System leadership

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.

Missed diagnosis of lung cancer

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

How healthy are we?

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.

SIGN guideline: asthma

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.

Updated resuscitation guidance published

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 guidance: Multiple sclerosis / Acute heart failure

NICE has issued two new guidance guidelines:

Guidelines developer’s handbook

The Scottish Intercollegiate Guidelines Network has updated SIGN 50: a guideline developer’s handbook.  Although this reference tool has been designed for use by individual members of SIGN guideline development groups as they work through the guideline development process, the principles may be useful for the development of other guidelines.  It includes sections on: systematic literature review; assessing the quality of evidence; making recommendations; consultation and peer review; presentation and publication; implementation; and involving patients and their representatives.

Person-centred care

The Health Foundation has published Person-centred care: from ideas to action.  This report brings together the evidence on shared decision making and self-management support, with the aim of providing greater coherence and clarity in debates about person-centred care. They have also published an accompanying learning report Ideas into action: person-centred care in practice which examines the practical lessons identified in the research.  It identifies needs what needs to be done to embed shared decision making and self-management support in day-to-day, routine NHS practice.

NICE Quality Standard: transient loss of consciousness

NICE has published a new Quality Standard Transient loss of consciousness (QS71). This quality standard covers the assessment, diagnosis and specialist referral of adults and young people (aged 16 and older) who have experienced a transient loss of consciousness. Tools and resources have also been published to help put the guidance into practice which include slide sets, audit tools, uptake reports and recommended research.

Allied health professionals: quality of care

The Health Foundation has published Focus on Allied health professionals: can we measure quality of care? This QualityWatch report, published in partnership with the Nuffield Trust, explores how best the quality of care delivered by allied health professionals can be measured, and presents the key findings from the available data. The report aims to provide an independent picture of the quality of care, and is designed to help those working in health and social care to identify priority areas for improvement.


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