{"id":4226,"date":"2016-08-11T09:46:11","date_gmt":"2016-08-11T08:46:11","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=4226"},"modified":"2016-08-11T10:01:12","modified_gmt":"2016-08-11T09:01:12","slug":"4226","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2016\/08\/11\/4226\/","title":{"rendered":"Knowledge @lert for Thursday 11th August"},"content":{"rendered":"<p><strong>Abandon the idea that all Trusts have to balance their books\u00a0 &#8211; <a href=\"http:\/\/campaign.r20.constantcontact.com\/render?m=1102665899193&amp;ca=80efe074-9e44-4c89-b139-da84d63c5491\" target=\"_blank\">Roy Lilly Blog<\/a><\/strong><br \/>\nThe NHS has to be put on life support. Start with the financial pressures.<br \/>\nAbandon the idea that all Trusts have to balance their books. Some will be &#8216;loss-makers&#8217;, they are socially-essential, have to be in-place, come what may, get over it.<br \/>\nForget making individual components balance their activities, look for a balance across the whole health economy.Force people to share finances, share the risk and share the solutions. They used to be District Health Authorities, now they will be Accountable Care Organisations.<\/p>\n<hr \/>\n<p><strong>Integrated care a &#8216;main priority&#8217; for Greater Manchester, says Burnham &#8211; Health Service Journal<\/strong><br \/>\nAndy Burnham, Labour\u2019s candidate to become Greater Manchester\u2019s first elected mayor, has said handing control of running the region\u2019s social care services to the NHS would be one of his \u201cmain priorities\u201d if he is elected to the new role.<\/p>\n<hr \/>\n<p><strong>Junior doctors granted new whistleblowing protection &#8211; Health Service Journal<\/strong><br \/>\nHealth Education England has said it will extend whistleblowing protection to junior doctors in the NHS following concerns trainee medics were at risk of detrimental treatment.<\/p>\n<hr \/>\n<p><strong>Junior doctors will have whistleblowing protection added to contracts &#8211; BMJ<\/strong><br \/>\nHealth Education England (HEE) has introduced <a href=\"http:\/\/www.bmj.com\/content\/354\/bmj.i4423\" target=\"_blank\">whistleblowing protection for junior doctors<\/a>. The organisation said that this provided a new legal route to allow trainees to make legal claims against HEE if they believe that it has caused detriment to their career. The BMA, which campaigned for the change, said that this would close a loophole in which HEE, the body responsible for training junior doctors, was exempt from any legal responsibility for whistleblowers because it is not technically an employer. HEE said that this was not something the organisation itself could change.<\/p>\n<hr \/>\n<p><strong>Major acute trust to be rated inadequate &#8211; Health Service Journal<\/strong><br \/>\nQUALITY: A large acute trust in Greater Manchester is set to be rated inadequate by the Care Quality Commission, HSJ understands. It has been widely known that serious concerns were raised during an inspection of Pennine Acute Hospital Trust earlier this year, particularly around emergency services and staffing shortages in key areas.<\/p>\n<hr \/>\n<p><strong>Former franchise trust to exit special measures &#8211; Health Service Journal<\/strong><br \/>\nPERFORMANCE: The district general hospital run for three years by a private company is to exit special measures after being rated good by the CQC, just over a year after it was handed back to full NHS control. Hinchingbrooke Health Care Trust was rated \u201cgood\u201d overall in its latest Care Quality Commission inspection, up from the \u201crequires improvement\u201d rating it was given in April 2015. It was rated \u201cgood\u201d in terms of being safe, effective, caring, responsive and well led.<\/p>\n<hr \/>\n<p><strong>New framework for consistent learning disability care &#8211; NHS Employers<\/strong><br \/>\nFind out about the <a href=\"http:\/\/www.nhsemployers.org\/news\/2016\/08\/new-framework-for-consistent-learning-disability-care\" target=\"_blank\">new education and training framework<\/a> for staff who work with people living with a learning disability.<\/p>\n<hr \/>\n<p><strong>Community-based care: an elusive strategy?<a href=\"http:\/\/www.kingsfund.org.uk\/blog\/2016\/08\/community-based-care-elusive-strategy\" target=\"_blank\"> King&#8217;s Fund Blog<\/a><\/strong><br \/>\nDoes anyone remember a time when shifting the balance of care into community settings and away from hospitals was NOT a strategic goal for the NHS? A new report from the Fund on <a href=\"http:\/\/www.kingsfund.org.uk\/projects\/older-people-community-health-services\" target=\"_blank\">the state of district nursing<\/a> \u2013 due to be published later this month \u2013 will throw some light on the success (or lack of success) in delivering this goal.This report follows others that have looked at the core building blocks of care outside the acute sector, including in <a href=\"http:\/\/www.kingsfund.org.uk\/publications\/pressures-in-general-practice\" target=\"_blank\">general practice<\/a> and <a href=\"http:\/\/www.kingsfund.org.uk\/publications\/mental-health-under-pressure\" target=\"_blank\">mental health<\/a>. Once you move out of the acute sector there are a number of common themes across all these areas, including a relative <a href=\"http:\/\/www.kingsfund.org.uk\/blog\/2016\/05\/crisis-general-practice\" target=\"_blank\">lack of data and oversight on the workforce<\/a>, service capacity and quality of care. Most of these services also fall outside the iconic performance targets that apply in A&amp;E, referral-to-treatment, diagnostics or cancer care. Even the post-Francis focus on quality of care has been framed to date mostly around the quality of inpatient services and all that entails \u2013 whether it\u2019s debates about nurse staffing ratios or the Care Quality Commission (CQC) inspection regime. Perhaps it should come as no surprise that of the 63 providers picked out by NHS Improvement as having excessive paybill growth (however controversial the measure), only four were community or mental health service providers.<\/p>\n<hr \/>\n<p><strong>Public health skills and knowledge framework (PHSKF) &#8211; Public Health England\u00a0<\/strong><br \/>\nThe <a href=\"https:\/\/www.gov.uk\/government\/publications\/public-health-skills-and-knowledge-framework-phskf\" target=\"_blank\">framework <\/a>is accompanied by a helpful user guide, setting out how it can be used by individuals, employers and educational providers working in public health.<\/p>\n<hr \/>\n<p><strong>\u2018Worrying\u2019 stress levels among primary care staff &#8211; Nursing Times<\/strong><br \/>\nPractice nurses and their colleagues in primary care are being put at risk of developing mental health problems by the <a href=\"http:\/\/www.nursingtimes.net\/news\/primary-care\/worrying-stress-levels-among-primary-care-staff\/7009885.article\" target=\"_blank\">increasing stress levels<\/a> they face in the workplace, a charity has warned.<\/p>\n<hr \/>\n<p><strong>Safety alert issued on faulty glucose test strips &#8211; Nursing Times<\/strong><br \/>\nPatients with diabetes who use blood glucose test strips from a particular product range should be told to stop using them and seek an alternative as soon as possible, <a href=\"https:\/\/www.gov.uk\/government\/news\/medical-devices-regulator-issues-alert-on-faulty-glucose-test-strips\" target=\"_blank\">a safety watchdog has warned. <\/a><\/p>\n<hr \/>\n<p><strong><span lang=\"EN-US\">Health research: standard contract review<br \/>\n<\/span><\/strong>The Department of Health and the Health Research Authority have been working together to review the <a href=\"http:\/\/www.nets.nihr.ac.uk\/news\/all\/2016\/revised-dh-contract-will-benefit-researchers-and-patients\" target=\"_blank\">standard DH contract for NIHR funded research<\/a>.\u00a0 Research funded by a National Institute for Health Research programme will now be able to receive payments for start-up in advance of ethical approval. This enables more rapid, efficient and streamlined set-up of research and quicker translation of research into patient benefit.<\/p>\n<hr \/>\n<p><strong>NHS England: assessment of performance 2015-2016<br \/>\n<\/strong>The Department of Health has published <a href=\"https:\/\/www.gov.uk\/government\/publications\/nhs-england-assessment-of-performance-2015-to-2016\" target=\"_blank\">Annual assessment of the NHS Commissioning Board (known as NHS England) 2015-16<\/a>.\u00a0 The Secretary of State for Health\u2019s assessment report covers the extent to which NHS England met its mandate and business plan objectives, and fulfilled its duties to improve the quality of services, reduce inequalities and secure public involvement during 2015-16.<\/p>\n<hr \/>\n<p><strong>GP practices left with unused vaccine after 2015\/16 flu season &#8211; GP Online<\/strong><br \/>\nA third of GP practices were left with a <a href=\"http:\/\/www.gponline.com\/gp-practices-left-unused-vaccine-2015-16-flu-season\/respiratory-system\/article\/1404061\" target=\"_blank\">larger stock of unused vaccine<\/a> after the 2015\/16 flu season compared with the previous year, a GPonline poll has found.<\/p>\n<hr \/>\n<p><strong>RCGP and GPC issue joint call for GPs to be given specialist status &#8211; GP Online<\/strong><br \/>\nThe RCGP and GPC have released a joint statement demanding the government <a href=\"http:\/\/www.gponline.com\/rcgp-gpc-issue-joint-call-gps-given-specialist-status\/article\/1405229\" target=\"_blank\">recognises general practice as a speciality<\/a> to give them greater parity with secondary care colleagues.<\/p>\n<hr \/>\n<p><strong>Statistics<br \/>\n<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/digital.nhs.uk\/catalogue\/PUB21108\" target=\"_blank\">NHS Safety Thermometer Report<\/a> &#8211; July 2015 to July 2016<\/li>\n<li><a href=\"http:\/\/digital.nhs.uk\/catalogue\/PUB21325\">Patient-Led Assessments of the Care Environment (PLACE)<\/a> &#8211; 2016 \u2013 England<\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/statistics\/unexplained-deaths-in-infancy-england-and-wales-2014\">Unexplained deaths in infancy, England and Wales<\/a> &#8211; 2014<\/li>\n<\/ul>\n<hr \/>\n<p><strong>Bulletins<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.gov.uk\/government\/publications\/drug-safety-update-monthly-newsletter\">Drug Safety Update<\/a> \u2013 August 2016<\/li>\n<li><a href=\"https:\/\/improvement.nhs.uk\/news-alerts\/provider-bulletin-3-august-2016\/\">Provider Bulletin<\/a> \u2013 3 August 2016<\/li>\n<li><a href=\"http:\/\/systems.digital.nhs.uk\/gpcollections\/bulletins\/bulletin43.pdf\">GP Collections Bulletin<\/a>\u2013 August 2016<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"Abandon the idea that all Trusts have to balance their books\u00a0 &#8211; Roy Lilly Blog The NHS has to be put on life support. Start with the financial pressures. Abandon the idea that all Trusts have to balance their books. Some will be &#8216;loss-makers&#8217;, they are socially-essential, have to be&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":[37,15,1],"tags":[],"class_list":["post-4226","post","type-post","status-publish","format-standard","hentry","category-ccg","category-daily-news","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/s4kWbe-4226","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/4226","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=4226"}],"version-history":[{"count":40,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/4226\/revisions"}],"predecessor-version":[{"id":4266,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/4226\/revisions\/4266"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=4226"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=4226"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=4226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}