{"id":303,"date":"2014-03-18T10:17:08","date_gmt":"2014-03-18T10:17:08","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=303"},"modified":"2014-03-18T13:05:47","modified_gmt":"2014-03-18T13:05:47","slug":"news-bulletin-for-tuesday-18th-march","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2014\/03\/18\/news-bulletin-for-tuesday-18th-march\/","title":{"rendered":"News Bulletin for Tuesday 18th March"},"content":{"rendered":"<p><strong>Expert group: Leave Francis constitution amendments &#8217;till later&#8217;\u00a0&#8211; HSJ<\/strong><br \/>\nAn expert group set up to review the future of the NHS Constitution has rejected the Francis report\u2019s recommendation the document should be rewritten and has instead said the government should focus on making sure it was \u201cpublicised, embedded and applied\u201d.<\/p>\n<ul>\n<li>Read more <a href=\"http:\/\/www.hsj.co.uk\/news\/workforce\/expert-group-leave-francis-constitution-amendments-till-later\/5069006.article?referrer=RSS\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a>\u00a0to request this article or Phn. 01704 704202<\/li>\n<\/ul>\n<p><strong>Hospital discharge delays &#8216;cost NHS \u00a3100m&#8217; HSJ<\/strong><br \/>\nDelays in discharging patients from hospital while they are waiting for social care to be arranged are costing the NHS in England about \u00a3100m each year, <a href=\"http:\/\/www.hsj.co.uk\/news\/finance\/hospital-discharge-delays-cost-nhs-100m\/5068992.article?referrer=RSS\" target=\"_blank\">a documentary claims<\/a>.<\/p>\n<ul>\n<li><a href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a> to request this article or Phn. 01704 704202<\/li>\n<\/ul>\n<p><strong>Adult Social Care review<br \/>\n<\/strong>In the first of a series of reports on the adult care system, the National Audit Office has highlighted the main risks and challenges as the system changes radically.\u00a0<a href=\"http:\/\/www.nao.org.uk\/report\/adult-social-care-england-overview\/\">Adult Social Care: an overview<\/a>\u00a0points out that government does not know if the limits of the capacity of the care system to continue to absorb pressures are being approached. It warns that major changes to the system to improve outcomes and reduce costs will be challenging to achieve.<\/p>\n<p><strong>Community engagement to improve health<br \/>\n<\/strong>NICE has produced a local government briefing on\u00a0<a href=\"http:\/\/publications.nice.org.uk\/community-engagement-to-improve-health-lgb16\">Community engagement to improve health<\/a>. This briefing summarises NICE&#8217;s recommendations for local authorities and partner organisations on how community engagement approaches can be used to improve the planning and delivery of all services, including those that impact on health. It is particularly relevant to health and wellbeing boards.<\/p>\n<p><strong>Early access to medicines<br \/>\n<\/strong>The government has announced a new scheme which aims to give patients with life threatening or seriously debilitating conditions access to medicines that do not yet have a marketing authorisation.\u00a0 Under the\u00a0<a href=\"http:\/\/www.mhra.gov.uk\/Howweregulate\/Innovation\/EarlieraccesstomedicinesschemeEAMS\/index.htm\">Early Access to Medicines Scheme<\/a>, Medicines and Healthcare products Regulatory Agency (MHRA), will give a scientific opinion on a new medicine or indication that has demonstrated a positive risk\/benefit balance.\u00a0 The scheme will begin taking applications from companies from early April 2014.<br \/>\nAdditional link:\u00a0<a href=\"https:\/\/www.gov.uk\/government\/news\/cutting-edge-drugs-to-be-fast-tracked-to-patients\">DH press release<\/a><\/p>\n<p><strong>Extension to new medicine service<br \/>\n<\/strong>NHS England has been considering the\u00a0<a href=\"http:\/\/www.england.nhs.uk\/2014\/03\/17\/nms-2\/\">short term future of the new medicine service<\/a>\u00a0(NMS), in discussion with the Pharmaceutical Services Negotiating Committee.\u00a0 It has been agreed that the NMS will be extended to run throughout 2014\/15, subject to the outcome of the evaluation.\u00a0 This decision was informed by initial findings from the evaluation. The final report is not expected to be published before May 2014.<\/p>\n<p><strong>The 5 most difficult conversations you\u2019ll have at work\u2026made easy \u2013 People Management Article<\/strong><br \/>\nArticle outlining approaches to 5 key HR conversations, from dealing with a bully to proving the value of the HR function.<\/p>\n<ul>\n<li>Read the full article <a href=\"http:\/\/search.ebscohost.com\/login.aspx?direct=true&amp;db=heh&amp;AN=94890934&amp;site=ehost-live\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<\/ul>\n<p><strong style=\"line-height: 1.714285714; font-size: 1rem;\">Systematic review of the application of the plan\u2013do\u2013study\u2013act method to improve quality in healthcare \u2013 BMJ Quality &amp; Safety Article<\/strong><br \/>\nPlan\u2013do\u2013study\u2013act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. <a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4\/290.full.pdf+html\" target=\"_blank\">This paper<\/a> proposes a theoretical framework for assessing the quality of application of PDSA cycles and explores the consistency with which the method has been applied in peer-reviewed literature against this framework.<\/p>\n<p><strong>Rethinking \u2018quality\u2019 in health care \u2013 Journal of Health Services Research &amp; Policy<\/strong><br \/>\nIn England, the NHS is \u2018organising itself around a single de\ufb01nition of quality: care that is e\ufb00ective, safe and provides as positive an experience as possible\u2019 enshrined in the NHS Outcomes Framework, as a set of measurable indicators.<\/p>\n<ul>\n<li>Read the full article <a href=\"http:\/\/hsr.sagepub.com\/content\/19\/2\/65.full.pdf+html?rss=1\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<\/ul>\n<p><strong>Building knowledge, asking questions &#8211;\u00a0BMJ Quality &amp; Safety April 2014<\/strong><br \/>\nIn his recent book\u00a0<i>Ignorance: how it drives science,<\/i>\u00a0Stewart Firestein states, \u2018Knowledge is a big subject. Ignorance is bigger.\u2019 \u00a0Firestein&#8217;s book does not explore the ways of knowledge, but the mechanisms by which scientists work to develop and answer questions&#8230;which invariably lead to more questions. \u2018Not knowing\u2019 is a key driver of research and of quality improvement (QI). While research seeks to create new generalisable knowledge, QI often focuses on improving a specific aspect of healthcare delivery that is not consistently or appropriately implemented in a particular setting.<\/p>\n<ul>\n<li>Read the full article <a href=\"http:\/\/qualitysafety.bmj.com\/cgi\/content\/short\/23\/4\/265?rss=1\" target=\"_blank\">here<\/a>\u00a0 or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<li>Access the full April 2014 issue <a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4.cover-expansion\" target=\"_blank\">here<\/a><\/li>\n<\/ul>\n<p><strong>Surgical checklists: a systematic review of impacts and implementation &#8211;\u00a0BMJ Quality &amp; Safety April 2014<\/strong><br \/>\nSurgical complications represent a significant cause of morbidity and mortality with the rate of major complications after inpatient surgery estimated at 3\u201317% in industrialised countries. The purpose of this review was to summarise experience with surgical checklist use and efficacy for improving patient safety.<\/p>\n<ul>\n<li>Read the full article <a href=\"http:\/\/qualitysafety.bmj.com\/cgi\/content\/short\/23\/4\/299?rss=1\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<li>Access the full April 2014 issue\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4.cover-expansion\" target=\"_blank\">here<\/a><\/li>\n<\/ul>\n<p><strong>Suffering in silence: a qualitative study of second victims of adverse events &#8211;\u00a0<strong>BMJ Quality &amp; Safety April 2014<\/strong><\/strong><br \/>\nThe term \u2018second victim\u2019 refers to the healthcare professional who experiences emotional distress following an adverse event. This distress has been shown to be similar to that of the patient\u2014the \u2018first victim\u2019. The aim of this study was to investigate how healthcare professionals are affected by their involvement in adverse events with emphasis on the organisational support they need and how well the organisation meets those needs.<\/p>\n<ul>\n<li>Read the full article\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/cgi\/content\/short\/23\/4\/325?rss=1\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<li>Access the full April 2014 issue\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4.cover-expansion\" target=\"_blank\">here<\/a><\/li>\n<\/ul>\n<p><strong>Analysis of patients&#8217; comments about hospitals in the NHS via Twitter, and comparison with patient surveys &#8211;\u00a0<strong>\u00a0BMJ Quality &amp; Safety April 2014<\/strong><\/strong><br \/>\nTwitter and other social media are increasingly used by patients to discuss their experiences of healthcare. Social media might provide a new way for health services to listen to the voices of patients and improve their services. Little is known about how patients are communicating with hospitals via this route, and whether there is any association with traditional measures of patient experience such as surveys.<\/p>\n<ul>\n<li>Read the full article\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/cgi\/content\/short\/23\/4\/348-b?rss=1\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<li>Access the full April 2014 issue\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4.cover-expansion\" target=\"_blank\">here<\/a><\/li>\n<\/ul>\n<p><strong>Does pay for performance in hospitals save lives? &#8211;\u00a0<strong>\u00a0BMJ Quality &amp; Safety April 2014<\/strong><\/strong><br \/>\nPay for performance is increasingly used as a way of improving the quality of medical care. We previously showed that a pay for performance scheme targeting a range of processes measures in hospitals in the North West of England was associated with a substantial reduction in mortality for pneumonia, myocardial infarction and heart failure equivalent to 890 fewer deaths (Sutton et al. Reduced Mortality with Hospital Pay for Performance in England. New England Journal of Medicine 2012;367:1821\u201328). This analysis only assessed mortality in the first 18 months after introduction of the scheme. We now report mortality outcomes at 42 months to see whether the effect was sustained.<\/p>\n<ul>\n<li>Read the full article\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/cgi\/content\/short\/23\/4\/349-b?rss=1\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<li>Access the full April 2014 issue\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4.cover-expansion\" target=\"_blank\">here<\/a><\/li>\n<\/ul>\n<p><strong>Evaluation of quality of care using registry data: the interrelationship between length-of-stay, readmission and mortality and impact on hospital outcomes. &#8211;<strong>\u00a0BMJ Quality &amp; Safety April 2014<\/strong><\/strong><br \/>\nHospital mortality, readmission and length of stay (LOS) are commonly used measures for quality of care, given availability in administrative data. However, these measures are interrelated. For example, a short LOS due to patient&#8217;s death should be interpreted differently than short LOS in survivors. And patients who died cannot be readmitted. In this study we aim to disentangle the relationship between mortality, readmission and LOS and propose a way to jointly report the three figures to facilitate insight and evaluation of quality of care.<\/p>\n<ul>\n<li>Read the full article\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/cgi\/content\/short\/23\/4\/350-b?rss=1\" target=\"_blank\">here<\/a>\u00a0or\u00a0<a style=\"line-height: 1.714285714; font-size: 1rem;\" href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\">Contact the Library &amp; Knowledge Service<\/a><span style=\"line-height: 1.714285714; font-size: 1rem;\">\u00a0to request this article or Phn. 01704 704202<\/span><\/li>\n<li>Access the full April 2014 issue\u00a0<a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/4.cover-expansion\" target=\"_blank\">here<\/a><\/li>\n<\/ul>\n<p><strong>Proposals to remove administrative burdens on CCGs and NHS England<br \/>\n<\/strong>The Department of Health has published proposals to amend current legislation to remove administrative burdens on clinical commissioning groups (CCGs) and NHS England.\u00a0<a href=\"https:\/\/www.gov.uk\/government\/publications\/amending-the-national-health-service-act-2006\">Explanatory Document to accompany draft Legislative Reform Order 2014: amending the National Health Service Act 2006<\/a>\u00a0sets out details of the proposal to use a Legislative Reform Order (LRO) to amend the NHS Act 2006 to: enable 2 or more CCGs to form a joint committee when carrying out their functions; and enable CCGs and NHS England to jointly exercise CCG functions and form a joint committee when doing so.\u00a0 The draft Order has been laid in parliament and is going through parliamentary procedures for approval.<\/p>\n","protected":false},"excerpt":{"rendered":"Expert group: Leave Francis constitution amendments &#8217;till later&#8217;\u00a0&#8211; HSJ An expert group set up to review the future of the NHS Constitution has rejected the Francis report\u2019s recommendation the document should be rewritten and has instead said the government should focus on making sure it was \u201cpublicised, embedded and applied\u201d.&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-303","post","type-post","status-publish","format-standard","hentry","category-daily-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-4T","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/303","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=303"}],"version-history":[{"count":12,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/303\/revisions"}],"predecessor-version":[{"id":315,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/303\/revisions\/315"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}