Reducing emergency department attendance

The University of Bristol has published Primary care factors and unscheduled secondary care: a series of systematic reviews. The report has been compiled by researchers from the university’s Centre for Academic Primary Care who looked at evidence from studies around the world. It highlights that attendances at emergency departments could be reduced by enabling patients to see the same GP every time they visit their doctor’s surgery. The report also focuses other factors that affected admission and attendances at emergency departments these include: how easy it is for patients to access GP surgeries and primary care providers; the distance the patients live away from the emergency department; and the number of confusing options patients had for accessing emergency care. The research, published in the open access journal BMJ Open, was carried out in collaboration with the Universities of Manchester, Oxford and UCL.

NICE guidance: Lipid modification

NICE has issued new clinical guidance Lipid modification: cardiovascular risk assessment and the modification of blood lipids for the primary and secondary prevention of cardiovascular disease (CG181). This clinical guideline updates and replaces NICE clinical guideline 67 (published May 2008) and NICE technology appraisal guidance 94 (published January 2006). It offers evidence-based advice on the care and treatment of people at risk of cardiovascular disease and people who have had previous cardiovascular disease. It includes new and updated recommendations on risk assessment, lifestyle modifications and the use of lipid-lowering drugs.

Additional links: NICE press release    BBC news report

The future for acute and emergency care

Acute and emergency care: prescribing the remedy is a new report co-authored jointly by the College of Emergency Medicine, Royal College of Paediatrics and Child Health, Royal College of Physicians and Royal College of Surgeons. The report sets out a way forward for improving the delivery and funding of urgent and emergency care. iT sets out 13 recommendations for Government, national bodies, commissioners, providers, professional bodies and clinicians, to take forward at local and national levels. The Colleges believe implementing these measures will help build an urgent and emergency care system that is sustainable and resilient to cope with future service demands.

Additional link: Foundation Trust Network 

Improving adult rehabilitation service in England

NHS Improving Quality has published Improving adult rehabilitation services in England: sharing best practice in acute and community care. This report is designed to provide examples of good practice in rehabilitation services and to highlight the common elements that have contributed to improved patient outcomes. It supports NHS England’s understanding of the role rehabilitation has within local and national priorities. It includes case studies of projects from various parts of the country.

Safe nursing staffing guidance

NICE has published new guidance Safe staffing for nursing in adult inpatient wards in acute hospitals (SG1).  This guideline covers safe staffing for nursing in adult inpatient wards in acute hospitals.  It recommends a systematic approach at ward level to ensure that patients receive the nursing care they need, regardless of the ward to which they are allocated, the time of the day, or the day of the week.  The guideline identifies organisational and managerial factors that are required to support safe staffing for nursing, and makes recommendations for monitoring and taking action if there are not enough nursing staff available to meet the nursing needs of patients on the ward.

Additional link: NICE press release

Medical engagement

The Kings Fund has published Medical engagement: a journey not an event. This report builds on earlier work from The King’s Fund on medical leadership and asks what is good medical engagement; and where it does exist, how has good medical engagement been created and sustained?  It is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services.

One chance to get it right : improving people’s experience of care in the last days and hours of life

The Leadership Alliance for the Care of Dying People, made up of 21 national health and care organisations, has published this report to form a response to the recommendations set out in More Care, Less Pathway, the independent review of the Liverpool Care Pathway.

The Dalton Review: New options for providers of NHS care

The Dalton Review: new options for providers of NHS care

 This independent review, led by Sir David Dalton (Chief Executive of Salford Royal), is investigating ways to secure the clinical and financial sustainability of providers of NHS care through offering new options for organisational forms. The review is running an informal engagement on the work and is seeking information and insight about organisational forms for providers of NHS care: what works best, and what changes are needed to improve the delivery of services.


Plans to provide dignity, independence and reduce A&E admissions

The Department of Health and Department for Communities and Local Government have announced plans to improve out of hospital care for the elderly and vulnerable with the aim of reduce emergency admissions. Following a review of the first set of local plans for the Better Care Fund, a renewed agreement has strengthened a commitment to bring health and care service providers closer together to make joint decisions, ensuring more people receive joined-up, personalised care closer to home. The fund and the benefits it is creating will be an enduring feature of health and care provision beyond 2016. NHS England and the Local Government Association have identified 14 areas that can fast track the completion of their plans because they are already showing high potential, some 9 months out from the formal start of the programme. Rotherham and Leeds are two of the fast-tracked areas named.
Additional link: Foundation Trust Foundation press release

Donation of starting material for advanced cell based therapies

The Advisory Committee on the Safety of Blood, Tissues and Organs (SaBTO) has published Donation of Starting Material for Cell-Based Advanced Therapies: a SaBTO Review. It details the donation of starting material for cell-based advanced therapies, in particular issues relating to donor selection and testing, and informed consent and traceability. The committee considered various issues including the potential risks of infection or genetic abnormality being transmitted by the donor, the challenges of informed consent and the implications of traceability. The report details recommendations to support the development of cell-based advanced therapies and maximise donor and patient safety.


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