{"id":2837,"date":"2016-03-16T12:00:56","date_gmt":"2016-03-16T12:00:56","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=2837"},"modified":"2016-03-16T12:47:28","modified_gmt":"2016-03-16T12:47:28","slug":"knowledge-lert-for-wednesday-16th-march","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2016\/03\/16\/knowledge-lert-for-wednesday-16th-march\/","title":{"rendered":"Knowledge @lert for Wednesday 16th March"},"content":{"rendered":"

NEW<\/strong> <\/span>Lessons Learned Bulletin – March 2016. The Deteriorating Patient<\/a> (Only available via the Trust Intranet)<\/p>\n

NEW on the Library website <\/strong><\/span>\u2013 The Deteriorating Patient Information Resource Portal <\/a>Links to the latest guidance and pathways, research articles, video clips and evidence based resources. http:\/\/www.sonhslks.com\/the-deteriorating-patient.html<\/a><\/p>\n

\n

Health and care bodies reveal the map that will transform healthcare in England – NHS England<\/strong>
\nNational health and care bodies in England have published details of the 44 \u2018footprint\u2019 areas<\/a> that will bring local health and care leaders, organisations and communities together to develop local blueprints for improved health, care and finances over the next five years, delivering the NHS Five Year Forward View.<\/p>\n

Senior leaders who will be leading this work have also been confirmed today, with broadly equal representation from clinical commissioning groups and from hospitals and other providers of care, as well as some key figures from local authorities, recognising the need for local systems to work in partnership.<\/p>\n

\n

Sustainability and financial performance of acute hospital trusts<\/strong>
\nThe Public Accounts Committee has published Sustainability and financial performance of acute hospital trusts<\/a>.\u00a0 The Committee concludes the financial performance of NHS trusts and NHS foundation trusts has deteriorated sharply and this trend is not sustainable.\u00a0 It highlights the “long-term damage” to trusts’ finances caused by unrealistic government efficiency targets, and describes the data used to estimate trusts’ potential cost savings targets as “seriously flawed”.\u00a0 It concludes the current system for paying providers “is not fit-for-purpose as it does not incentivise the right behaviors needed for joined-up healthcare services”.<\/p>\n

\n

Quality improvement training in medical education<\/strong>
\nThe Academy of Medical Royal Colleges has published Quality improvement \u2013 training for better outcomes<\/a>.\u00a0 The report provides recommendations for embedding quality improvement training in medical education and highlights the importance of making quality improvement part of the mindset of all health and social care staff. It calls on employers in particular, to provide protected time and resources for doctors to put their quality improvement training into practice.<\/p>\n

\n

The Value and Contribution of Nursing to Public Health in the UK \u2013 Royal College of Nursing<\/strong>
\nThis report<\/a> shows the difference individual nurses and their teams can make if they are given the time, support and authority to do so. \u00a0It finds\u00a0nursing expertise is highly valued, but barriers to nurses\u2019 involvement in services include a lack of training among some nurses and a lack of knowledge among some commissioners of where nurses could contribute. \u00a0Commissioners state\u00a0nurses are well placed to give public health messages and are often seen as more approachable than some other health care practitioners.<\/p>\n

\n

Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis \u2013 the Community In-reach Rehabilitation And Care Transition (CIRACT) study. –\u00a0<\/strong> Health Services and Delivery Research, Vol:4, Iss:7
\nOlder people represent a significant proportion of patients admitted to hospital as a medical emergency. Compared with the care of younger patients, their care is more challenging, their stay in hospital is much longer, their risk of hospital-acquired problems is much higher and their 28-day readmission rate is much greater. \u00a0This study <\/a>compares the clinical effectiveness, microcosts and cost-effectiveness of a Community In-reach Rehabilitation And Care Transition (CIRACT) service with the traditional hospital-based rehabilitation (THB-Rehab) service in patients aged \u2265\u200970 years.<\/p>\n

\n

Preparing for Home: a before-and-after study to investigate the effects of a neonatal discharge package aimed at increasing parental knowledge, understanding and confidence in caring for their preterm infant before and after discharge from hospital,\u00a0 –<\/strong> Health Services and Delivery Research, Vol:4, Iss:10
\nImproved survival and shorter length of stay (LOS) for preterm infants<\/a>, together with poorly organised discharge planning in some neonatal units, leaves many parents ill prepared to take their babies home, with increased use of out-of-hours services. Despite the importance accorded to family-orientated neonatal care by the Department of Health and the National Institute for Health and Care Excellence, few neonatal units offer structured, family-orientated discharge planning.<\/p>\n

\n

End-of-life care and physician-assisted dying: reflections and recommendations –\u00a0 British Medical Association (BMA)<\/strong>
\nThis project<\/a>, launched in November 2014, aimed to\u00a0examine both the public and medical professionals’ attitudes on aspects of end-of-life care and physician-assisted dying.\u00a0While recognising the many excellent examples of end-of-life care provision, this\u00a0research highlights the variability in the quality of care between and within geographical areas and between different medical conditions. The report\u00a0outlines the main challenges to providing good end-of-life care and the ways we can address them. It highlights three overarching themes which have come out of the research:\u00a0the need to ensure the provision of consistently high-quality end-of-life care; the need for ongoing education, training and support for doctors; and the central role of families and those close to the patient.<\/p>\n

\n

Independent sector providers
\n<\/strong>The NHS Partners Network has produced an infographic<\/a> to highlight the varied and important contribution that independent sector providers make to supporting NHS patients.<\/p>\n

\n

NHS accepts HSJ call for gender equality on boards \u2013 Health Service Journal<\/strong>
\nThe NHS has embraced a target to achieve gender balanced boards. \u00a0This week senior figures from across the service gave it their backing. \u00a0Ed Smith, NHS Improvement chair and the health service\u2019s gender diversity champion, said: \u201cI accept that challenge and will work hard to drive that ambition through the NHS. Now let\u2019s get to work.\u201d<\/p>\n

\n

New CQUIN guidance to support the wellbeing of NHS staff – NHS Employers<\/strong>
\nGuidance <\/a>released to help and inform organisations of the new Commissioning for Quality and Innovation to improve staff health and wellbeing.<\/p>\n

\n

NICE shared learning<\/strong><\/span><\/p>\n

NICE has published the following shared learning case studies:<\/p>\n