Sustainability and Transformation Plans: what we know so far –\u00a0 Nuffield Trust<\/strong> BMA announce details of prolonged industrial action – NHS Employers<\/strong> Emergency cover will not be provided.<\/p>\n Case study published by doctors at Southport and Ormskirk Hospital<\/strong> Quality Improvement study published by doctors at Southport and Ormskirk Hospital<\/strong> Help your colleagues talk performance – NHS Employers<\/strong> Council chief executive to lead CCG after ‘symbolic’ appointment – Health Service Journal<\/strong> CCGs asked to ensure fetal medicine access following HSJ investigation – Health Service Journal<\/strong> Legal challenge issued against ‘unlawful’ Grantham hospital A&E closure – NHE<\/strong> District nursing services – The King’s Fund District nursing ‘crisis’ putting care in the community aims at risk – NHE<\/strong> Bias in leadership: What’s your story? – NHS Employers<\/strong> NICE guidance update:\u00a0 stable angina Trust-level 30-day mortality after systemic anticancer treatment for breast and lung cancer in England: companion reporttags: Quality of care and clinical outcomes. – Public Health England (PHE)<\/strong> New minister needed for embedding public health across all policies – MPs – NHE<\/strong>
\n1 Sep 2016. Nigel Edwards
\nSustainability and Transformation Plans (STPs) \u2013 the 44 regionally specific blueprints<\/a> for improving health and social care services and finances for the coming five years \u2013 are taking shape, and final versions are expected to be submitted in the coming weeks. With this in mind, the Nuffield Trust and the Healthcare Financial Management Association recently held a workshop for STP leaders that was designed to help those involved in STP \u2018footprints\u2019 to develop their plans. We have drawn together insights from the workshop, from members of our learning networks for hospital CEOs and CCG accountable officers, and from a series of conversations with other STP leads. We have also reviewed a number of draft plans.<\/p>\n
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\nOn 31 August the British Medical Association (BMA) Council confirmed it supported a recommendation for industrial action<\/a> from the BMA Junior Doctors Committee.\u00a0 Industrial action will take place in the form of a full withdrawal of labour for five days, between the hours of 8am and 5pm during the following periods:<\/p>\n\n
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\nAn Unusual Case of Kirschner Wire Migration in the Foot<\/a>. Kong, Roderick; Mohamed, Mohamed; Toh, Eugene. Journal of Foot & Ankle Surgery<\/strong>; 09\/01\/2016.
\n“We describe a rare case, never before published, of migration of a Kirschner wire used for fusion of the proximal interphalangeal in a lesser toe in a 67-year-old female into the calcaneum. This patient presented to the orthopedic clinic 6 months after elective surgery complaining of pain in her right foot. Radiographs of the foot revealed that the Kirschner wire had migrated toward the calcaneum. Computed tomography of the right foot demonstrated the Kirschner wire within the calcaneum.”<\/p><\/blockquote>\n
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\nImproving the diagnostic quality and adequacy of shoulder radiographs in a District General Hospital<\/a>. BMJ Quality Improvement Reports;<\/strong> August 2016. Richards B, Riley J, Saithna A.
\n“A high rate of suboptimal shoulder radiographs was identified during a service evaluation exercise in our orthopaedic outpatient clinics. Inadequate radiographs require a return to the radiology department for further imaging, a resultant increased workload, delays in the clinic, increased radiation for patients, and inconvenience and decreased patient satisfaction. Furthermore, if a sub-optimal radiograph is accepted there is concern that diagnoses may be missed. The aim of this project was to decrease the rate of suboptimal radiographs by delivering a teaching package directed towards quality improvement.”<\/p><\/blockquote>\n
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\nWe have created a new pack of information for communications colleagues<\/a> in trusts to help them spread the word about one of our popular resources, the People performance management toolkit<\/a>.<\/p>\n
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\nA council chief executive has taken over the leadership of a clinical commissioning group in Greater Manchester, following the creation of a single commissioning body.<\/p>\n
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\nClinical commissioning groups have been asked about their arrangements for ensuring women and their babies have access to fetal medicine services, after an HSJ investigation raised concerns babies were \u201cdying unnecessarily\u201d because of a flawed funding system.<\/p>\n
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\nA patient group has launched a legal challenge<\/a> against United Lincolnshire Hospitals NHS Trust\u2019s decision to cut opening hours at a local hospital A&E. The trust announced last month that it has been forced to close Grantham and District Hospital A&E between 6.30pm and 9am for the next three months because it does not have…<\/p>\n
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\n<\/strong>The Kings Fund has published Understanding quality in district nursing services: learning from patients, carers and staff<\/a>.\u00a0 This report investigates what \u2018good\u2019 district nursing care looks like from the perspective of people receiving this care, unpaid carers and district nursing staff and puts forward a framework for understanding the components involved.\u00a0 The report makes recommendations to policy-makers, regulators, commissioners and provider organisations.<\/p>\n
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\nDistrict nurses are struggling to deliver care<\/a> because staff numbers are not keeping pace with demand, the King\u2019s Fund has said. A new report from the think tank, based on research into three district nursing services which provide care at home, found staff at all three are reporting a dramatic increase in the number of patients and…<\/p>\n
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\nIn his insightful blog Dan Robertson from the Employers Network for Equality & Inclusion, talks about bias in leadership and the key qualities of an exceptional leader<\/a>.<\/p>\n
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\n<\/strong>NICE has updated its guidance Stable angina: management<\/a> (CG126).\u00a0 A footnote has been added to recommendations 1.4.11 and 1.4.12 covering the new advice from the Medicines and Healthcare products Regulatory Agency (MHRA) about safety concerns related to ivabradine and nicorandil.<\/p>\n
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\nThis report<\/a>, co-authored by PHE’s National Cancer Registration and Analysis Service and Cancer Research UK, is the first major report using systemic anticancer treatment data. This data gives trust-level insights about real-world chemotherapy treatment of patients in the NHS in England which was previously only available from clinical trials. The report shows that age, general wellbeing and other factors can affect 30-day mortality following chemotherapy for breast and lung cancer. This report is a companion to an open-access study paper published in The Lancet Oncology.<\/p>\n
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\nA ministerial position is needed to fulfil the government\u2019s aim of integrating and promoting public health <\/a>across other government departments, the Health Select Committee has said. In a new report on public health since the passing of the Health and Social Care Act 2012, the committee said that although there has been progress on..<\/p>\n
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