{"id":9190,"date":"2017-10-13T10:30:33","date_gmt":"2017-10-13T09:30:33","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=9190"},"modified":"2017-10-13T10:58:59","modified_gmt":"2017-10-13T09:58:59","slug":"knowledge-lert-for-wednesday-11th-october","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2017\/10\/13\/knowledge-lert-for-wednesday-11th-october\/","title":{"rendered":"Knowledge @lert for Friday 13th October"},"content":{"rendered":"<hr \/>\n<p><strong>Making the case for quality improvement: lessons for NHS boards and leaders &#8211;\u00a0The King&#8217;s Fund<\/strong><br \/>\nThis <a href=\"https:\/\/www.kingsfund.org.uk\/publications\/making-case-quality-improvement\" target=\"_blank\" rel=\"noopener\">report <\/a>has been co-authored with The Health Foundation. It outlines ten lessons for NHS leaders. These provide a starting point for leaders seeking to embed quality improvement in their work.<\/p>\n<hr \/>\n<p><strong>NHS urges 1.4m staff to have flu jab to reduce risk of epidemic &#8211; Guardian Health News<\/strong><br \/>\nBosses write to workers saying they should <a href=\"https:\/\/www.theguardian.com\/society\/2017\/oct\/12\/nhs-urges-14m-staff-flu-jab-reduce-risk-epidemic\" target=\"_blank\" rel=\"noopener\">get vaccinated as soon as possible<\/a> \u2013 and must give a reason for refusing to do so<\/p>\n<hr \/>\n<p><strong>Number of NHS nurses and health visitors falls for first time since 2013 &#8211; The King&#8217;s Fund<\/strong><br \/>\nThe number of nurses and health visitors employed by the NHS has <a href=\"https:\/\/www.kingsfund.org.uk\/press\/press-releases\/number-nhs-nurses-and-health-visitors-falls-first-time-2013\" target=\"_blank\" rel=\"noopener\">fallen for the first time on a year-on-year basis since April 2013<\/a>, according to a\u00a0<a class=\"selectionShareable\" href=\"https:\/\/www.kingsfund.org.uk\/blog\/2017\/10\/falling-number-nurses-nhs-paints-worrying-picture\">new analysis<\/a>\u00a0by The King\u2019s Fund.<\/p>\n<hr \/>\n<p><strong>Reconfiguration of NHS services (England)<\/strong><br \/>\n<a href=\"http:\/\/researchbriefings.parliament.uk\/ResearchBriefing\/Summary\/CBP-8105\" target=\"_blank\" rel=\"noopener\">House of Commons Library briefing<\/a> on reconfiguration of NHS services, including recent policy developments, information on consultation and scrutiny powers, and drivers of major service changes.<\/p>\n<hr \/>\n<p><strong>Sustainability and transformation partnerships: developing robust governance arrangements &#8211;\u00a0Healthcare Financial Management Association (HFMA)<\/strong><br \/>\nThis <a href=\"https:\/\/www.hfma.org.uk\/docs\/default-source\/publications\/Briefings\/stp-paper-for-publication.pdf?sfvrsn=0\" target=\"_blank\" rel=\"noopener\">briefing <\/a>includes a diagnostic tool to assess the status of governance arrangements arising from \u2018at scale\u2019 working. Completing the tool will provide a basis for discussion by the board\/ governing body and\/ or audit committee of an NHS body when seeking assurance about developing governance arrangements.<\/p>\n<hr \/>\n<p><strong>NMC releases draft standards of proficiency for nursing associate role &#8211; NHS Employers<\/strong><br \/>\nFind out more about the <a href=\"http:\/\/www.nhsemployers.org\/news\/2017\/10\/nmc-release-draft-standards-of-proficiency-for-nursing-associate-role\" target=\"_blank\" rel=\"noopener\">draft standards<\/a> released for the nursing associate.<\/p>\n<hr \/>\n<p><strong>The regulation of medical associate professions in the UK &#8211;\u00a0Department of Health<\/strong><br \/>\nThis <a href=\"https:\/\/consultations.dh.gov.uk\/workforce\/regulation-of-medical-associate-professions\/\" target=\"_blank\" rel=\"noopener\">consultation <\/a>seeks views on the regulation of medical associate professions in the UK, including physician associates, physicians\u2019 assistanta, surgical care practitioners and advanced critical care practitioners. The closing date for comments is 22 December 2017.<\/p>\n<hr \/>\n<p><strong>Clinical radiology: UK workforce census 2016 report &#8211;\u00a0Royal College of Radiologists<\/strong><br \/>\nThis <a href=\"https:\/\/www.rcr.ac.uk\/system\/files\/publication\/field_publication_files\/cr_workforce_census_2016_report_0.pdf\" target=\"_blank\" rel=\"noopener\">report <\/a>underlines the situation in UK radiology, with the ongoing shortage of imaging doctors making late hospital diagnoses and delayed scan results a very real likelihood for patients. It finds that, in 2016, the NHS paid out an estimated \u00a388 million for out-of-hours reporting of X-rays and scans, while nearly two-thirds of vacant radiologist posts sat empty for 12 months or more. It also highlights the UK-wide problem of not have enough imaging doctors to fill hospital vacancies.<\/p>\n<hr \/>\n<p><strong>90% of health and care leaders &#8220;concerned&#8221; about ability to cope this winter &#8211;\u00a0NHS Confederation<br \/>\n<\/strong>Poll by the <a href=\"http:\/\/www.nhsconfed.org\/media-centre\/2017\/10\/health-and-care-leaders-concerned-about-ability-to-cope-this-winter\" target=\"_blank\" rel=\"noopener\">NHS Confederation paints a bleak picture<\/a> as the health and care system prepares for another tough winter.<\/p>\n<hr \/>\n<p><strong>Hunt confirms scrapping of NHS pay cap &#8211;\u00a0NHE<br \/>\n<\/strong>Jeremy Hunt has confirmed that the <a href=\"http:\/\/Hunt confirms scrapping of NHS pay cap from NHE | NEWS tags: 428,406 Jeremy Hunt has confirmed that the seven-year cap on NHS staff wages will come to an end next year. The health secretary said yesterday he had been given \u201cleeway\u201d to scrap the policy by chancellor Phillip Hammond but was unable to confirm whether the government would provide extra funding to pay for the increased...\" target=\"_blank\" rel=\"noopener\">seven-year cap on NHS staff wages will come to an end next year<\/a>. The health secretary said yesterday he had been given \u201cleeway\u201d to scrap the policy by chancellor Phillip Hammond but was unable to confirm whether the government would provide extra funding to pay for the increased&#8230;<\/p>\n<hr \/>\n<p><strong>Musculoskeletal conditions: return on investment tool &#8211;\u00a0Public Health England<\/strong><br \/>\nThe <a href=\"https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/650622\/musculoskeletal_conditions_return_on_investment_full_report.pdf\" target=\"_blank\" rel=\"noopener\">return on investment tool <\/a>pulls together evidence on the effectiveness and associated costs for a number of interventions for musculoskeletal conditions.<\/p>\n<p>The tool allows results to be tailored to local situations based on the knowledge of the user. All interventions are aimed at those of working age. The tool is accompanied by:<\/p>\n<ul>\n<li>a report showing how the tool was constructed and the main results<\/li>\n<li>a summary of the findings from a literature review to identify cost-effective interventions<\/li>\n<\/ul>\n<p>Local authorities and clinical commissioning groups can use results from the tool to protect and improve the health of their local populations when making commissioning decisions.<\/p>\n<hr \/>\n<p><strong>How much information should patients\u2019 families expect on acute wards? &#8211;\u00a0<\/strong><br \/>\n<strong>BMJ<\/strong><br \/>\nOne of the biggest stressors in work for me and my colleagues, junior and senior, is the relentless <a href=\"http:\/\/www.bmj.com\/content\/359\/bmj.j4295.short?rss=1\" target=\"_blank\" rel=\"noopener\">demand for information<\/a>\u2014not from patients themselves but from their relatives.It\u2019s taboo to talk&#8230;<\/p>\n<hr \/>\n<p><strong>Communicating with relatives &#8211;\u00a0BMJ<\/strong><br \/>\nWhat you need to know. <a href=\"http:\/\/www.bmj.com\/content\/359\/bmj.j4527.short?rss=1\" target=\"_blank\" rel=\"noopener\">Conversations with relatives<\/a> require a careful balancing of patient autonomy and recognition of the network of support that many people rely on.Conversations can be emotional and&#8230;<\/p>\n<hr \/>\n<p><strong>Complexity of primary care is barrier to physician associates, say GPs &#8211;\u00a0BMJ<\/strong><br \/>\nGPs think that complexity and uncertainty in primary care are the biggest <a href=\"http:\/\/www.bmj.com\/content\/359\/bmj.j4685.short?rss=1\" target=\"_blank\" rel=\"noopener\">barriers to physician associates<\/a> becoming part of their teams, research has found. They also considered physician associates\u2019&#8230;<\/p>\n<hr \/>\n<p><strong>Ethnicity facts and figures &#8211;\u00a0HM Government<\/strong><\/p>\n<p>Information gathered from a range of government sources about the different experiences of people from a variety of ethnic backgrounds under topics &#8211; Crime, Justice and the law; Culture &amp; Community, Health; Housing, Education skills and training; Work, pay and benefits.<\/p>\n<ul>\n<li>The\u00a0<a href=\"https:\/\/www.ethnicity-facts-figures.service.gov.uk\/health\" target=\"_blank\" rel=\"noopener\">Health\u00a0<\/a>topic includes Access to treatment, Patient experiences, Patient outcomes, Physical and mental health and Preventing illness.<\/li>\n<\/ul>\n<hr \/>\n<p><strong>Race Disparity Audit &#8211;\u00a0Cabinet Office\u00a0<\/strong><\/p>\n<p>In addition the first release of a\u00a0<a href=\"https:\/\/www.gov.uk\/government\/publications\/race-disparity-audit\" target=\"_blank\" rel=\"noopener\">Race Disparity Audit<\/a>\u00a0which reviews each topic on the Ethnicity Facts and Figures website, as well as an overview of disparities that have most impact across all aspects of people\u2019s lives.\u00a0The intention is that other audits will follow in due course.<\/p>\n<hr \/>\n<p><strong>HSJ Roundup<\/strong>\u00a0(<a href=\"http:\/\/www.sonhslks.com\/contact-us.html\" target=\"_blank\" rel=\"noopener noreferrer\">contact the Library for further details<\/a>)<\/p>\n<ul>\n<li><strong>Variation in surgery standards depending on time of day flagged\u00a0<\/strong><br \/>\nStandards of care for patients needing emergency bowel surgery vary considerably based on the time of day they have their operation, a new audit has revealed.<\/li>\n<li><strong>Trust re-enters special measures after less than a year\u00a0<\/strong><br \/>\nNorfolk and Suffolk Foundation Trust has been placed back in quality special measures, less than a year after it exited them, after a new inspection found the number of serious incidents \u201cremained high\u201d.<\/li>\n<li><strong>Dozens of councils face funding cuts for poor DTOCs performance\u00a0<\/strong><br \/>\nThirty two local authorities have been warned by ministers their adult social care allocations could be cut next year if their delayed transfer of care performance does not significantly improve,\u00a0HSJ\u00a0has learned<\/li>\n<li><strong>Southern Health fined after it &#8216;failed to protect patients&#8217;\u00a0<\/strong><br \/>\nSouthern Health must pay more than \u00a3150,000 after an \u201cinexcusable failure\u201d that led to a mental health patient suffering life changing injuries after they fell from the roof of a psychiatric unit.<\/li>\n<li><strong>NHS Improvement deputy chief leaving to run STP\u00a0<\/strong><br \/>\nNHS Improvement\u2019s director of resources and deputy chief executive Bob Alexander will step down next year to run a sustainability and transformation partnership.<\/li>\n<li><strong>Trusts miss NHS England A&amp;E performance milestone\u00a0<\/strong><br \/>\nTrusts have fallen short of NHS England\u2019s first milestone towards hitting the national emergency performance waiting time target, official figures reveal today.<\/li>\n<li><strong>Last minute talks fail to stop trust pulling doctors from neighbour hospitals<\/strong><br \/>\nA major teaching trust is pulling its oncology consultants out of two neighbouring hospitals because of longstanding concerns about their \u201coperational standards\u201d \u2013 meaning the service will close this month.<\/li>\n<li><strong>CQC and police investigate trust after patient death\u00a0<\/strong><br \/>\nThe Care Quality Commission is expected to visit a Brighton hospital today following the death of an elderly inpatient, who is believed to have swallowed cleaning fluid.<\/li>\n<li><strong>Patient images sent by taxi after \u00a330m IT system breaks down\u00a0<\/strong><br \/>\nDoctors have been forced to send images from patient scans on DVDs in taxis to neighbouring hospitals after a \u00a330m IT system failed across eight hospitals.<\/li>\n<li><strong>Private provider loses community services contract to NHS\u00a0<\/strong><br \/>\nVirgin Care has lost its bid to hold on to community services in part of Surrey, with the local trust and GP federation chosen as preferred bidder for the Guildford and Waverley area.<\/li>\n<li><strong>Finance directors &#8216;feel bullied&#8217; by NHS regulators to agree targets\u00a0<\/strong><br \/>\nThe professional body representing public sector accountants has warned experienced NHS finance staff are \u201coften feeling bullied by regulators to publicly report numbers they do not think are achievable\u201d.<\/li>\n<li><strong>Leak shows trust accepted deficit target despite FD&#8217;s safety warning\u00a0<\/strong><br \/>\nA struggling NHS trust went against the advice of its finance director by agreeing to a savings target that he warned would jeopardise patient safety, confidential papers seen by HSJ reveal.<\/li>\n<li><strong>More funding needed to lift pay cap, warn Stevens and Mackey\u00a0<\/strong><br \/>\nThe government will need to provide the extra cash needed to lift the public sector pay cap in the NHS, Simon Stevens and Jim Mackey told MPs.<\/li>\n<li><strong>Trust criticised over maternity culture ran &#8216;normal birth&#8217; campaign\u00a0<\/strong><br \/>\nA trust that was recently criticised over the \u201coppressive\u201d culture within its maternity department ran a \u201cnormal birth\u201d campaign earlier this year, HSJ can reveal.<\/li>\n<\/ul>\n<hr \/>\n<p><strong>Our Fabulous NHS \u2013 Academy of Fabulous Stuff<\/strong><br \/>\n***Get involved*** \u2013\u00a0\u00a0<a title=\"Submit Fab Stuff\" href=\"http:\/\/fabnhsstuff.net\/submit-fab-stuff\/\">share your fab stuff!<\/a><\/p>\n<ul>\n<li><a class=\"msubject\" title=\"\" href=\"http:\/\/fabnhsstuff.net\/2017\/10\/12\/award-win-innovative-system-adopted-1500-organisations-nationally\/\" target=\"_blank\" rel=\"noopener\">Award win for \u201cinnovative\u201d IT system that has been adopted by over 1,500 organisations nationally<\/a>\u00a0A project team at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) and partners from the Lancashire and Cumbria Information Governance (IG) Group have been awarded the \u2018Innovation\u2019 Informatics Award, sponsored by the North West Coast Innovation Agency. The teams have been working together over the past two years to develop an Information Sharing [&#8230;]<\/li>\n<li><a class=\"msubject\" title=\"\" href=\"http:\/\/fabnhsstuff.net\/2017\/10\/10\/new-penrith-service-reduces-risk-falls\/\" target=\"_blank\" rel=\"noopener\">NEW PENRITH SERVICE REDUCES THE RISK OF FALLS<\/a>\u00a0A partnership between a leisure centre and the NHS hopes to give older people renewed confidence and reduce the risk of falls. The new fall prevention service group, called Forever Fit is currently being piloted in Penrith with support from the Specialist Physiotherapist team at Cumbria Partnership NHS Foundation Trust, and staff from GLL at [&#8230;]<\/li>\n<li><a class=\"msubject\" title=\"\" href=\"http:\/\/fabnhsstuff.net\/2017\/10\/10\/occupational-therapists-helping-appleby-residents-stay-independent\/\" target=\"_blank\" rel=\"noopener\">OCCUPATIONAL THERAPISTS ARE HELPING APPLEBY RESIDENTS STAY INDEPENDENT<\/a>\u00a0A new way of working is being trialled in Appleby Medical Practice to increase independence in frail and older patients. Occupational therapists (OT) are working from the local GP surgery three times a week to increase independence and provide more care in the community. The pilot has already seen great results and has had positive [&#8230;]<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"Making the case for quality improvement: lessons for NHS boards and leaders &#8211;\u00a0The King&#8217;s Fund This report has been co-authored with The Health Foundation. It outlines ten lessons for NHS leaders. These provide a starting point for leaders seeking to embed quality improvement in their work. NHS urges 1.4m staff&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-9190","post","type-post","status-publish","format-standard","hentry","category-ccg","category-daily-news","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-2oe","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/9190","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=9190"}],"version-history":[{"count":5,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/9190\/revisions"}],"predecessor-version":[{"id":9265,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/9190\/revisions\/9265"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=9190"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=9190"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=9190"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}