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Patient focus AHRQ: An Interactive Preventive Care Record: A Handbook for Using Patient-Centered Personal Health Records to Promote Prevention (PDF 576KB). An American handbook offering practical guidance on the implementation of interactive preventive health records (IPHRs). Based on the lessons learned from implementation using EHRs from 3 different vendors at 14 different practices, the handbook provides practical steps for healthcare professionals to follow when integrating IPHRs as components of electronic health records. Department for Communities and Local Government: Listening to troubled families (PDF 438KB). This report draws upon interviews with families carried out in May and June 2012 by Louise Casey. Six local authorities in England assisted with providing access to families. Families were recruited on the basis that they had been working with Family Intervention Projects in those local authorities and were willing to discuss their experiences – no specific requests for types of problems faced or backgrounds of a family were made. DH: Local Healthwatch regulations – a summary report of engagement. From April to June 2012. The Department of Health sought the views of stakeholders and the public relating to the issues around the local Healthwatch regulations. This report sets out the key issues that arose from discussions and provides information on the Department’s approach to the drafting of the regulations. Dying Matters: Time to talk. Starting end of life care conversations with people affected by dementia (PDF 623KB). This resource aims to support end of life care discussions with people with dementia. A leaflet on starting end of life care conversations with people affected by dementia been published by Dying Matters. Time to Talk highlights the importance of discussing end of life care as early as possible, and covers topics such as what to talk about, when to talk and what might happen if you don’t talk. Healthcare Improvement Scotland: Performing ward surveys - A ‘measuring experience’ toolkit for NHS wards. This tool provides staff with support when collecting, analysing or responding to patient feedback. These downloads can also help when promoting patient involvement in the place of work. A new online version of the ward tool will be available later in 2012. INVOLVE: Developing training and support. This online resource offers advice and guidance for developing training and support packages suited to different situations and contexts. The information in the resource is drawn from the direct experience of members of the public, researchers, trainers and public involvement specialists. It provides an overview of training and support for both researchers and members of the public as well as information on how to carry out a needs assessment. Local Government Ombudsman (LGO): Adult social care: LGO - the single point of contact for complaints. The Local Government Ombudsman has published a report on lessons learned from complaints about adult social care providers. The report aims to share insights across a broad range of complaints to help improve services. The report highlights four key areas identified from investigation of complaints: improving the quality of care; making informed choices; protecting the vulnerable; resolving complaints locally. RCN: Patients need access to out-of-hours GP service. People need to know that they can access a full range of health services locally within their GP practice at a convenient time, the RCN has said. The comments were made in response to the latest NHS Check by the Labour Party which includes figures on GP opening hours and accident and emergency waits. In 2011/12, half of primary care trusts in England reported a drop in the number of GP surgeries offering opening hours during evenings and weekends, the first ever drop since the extended hours service was introduced. See also: NHS Check Report. Scottish Government: Charter of Patient Rights and Responsibilities - Consultation Responses. The public consultation on the draft Charter was launched on 2 April 2012 and closed on 25 June 2012. The consultation sought views in relation to 5 specific areas: content, accessibility, design, availability, and the balance of rights and responsibilities. We are now working toward an analysis of the comments provided. This is the publication of responses received from individuals and organisations willing to make them public. Certain respondents have opted for partial or complete anonymity. Scottish Government: National Confidential Forum - A consultation on the creation of a Forum for Adult Survivors of Childhood Abuse in Residential Care. The Scottish Government proposes to develop legislation to set up a National Confidential Forum. It is proposed that the National Confidential Forum will give adult survivors who were abused in residential care as children the opportunity to describe their experiences. The consultation asks for views on the Government's proposals by 12 October 2012. eHealth BMC Health Services Research: Exploring barriers to participation and adoption of telehealth and telecare within the Whole System Demonstrator trial: a qualitative study. “Telehealth (TH) and telecare (TC) interventions are increasingly valued for supporting selfcare in ageing populations; however, evaluation studies often report high rates of nonparticipation that are not well understood. This paper reports from a qualitative study nested within a large randomised controlled trial in the UK: the Whole System Demonstrator (WSD) project. It explores barriers to participation and adoption of TH and TC from the perspective of people who declined to participate or withdrew from the trial.” Britain's Nurses: Trade secrets: How to Twitter: the nurses guide. Simple tips on getting going on Twitter. Guardian: Telehealth is moving too fast for a peer-reviewed academic report. Comment on the Whole System Demonstrator on telehealth report. “The WSD's snapshot was taken over a twelve-month period between 2008-2010. And the planning for it started around 2006. So the whole exercise has lasted for six long years. A lot of water can run under the telehealth bridge in six years”. Journal of Medical Internet Research (JMIR): The effects of combining web-based eHealth with telephone nurse case management for pediatric asthma control: a randomized controlled trial. In this study undertaken in the USA where asthma is the most common paediatric illness, integrating telephone case management with eHealth benefited paediatric asthma control, though not medication adherence. "Social support appears to be more effective than information in improving pediatric asthma control". JMIR: Use of email and telephone prompts to increase self-monitoring in a web-based intervention: randomized controlled trial. This study, undertaken in the USA, aimed to determine whether email prompts or email plus telephone prompts increase self-monitoring of behaviours on a website created for a multiple cancer risk reduction programme. JMIR: Animated graphics for comparing two risks: a cautionary tale. The increasing use of computer-administered risk communications affords the potential to replace static risk graphics with animations that use motion cues to reinforce key risk messages. Research on the use of animated graphics, however, has yielded mixed findings, and little research exists to identify the specific animations that might improve risk knowledge and patients’ decision making. King's Fund blog: Jumping the gun in the telehealth steeplechase? "By far the largest hurdle to the acceptance of telehealth has been the lack of robust evidence on outcomes to justify the investment". NHS Connecting for Health (NHS CFH): Clinical Myth busting A set of seven videos is available featuring Dr Peter Fox, Clinical Director for NHS Pathways CMS, dispelling several misconceptions about the programme. NHS CFH: IT skills development programme update This section has been updated with information about the new 'NHS IT Skills Pathway' website and contact details. Evidence based practice BBC Health: Mild mental illness raises risk of premature death. People with mild mental illnesses such as anxiety or depression are more likely to die early, according to a Wellcome Trust funded study. They looked at the premature deaths from conditions such as heart disease and cancer of 68,000 people in England. The research suggested low level distress raised the risk by 16%, once lifestyle factors such as drinking and smoking were taken into account. BMC Health Services Research: Reasons behind non-adherence of healthcare practitioners to pediatric asthma guidelines in an emergency department in Saudi Arabia. “The objectives of this study are to examine the compliance of the healthcare providers in the Pediatrics Emergency Department, in King Khalid University Hospital, with the recommendations of the Pediatrics Asthma Management Protocol (PAMP), and to explore the reasons behind non-adherence.” BMC Health Services Research: Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with metaanalysis. “Diabetes self-management education (DSME) can be delivered in many forms. Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each other. To assess effects of group-based DSME compared to routine treatment on clinical, lifestyle and psychosocial outcomes in type-2 diabetes patients.” BMJ Clinical Review: Management of Chronic epilepsy. This review looks at: who gets epilepsy; treatment and management of epilepsy; seizure control and prognosis in chronic epilepsy; antiepileptic drugs; surgery and frequency of patient reviews. Implementation Science: Integrating guideline development and implementation: Analysis of guideline development manual instructions for generating implementation advice. The analysis found that "manuals were similar in content but lacked sufficient detail in particular domains. Most frequently this was accommodation, which includes information that would help guideline users anticipate and/or overcome organizational and system level barriers. In more than one, manual information was also lacking for communicability, information that would educate patients or facilitate their involvement in shared decision making, and applicability, or clinical parameters to help clinicians tailor recommendations for individual patients". Implementation Science: Systematic review of knowledge translation strategies in the allied health professions. Knowledge translation (KT) aims to close the research-practice gap in order to realise and maximise the benefits of research within the practice setting. This is the first systematic review of the effectiveness of a variety of KT interventions in five allied health disciplines: dietetics, occupational therapy, pharmacy, physiotherapy, and speech-language pathology. NHS Diabetes: Diabetes study finds differing sugar levels. A new diabetes study at the University of Leicester has discovered that South Asian people have higher levels of blood sugar than white Europeans. Researchers found blood sugar levels in the South Asian group were higher before risk factors, such as obesity, blood pressure and smoking, were taken into account. National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme: Interventions to reduce or prevent obesity in pregnant women: a systematic review. This study found that dietary and physical activity interventions in pregnancy are effective at reducing maternal weight gain in pregnancy and the incidence of large-for-gestational-age infants, with dietary interventions also effective at reducing gestational hypertension, pre-eclampsia, gestational diabetes and shoulder dystocia, and that there are no changes in other neonatal morbidity or mortality outcomes with the interventions. NICE Clinical guidelines: Spasticity in children and young people (CG145). This clinical guideline offers evidence-based advice on the management of spasticity and co-existing motor disorders and their early musculoskeletal complications in children and young people with non-progressive brain disorders. View: NICE press release. NICE: New treatment for blood clots approved by NICE. Patients with blood clots can be now be offered rivaroxaban as an alternative to warfarin for the treatment of blood clots following latest guidance from NICE. View: Venous thromboembolism (treatment and long term secondary prevention) - rivaroxaban (TA261). NICE: NICE to assess high cost drugs for rare conditions. NICE will take on the role of assessing very high cost drugs for people who suffer with rare conditions, under the Health and Social Care Act 2012 and from April 2013, will create an impartial and robust mechanism for providing independent recommendations on which drugs the NHS Commissioning Board should commission as part of its new role of national commissioner for specialised services. NICE: NICE seeks nurses for diabetes group. NICE is looking for community diabetes specialist nurses and nurse practitioners who work in primary care to apply for places on the guideline development group for type 2 diabetes. The group will meet every six to ten weeks for approximately 18 months from October 2012. Travel and subsistence costs will be reimbursed. Interested practitioners will be required to provide a copy of their CV, a completed equalities form and a declaration of interest form. NICE: NICE seeks members for its independent advisory committee on the use of medical technologies. NICE is recruiting members to join its Medical Technologies Advisory Committee (MTAC). MTAC works with the NICE Medical Technologies Evaluation Programme which exists to improve patient care and release resource within the NHS by driving the adoption and diffusion of innovative medical technologies more quickly throughout the NHS. Applications are particularly welcome from nurses with experience of technologies aiming to promote more independent living and/or out-of-hospital treatment. Experience of research and of interpretation of complex data from work in an academic setting would be an advantage. The application deadline is 24 August 2012. Staff focus American Journal of Medical Quality: Developing the Next Generation of Leaders: Perspectives From Both Sides of the Mentoring Relationship (PDF 276KB). The author identifies three key personal habits that emerging leaders should adopt in pursuit of improving the quality and safety of the systems in which they work: import new knowledge, test new ideas in the real world, and regularly reflect on the process. Centre for Workforce Intelligence (CFWI): Horizon scanning: the future NHS workforce. This briefing note from the CFWI which discusses its horizon scanning programme, the future NHS workforce and the promotion of changing roles and skills mix, was produced in reply to a question in the House of Lords on 19 July 2012 on what steps are being taken to promote changing the roles and skills mix of health workers in the National Health Service to improve access and quality, and reduce costs. DH: Actions set out on government commitment to health visiting. A letter to chief executives and directors of nursing sets out the actions needed to keep on track the government’s commitment to increase the number of health visitors and to maximise the potential of their role to support children and families. DH: Changes to the constitutions of General Medical Council and General Dental Council. A report of the consultation on the proposed changes to the constitution orders of the General Medical Council (GMC) and the General Dental Council (GDC) has been published. The report relates to the size of their governing councils and the appointment of their chairs. DH: Public Health People Transition Policy. Published as a series of factsheets, this module of the People Transition Policy sets out the process and timetable for handling the transfer, appointment and redeployment of staff from sender organisations to Public Health England. DH: Applications for Workforce Development Dementia Fund now open. The Department of Health has commissioned Skills for Care to support the delivery of a national learning and development programme for the adult social care workforce supporting people with dementia. The new funding of £2.4 million is open to all adult social care employers who support people with dementia, whether this is in the early stages of the illness following diagnosis, or at a later stage. The closing date is 14 August 2012. Skills for Care: News. Skills for Care: Workforce Development Dementia Fund. DH: Prescribing powers proposed for physiotherapists and podiatrists. Proposed new prescribing powers for advanced practitioner physiotherapists and podiatrists have been announced. Appropriately qualified and annotated physiotherapists and podiatrists will be able to prescribe any licensed medicine provided it falls within their individual area of competence and respective scopes of practice. Definitions of this are provided. DH: Summary of public consultation on proposals to introduce independent prescribing by physiotherapists. Summaries of the responses given to the public. A list of frequently asked questions associated with physiotherapist and podiatrist independent prescribing has also been developed based upon comments and questions arising from the consultation. DH: Summary of public consultation on proposals to introduce independent prescribing by podiatrists. FoNS Centre for Nursing Innovation: Nursing in Practice London 2012. Event aimed at updating primary care nurses to be held on 18 September 2012. Andrea Spyropolous, President of the RCN, will present a keynote speech on the importance of nurses in the NHS today. Other topics covered will include diabetes, gut care, dermatology, cancer, domestic abuse, anaphylaxis, COPD, asthma, epilepsy, substance misuse, obesity management, sexual health and LGBT issues in primary care. Health and Social Care Information Service (HSCIC): Workforce Statistics in England - April 2012. Provisional Statistics' have been published by the Information Centre. The figures represent provisional monthly figures for headcount, full time equivalent, role count and turnover of NHS Hospital and Community Health Service (HCHS) staff groups working in England (excluding primary care staff). RCN: Cuts to nursing numbers damaging patient care. HSCIC: Sickness Absence Rates in the NHS: January - March 2012 and Annual Summary 2009-10 to 2011-12. The data show that between January and March 2012 the average sickness absence rate for the NHS in England was 4.37 per cent, an increase from the same period in 2011. The North East SHA area had the highest average sickness absence rate for January to March 2012 at 4.83 per cent. The London SHA area had the lowest average at 3.67 per cent. Health Foundation: Quality Improvement Fellowships. The Quality Improvement Fellowship programme aims to build a group of clinically-qualified leaders with the enthusiasm, experience and skills to champion the spread of improvement in healthcare. The deadline for applications for the 2013/14 Quality Improvement Fellowships programme is 12 noon, Tuesday 9 October 2012. Healthcare Conferences UK: Nurse Clinics 2012. Dr Peter Carter Chief Executive and General Secretary of the RCN will be speaking at this event on 20 November 2012 on ‘nurse clinics and developing nursing roles’. International Centre for Human Resources in Nursing (ICHRN): Flexible Work Practices in Nursing. This paper provides an overview of flexible work practices for substantive nursing staff. Substantive staff are considered the stable core of the workforce; temporary nurses are used to ‘fill in’ workforce gaps for short periods of time. This workforce model (core/periphery) originates from the “flexible firm” model of the 1980s, developed to increase organisational productivity and efficiency. NHS Education for Scotland (NES): Educating for Patient Safety - August course. This course aims to improve knowledge around key patient safety topics and improve the ability to pass on that knowledge to others. NES: A Guide to Good Prescribing Practice for Prescribing Pharmacists in NHSScotland. This document is a guide to ensure that you are prescribing safely and within current legislation. There is information on registration as a prescriber, accountability, competence, assessment, diagnosis, the principles of prescribing, repeat prescribing, communication, record keeping and monitoring. Nursing and Midwifery Council (NMC): Appointment of Mark Addison as Chair of NMC. Mark Addison who is a non-executive Director at the National Archives and has previously held several senior positions in the Civil Service, will take up his post in the autumn and the appointment will be for 18 months initially. Nursing and Midwifery Council (NMC): Two new members appointed to the Council. An article from Community Practitioner provides information on the two new members: Sue Hooton OBE and Nikki Patterson. RCN: ‘Outstanding’ review for RCN reps’ programme. A new review of RCN representatives’ learning and development has found that staff involved demonstrate outstanding and significantly high levels of commitment to improving quality of the programme. The Open College Network (OCN) review of the UK programme confirms the awarding organisation’s national quality standards have been met. RCN: NHS must ‘get a grip’ on workplace wellbeing. The RCN has said the Government must sit up and take notice of a new survey which found nurse staffing and workforce issues have a significant impact on satisfaction levels and patient care. The RN4CAST survey of nurses in more than 400 general medical and surgical wards in 31 English trusts was part of an international research programme looking at links between nursing workforce issues and patient outcomes across 15 countries. See: RN4CAST. RCN Frontline First: Ask your MP to fight regional pay. The RCN has written to members in England, encouraging them to raise their concerns with their MP about the prospect of the introduction of regional pay in the NHS. RCN news: Tell your MP why you oppose regional pay. 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