overtesting is not without a risk of harm, either through incorrect further investigations, action, or patient worry. It has delivered using the model of existing medicines optimisation teams in CCGs, working on:<\/p>\n<ul style=\"text-align: justify;\">\n<li>clinical effectiveness,<\/li>\n<li>understanding variation,<\/li>\n<li>engagement.<\/li>\n<\/ul>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Supporting Staff Innovation At Aintree Hospital With Directors\u2019 Dragons\u2019 Den \u2013 Academy of Fabulous NHS Stuff<\/strong><br \/>\nThere is a <a href=\"http:\/\/ift.tt\/1PmrskK\" target=\"_blank\">rumour that there are dragons lurking in Aintree University Hospital<\/a>; mighty dragons they say, residing in a den with powers to change reality\u2026 That sounds like the beginning of a fantasy genre book but there is, in fact, an element of truth to this. \u00a0\u00a0The dragons in question are the panel of the bi-annual Directors\u2019 Dragons\u2019 Den innovation fund. Aintree staff can bid for one-off funding of up to \u00a325k to assist them with improvement work without impacting on department budgets, helping in our Trust vision of getting it right for every patient every time.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Sustainability in the NHS &#8211; Healthcare Financial Management Association (HFMA)<\/strong><br \/>\nThe HFMA surveyed its members to gather their thoughts on environment sustainability as it launches a new special interest group which focusses on aspects of wider <a href=\"http:\/\/www.hfma.org.uk\/publications-and-guidance\/publications.htm?sort=3&amp;keyword=&amp;categories=pub_2|pub_5|info_10|info_16|info_8|info_9|info_15|info_14\" target=\"_blank\">sustainability in the NHS<\/a>. This briefing summarises the findings. Please note that registration is required to download this document.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Top Tips to Avoid Death \u2013 Academy of Fabulous NHS Stuff<\/strong><br \/>\nThere are two national measure of mortality; HMSR and SHMI. \u00a0Traditionally Trusts focused on HSMR, however when SHMI was introduced, Aintree was highlighted as having one of the highest SHMI scores in the country. In response to this situation, <a href=\"http:\/\/ift.tt\/1KciFDj\" target=\"_blank\">Aintree Hospital Management Board approved a 12 month Project <\/a>to focus on three key work streams; Acute Kidney Failure (AKI), Sepsis and Pneumonia as it is well documented that the implementation of time critical clinical interventions for these conditions can considerably reduce mortality. \u00a0The interventions are nationally known as Sepsis Six care bundle and AKI care bundle.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Breakfast club is a success on Scotter Ward \u2013 Academy of Fabulous NHS Stuff<\/strong><br \/>\nA new <a href=\"http:\/\/ift.tt\/1T8gy4D\" target=\"_blank\">breakfast club for patients is proving a success<\/a> at John Coupland Hospital, Gainsborough. \u00a0Monday to Wednesday every week patients from a different bay enjoy making their own breakfast and cup of tea with support from therapy staff on Scotter Ward at John Coupland Hospital.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Winter pressures: what\u2019s going on behind the scenes?\u00a0\u00a0 &#8211; Nuffield Trust<\/strong><br \/>\nThis latest analysis from QualityWatch, a joint Nuffield Trust and Health Foundation research programme, tracks <a href=\"http:\/\/www.qualitywatch.org.uk\/content\/winter-pressures-what%E2%80%99s-going-on-behind-scenes\" target=\"_blank\">performance across 29 different indicators<\/a> over the past five years (from spring 2010 to autumn 2015) to shine a light on the pressure hospital services experience in winter.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Review of information technology in the NHS<br \/>\n<\/strong>The Department of Health and the National Information Board has announced details of a review <a href=\"https:\/\/www.gov.uk\/government\/news\/review-of-information-technology-in-nhs\">Making IT work: harnessing the power of health IT to improve care in England<\/a>. The review will examine the use of computer systems across the NHS looking at places where IT has worked well and those areas that need improving. It will also look at different ways to implement IT in healthcare as the NHS works towards being paperless by 2020.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>NICE Quality Standard updated<br \/>\n<\/strong>NICE has issued an updated quality standard:<strong><br \/>\n<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li><a href=\"http:\/\/www.nice.org.uk\/guidance\/qs10\">Chronic obstructive pulmonary disease in adults<\/a> (QS10).This quality standard was previously called chronic obstructive pulmonary disease quality standard. A new statement on emergency oxygen during an exacerbation has been added and the other quality statements have been updated.<\/li>\n<\/ul>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>Child health services<br \/>\n<\/strong>The Nuffield Trust has published <a href=\"http:\/\/www.nuffieldtrust.org.uk\/publications\/future-child-health-services-new-models-care\">The future of child health services: new models of care<\/a>. This briefing describes the current state of child health and quality of care in the UK, including problems around increasing use of hospitals to treat conditions that could be dealt with in other settings; capacity issues in primary care; and the often disjointed care provided between hospitals and the community. It then looks some examples of new models of care which have been emerging both within the Vanguard scheme and inspired by it and how they are responding to these issues.<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>Public satisfaction with the NHS in 2015<br \/>\n<\/strong>The Kings Fund has published <a href=\"http:\/\/www.kingsfund.org.uk\/projects\/public-satisfaction-nhs\/bsa-survey-2015\">Public satisfaction with the NHS in 2015<\/a>. The data taken from the British Social Attitudes (BSA) asked the public about their views on, and feelings towards, the NHS, health care and issues generally. The latest survey was carried out between July and October 2015 and asked a nationally representative sample of more than 2,000 people about their satisfaction with the NHS overall, and of more than 1,000 people about their satisfaction with individual NHS services.<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>NICE Bites<br \/>\n<\/strong>The January 2016 NICE Bites bulletin from the North West Medicines Information Service covers <a href=\"http:\/\/www.medicinesresources.nhs.uk\/upload\/documents\/Health%20In%20Focus\/NICEBites%20Jan%202016;%20No%2083%20Type%202%20diabetes.pdf\">Type 2 diabetes<\/a> (NG28).\u00a0 The aim of this publication is to provide healthcare professionals with a clear and succinct summary of key prescribing points taken from the NICE guidance, NG28.\u00a0 This guideline covers the management of type 2 diabetes in adults.<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>Working with the NHS to ensure a healthy economy<br \/>\n<\/strong>The NHS Confederation has issued a flyer as part of a campaign to highlight the health sector\u2019s increasing role in supporting local growth and regional prosperity.\u00a0 <a href=\"http:\/\/www.nhsconfed.org\/resources\/2016\/02\/working-with-the-nhs-to-ensure-a-healthy-economy\">Working with the NHS to ensure a healthy economy<\/a> is the first in a host of resources for NHS and non-NHS audiences, which will focus on positioning the health sector as an important investment opportunity and helping non-health sectors understand how to work with the NHS.<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>Consultation on clinical commissioning policies and service specifications<br \/>\n<\/strong>NHS England has launched a <a href=\"https:\/\/www.engage.england.nhs.uk\/consultation\/clinical-commissioning-wave2\">thirty day public consultation<\/a> on a number of proposed new products for specialised services, (including service specifications and clinical commissioning policies). There has already been extensive engagement on these national specifications and policies, as they have been developed with the support and input of lead clinicians and patient and public representatives. The consultation period runs until the 5 March 2016. \u00a0<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>Warning about rise in block contracts risking patient choice<br \/>\n<\/strong>The NHS Partners Network (NHSPN) has <a href=\"http:\/\/www.nhsconfed.org\/media-centre\/2016\/02\/rise-in-block-contracts-risks-patient-choice\">raised concerns<\/a> about the number of block contracts commissioned by clinical commissioning groups for NHS-funded elective care procedures.\u00a0 The procedures have risen by nearly one-third (32%) in one year, to nearly \u00a32.8 billion, according to new data released by the (NHSPN). The network is warning that the rise of block contracts threatens the government policy that patients should be enabled to exercise their legal right to choose their healthcare provider for an elective operation.<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span lang=\"EN-US\"><strong>NHS reference costs collection guidance<br \/>\n<\/strong>The Department of Health has published <a href=\"https:\/\/www.gov.uk\/government\/publications\/nhs-reference-costs-collection-guidance-for-2015-to-2016\">Reference costs guidance 2015 to 2016<\/a>.\u00a0 This document sets out requirements for the collection of 2015 to 2016 reference costs from NHS trusts and NHS foundation trusts between 20 June and 29 July 2016. It follows feedback from the NHS on draft collection guidance.<\/span><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Statistics<br \/>\n<\/strong><\/p>\n<ul>\n<li>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/www.hscic.gov.uk\/catalogue\/PUB19752\" target=\"_blank\">NHS Safety Thermometer Report<\/a> &#8211; England January 2015 &#8211; January 2016<\/p>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"Dalton tells Hunt to &#8216;do what is necessary&#8217; on junior doctors&#8217; contract &#8211; Health Service Journal Sir David Dalton has written to Jeremy Hunt advising the government to do \u201cwhatever it deems necessary\u201d after a final offer for junior doctors was refused by the British Medical Association. E-mail me this&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":[15],"tags":[],"class_list":["post-2332","post","type-post","status-publish","format-standard","hentry","category-daily-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-BC","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/2332","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=2332"}],"version-history":[{"count":46,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/2332\/revisions"}],"predecessor-version":[{"id":2378,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/2332\/revisions\/2378"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=2332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=2332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=2332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}