The King’s Fund has published System leadership: lessons and learning from AQuA’s integrated Care discovery communities. This paper seeks to identify the skills, knowledge and behaviours required of new system leaders and to learn from systems attempting to combine strong organisational leadership with collaborative system-level leadership approaches. The paper draws on three years’ development work with leaders in health care systems in north-west England, undertaken by the Advancing Quality Alliance (AQuA) and The King’s Fund which has adopted a ‘discovery’ approach to developing integrated care and the leadership capabilities supporting it.
Research published in the journal Thorax has found that doctors in Britain are “missing opportunities” to spot lung cancer at an early stage, meaning one in three people with the disease dies within 90 days of diagnosis. What characteristics of primary care and patients are associated with early death in patients with lung cancer in the UK? found that patients who die early from lung cancer are interacting with primary care prediagnosis, suggesting potentially missed opportunities to identify them earlier. A general increase in CXR requests may not improve survival; rather, a more timely and appropriate targeting of this investigation using risk assessment tools needs further assessment.
Additional link: RCGP press release
The Kings Fund has published How healthy are we: a high level guide. This report provides up-to-date high-level information on the state and drivers of England’s health. It includes basic facts on the health of people in England (and sometimes the UK or devolved countries), the main drivers of health, how it varies and is expressed in inequalities, and relevant comparisons with other countries. This is an updated guide incorporating new data and studies.
The Scottish Intercollegiate Guidelines Network has published SIGN Guideline No 141 British guideline on the management of asthma. This revised guideline provides recommendations for the diagnosis and treatment of asthma in adults and children across the UK, including acute and difficult asthma, asthma in women and adolescents, occupational asthma, self-management, and organisation and delivery of care.
The British Medical Association in conjunction with Resuscitation Council (UK) and the Royal College of Nursing has published Decisions relating to cardiopulmonary resuscitation third edition. The guidance, an update of 2007 guidance, was drawn up following a review process started at the end of 2012, and is designed to reflect developments in clinical practice and law regarding decisions about CPR.
NICE has issued two new guidance guidelines:
- Multiple sclerosis: management of multiple sclerosis in primary and secondary care (CG186). This guideline replaces NICE clinical guideline 8 (published November 2003). It offers evidence-based advice on the care and treatment of adults with multiple sclerosis.
- Acute heart failure: diagnosing and managing acute heart failure in adults (CG187). This clinical guideline offers evidence-based advice on the care and management of adults with acute heart failure or possible acute heart failure.