The anatomy of health spending 2011/12: a review of NHS expenditure and labour productivity
Anita Charlesworth has researched and written a report looking at the accounts data of 117 NHS Trusts. The analysis provides a clear picture of NHS hospital labour productivity and the spread of NHS spending across the GP, community-based and acute trust sectors.
Anita Charlewsorth says “We will overlook opportunities to meet the efficiency challenge unless we pay close attention to where and how the NHS spends money, and what we get for it”
Read more by clicking link below.
Musculoskeletal physiotherapy and patient self-referral
The Department of Health’s Any Qualified Provider (AQP) guidelines for musculoskeletal services were recently changed to recommend patient self-referral after consideration of the Quality, Innovation, Productivity, and Prevention (QIPP) case study from the Chartered Society of Physiotherapy.
Self-referral is gives patients more choice, is cheaper and patients experience a shorter recovery time,
Find the full study at Musculoskeletal physiotherapy and patient self-referral
NOC Library opening times
The library will remain open 24/7 to our members but after Easter the library staffed opening times will be from 9am-5pm.
Please contact the library for further information.
Diabetic foot problems – NICE Evidence Update
A new NICE Evidence Update on Diabetic foot problems which includes a summary of selected new evidence relevant to NICE clinical guideline 119 ‘ Inpatient management of diabetic foot problems’ 2011 has just been published.
To read more click link below:
http://www.evidence.nhs.uk/nhs-evidence-content/evidence-updates
Hip fracture NICE Evidence update
A new NICE Evidence Update focusing on a summary of selected new evidence relevant to NICE clinical guideline 124 ‘The management of hip fracture in adults’ (2011) has just been published.
To read more please click on link below:
http://www.evidence.nhs.uk/nhs-evidence-content/evidence-updates
Amputation for the diabetic foot
Patients who have rapid access to treatment by a specialist multi-disciplinary team have experienced faster healing and fewer amputations, saving money and lives.
Diabetes UK have produced a report which recommends the promotion of commissioning an integrated footcare pathway through the Putting Feet First campaign. It also sets out recommendations for Clinical Commissioning Groups and Health and Wellbeing Boards on how to achieve this.
Read more here: Putting feet first
New orthopaedic books in the NOC and Horton libraries
In addition to the Nursing leadership books recently added, we are pleased to offer some new orthopaedic books for the OUH NHS Libraries. We have purchased:
For the NOC Library:
- Campbell’s Operative Orthopaedics, 12th edition, 2013. 4 volumes.
This 4,000-page behemoth is also available online, at www.clinicalkey.com. All NOC and Horton library users can access this resource free of charge; if you are unsure how to use Clinical Key, please ask the library for details!
For the NOC and Horton Libraries:
- Textbook of Orthopaedics, Trauma and Rheumatology, 2nd edition, 2013.
We have three copies of this at the NOC, and one at the Horton. Edited by (among others) the OUH’s very own Raashid Luqmani. This books is also available online for you, at www.studentconsult.com. Ask the library for how to access this!
Mid Staffs NHS Inquiry published
Following on from the 2010 Francis Report, which set out a variety of recommended changed to NHS practices in the light of perceived failures in patient care at Mid-Staffordshire NHS Foundation Trust, an Inquiry has been published on February 6.
The Inquiry is intended, in its own words, to ”examine the commissioning, supervisory and regulatory organisations in relation to their monitoring role at Mid Staffordshire NHS Foundation Trust between January 2005 and March 2009. It will consider why the serious problems at the Trust were not identified and acted on sooner, and will identify important lessons to be learnt for the future of patient care”.
You can download the various sections of the report here.
Some responses
As reported by BBC News, the Inquiry lays particular emphasis on:
- The merger of the regulation of care into one body – two are currently involved
- Senior managers to be given a code of conduct and the ability to disqualify them if they are not fit to hold such positions
- Hiding information about poor care to become a criminal offence as would failing to adhere to basic standards that lead to death or serious harm
- A statutory obligation on doctors and nurses for a duty of candour so they are open with patients about mistakes
- An increased focus on compassion in the recruitment, training and education of nurses, including an aptitude test for new recruits and regular checks of competence as is being rolled out for doctors
In addition, you can read what The King’s Fund has identified as factors that characterise a good culture of care by clicking here.
NHS Chief Executive David Nicholson has commented on the Inquiry, in a video which you can see here.
You can also read here a response to the Inquiry from the Royal College of Nursing.
New Clinical Leadership books and Framework
Many of you will be familiar with the NHS Leadership Framework, published fairly recently by the NHS Institute for Innovation and Improvement, which, in the III’s own words, “provides a consistent approach to leadership development for all staff in health and care irrespective of discipline, role, function or seniority and represents the standard for leadership behaviours that all staff should aspire to”.
In this light, the OUH NHS library has purchased a considerable number of new books addressing the new emphasis on Clinical Leadership within the NHS. We have made one copy available at both of our library branches, at the Nuffield Orthopaedic Centre Library and the Horton General Hospital Library.
You can download a list of these books by clicking here.
You can also download a copy of the Leadership Framework here, the Framework’s Self assessment tool here, and the Health & Care Professions Council’s statement on the Framework by clicking here.
Some further reading options have been made available at the NHS Leadership Academy, which you can find here.
New NICE guidance regarding bone fractures
On January 9 this year, the National Institute for Health and Clinical Excellence (NICE) has released new guidelines supporting the use of a new device for healing bone fractures.
In their own words, the guidance ”advises that the EXOGEN ultrasound bone healing system benefits patients and the NHS when used for treating long bone fractures with non-union (bone fractures that have failed to heal after 9 months). However, the case for adopting EXOGEN routinely for long bone fractures with delayed healing, that is, fractures which do not show radiological evidence of healing after 3 months, wasn’t supported because of uncertainties in the evidence.
“EXOGEN delivers low-intensity pulsed ultrasound waves that aim to promote bone healing through stimulating the production of growth factors and proteins which increase the removal of old bone, and increase the production of new bone. Long bone fractures are suitable for treatment if the fracture is stable and well-aligned. Ultrasound waves are delivered straight to the fracture site via a small transducer which is secured by a strap. For patients wearing a cast, a hole is cut to allow the transducer to make contact with the skin at the fracture site. The device is programmed to deliver ultrasound in 20-minute sessions which the patient administers themselves each day at home.”
You can read the full press release here, look at the guidelines home page here and obtain a pdf of the guidelines by clicking here.
