Somerset NHS Libraries @ MPH, YDH and SomPar

LIBRARY INFORMATION ALERT

Issue 71 27th February 2015

A health current awareness

bulletin by email

This is a current awareness bulletin for the Somerset NHS health community. The aim is to publish fortnightly and to include key information and news from across the broad spectrum of health disciplines in order to inform practice and promote evidence-based healthcare. It represents only a small percentage of all the published information and the content is not necessarily being endorsed. If you want to download or print an item in this Alert, it is your responsibility to stay within the terms of the NHS Copyright License

and/or check the copyright of NHS staff from all terms and

conditions on individual web sites. If you would like copies of any of the articles, or further information on anything mentioned please contact your own trust library staff at MPH, YDH or SomPar (details at the end of this bulletin). We welcome any feedback about the content or format and are happy to receive items for inclusion. Please contact library@tst.nhs.uk The current issue of this Alert, together with the Archive of previous issues is available via the Library web pages on the Musgrove Park Hospital Intranet. http://intranet.tsft.nhs.uk/libraryservice/CurrentAwareness/tabid/6080/language/en-GB/Default.aspx

Health Reports, Documents & News Trends in life expectancy Public Health England has published Recent Trends in Life Expectancy at Older Ages. This report on life expectancy among those aged 65 and over in England summarises the relevant trends and provides some context for those trying to assess the significance of recent apparent changes. The report confirms an overall upward trend in life expectancy in this age group in England since the early 1980s. However, the data also show that there was a small fall in female life expectancy at age 65, 75, 85 and 95 in 2012 compared with 2011, and a small fall in male life expectancy at ages 85 and 95. Click here for Report and supporting data Additional link: PHE press release

Many hundreds over Somerset and Devon have joined the email group receiving this service. If you know of anyone who would also like to join please let us know.

Alcohol and Pregnancy The Royal College of Obstetricians and Gynaecologists has updated its patient information for women about drinking alcohol during pregnancy or planning a baby. The revised information, based on existing guidance, gives advice on the safe amount of alcohol to drink before and during pregnancy. It outlines the effect of drinking above a safe limit on the baby’s development in the womb. It also provides information about help and support available for women. It recommends that women do not drink alcohol during the first three months of pregnancy. RCOG Patient information Maternity care pathways This tool, developed in collaboration with the Centre for Workforce Intelligence, aims to enable service providers to analyse their whole maternity workforce aligned with their service’s individual care pathways. The tool is free to download alongside a user guide but requires free registration for full access. Toolkit Compassion in care campaign hits new milestone Jane Cummings, NHS England’s Chief Nursing Officer (CNO) has praised the “Hello My Name Is…” campaign started by terminally ill Dr Kate Granger. Click here to read more Freedom to Speak Up: An independent review into creating an open and honest reporting culture in the NHS The report from Sir Robert Francis sets out 20 principles and actions which aim to create the right conditions for NHS staff to speak up, share what works right across the NHS and get all organisations up to the standard of the best and provide redress when things go wrong in future. Report Executive Summary A new journey to health: health seeking behaviour across the generations This report from International Longevity Centre (ILC) explores where consumers go to seek out health information and who they trust and reveals a continuing generational divide in access to and trust of health information. It finds that older people are more likely to use and trust doctors and nurses whilst younger people are more likely than older to look towards pharmacists and online and telephone services. Report Executive summary Culture change in the NHS: applying the lessons of the Francis Inquiries This report from the Department of Health shows that a great deal has been achieved since Sir Robert Francis’s public inquiry into Mid Staffs, and that the improvements made since must be sustained and embedded for the future and applied equally and rigorously across all sectors of the health and care system. Each chapter sets out the main areas where further action is needed to ensure that safe, effective and compassionate care is the norm. Report Supporting annex MyNHS: greater transparency for better health and care - MyNHS planning 2015-2017 The MyNHS site is a single place where health and care organisations, as well as the public, can compare the performance of services over a range of measures, at both local and national level. The site aims to drive improvement across the health and care system - encouraging organisations and professional teams to compare their performance and see where they can improve what they do and the services they offer. This document summarises the current plans for how the information on MyNHS will be expanded and improved between 2015 and 2017. Report Expert patients This research from Reform explores how patients can be more engaged in their health and more involved in their healthcare. It argues that greater patient engagement could both improve outcomes and reduce costs and presents four case studies of successful patient engagement. Report

A guide to community-centred approaches for health and wellbeing The project ‘Working with communities: empowerment evidence and learning’ was initiated jointly by PHE and NHS England to draw together and disseminate research and learning on community-centred approaches for health and wellbeing. This report presents the work undertaken in phase 1 of the project and provides a guide to the case for change, the concepts, the varieties of approach that have been tried and tested and sources of evidence. Full report Briefing Good Governance Handbook The updated Good Governance Handbook is focused on the developing role of clinicians in management and resource allocation and should help existing and aspirant clinical, nurse and medical directors as well as those who support and challenge them to understand and apply good governance in a demanding environment. Click here to read more and download guides Clinical audit The updated Clinical audit: a guide for NHS boards and partners places clinical audit within the broader context of quality improvement. Click here to read more and download guides New ‘buddy scheme’ launched NHS Improving Quality is launching a 'buddy scheme' to support some NHS trusts in England to improve cancer patients' experience of care. The scheme will see trusts that were most highly rated in the Cancer Patient Experience Survey provide support to trusts where patient feedback identified room for improvement. The aim of the scheme is to spread and accelerate innovative practice via peer to peer support and learning. http://www.nhsiq.nhs.uk/news-events/news/pioneering-%E2%80%98buddy-scheme%E2%80%99-launched.aspx Implementing the NHS five year forward view The King’s Fund has published Implementing the NHS five year forward view: aligning policies with the plan. This report calls for fundamental changes to how health services are commissioned, paid for and regulated to deliver the vision of the NHS five year forward view. The paper warns that without significant changes to policy and new approaches to NHS leadership the vision for the future of the NHS could fail to deliver on its ambitions. The paper makes practical recommendations on what to do now to remove barriers to developing new care models and to support their implementation. Looking ahead, it argues that national leadership of the highest order will be needed to meet the challenges inherent in delivering these changes. Report Resistance to antimicrobial medicines NICE has proposed measures for health and social care providers to help tackle antimicrobial resistance. NICE’s draft medicines practice guideline on antimicrobial stewardship is intended to help health and social care commissioners, providers and prescribers promote and monitor the sensible use of antimicrobials to preserve their future effectiveness. Click here to read more Additional links: NICE press release BBC News report Advisory Committee on Antimicrobial Resistance annual report The Department of Health has published Advisory committee on antimicrobial resistance and healthcare associated infections 5

th annual report 2013-2014. The report highlights that resistance to antimicrobials (antibiotics, antifungals

and antivirals) continues to increase. The report stresses that despite increased public awareness of the danger of antibiotic resistance, the amount of antibiotics being prescribed in the UK continues to rise. It concludes that there is a clear need to educate the public about using antibiotics only when they are really needed, and a need to ensure that doctors always prescribe according to professional guidance. Click here to read more and download report NICE local government briefing: Older people in care homes NICE has published a local government briefing Older people in nursing homes (LGB25). This briefing summarises NICE's key recommendations for local authorities and partner organisations on the health and care of older people in care homes. It also highlights relevant quality standards. It is particularly relevant to health and wellbeing boards, scrutiny panels, councillors and adult social care commissioners.

Online resources for GPs treating dementia patients The General Medical Council has collated a collection of tools and resources to help GP’s provide better care for older people with dementia and mental health issues. The resources are part of the GMC’s online resource which supports doctors treating older patients. New updates to the resource include a ‘mythbusters’ leaflet tackling five common myths related to treating patients with dementia. Additional link: GMC press release Staff engagement: six building blocks for harnessing the creativity and enthusiasm of NHS staff There is now an overwhelming body of evidence to show that engaged staff deliver better health care. Trusts with more engaged staff tend to have lower levels of patient mortality, make better use of resources, and have stronger financial performance and higher patient satisfaction, with more patients reporting that they were treated with dignity and respect. This paper encourages boards and other leaders to focus on staff engagement and suggests a number of questions boards can ask to assess their organisation’s level of staff engagement. Research paper

Prime Minister’s challenge on dementia 2020 The Department of Health, Cabinet Office and the Prime Minister’s Office has published Prime Minister’s challenge on dementia 2020. This document launches the next phase of the Prime Minister’s challenge on dementia. It sets out what this government wants to see in place by 2020 in order for England to be the best country in the world for dementia care and support; and the best place in the world to undertake research into dementia and other neurodegenerative diseases. It also highlights the progress to date on improving dementia care, support and research. Additional link: Prime Minister’s office press release Rationing in the NHS This briefing paper from the Nuffield Trust looks at what public attitudes to rationing and policy-setting are; how rationing decisions are currently made and how much explicit rationing there is; how NICE and the Cancer Drugs Fund are working; and how much money rationing can save. Briefing Public attitudes to the NHS This report from the Health Foundation analyses the results of a series of questions about the NHS that were included in the 2014 British Social Attitudes Survey. The survey took place in late summer/early autumn 2014 and 2,878 adults from across Great Britain were surveyed. Report Leadership and leadership development in health care This report summarises the evidence from a review by the Faculty of Medical Leadership and Management, The King’s Fund and the Center for Creative Leadership on approaches to developing leadership. Report NHS Staff Survey 2014 findings The 2014 NHS Staff Survey findings show there is growing pressure on those working in the NHS, but also that the vast majority of staff remain positive about their work and the service they provide. Of the twenty nine key indicators, eleven have shown improvement since 2013, one has remained the same, fifteen have deteriorated and two cannot be compared due to changes in the questions. Over 255,000 staff responded to the survey. What's important to me: a review of choice in end of life care The independently led Review of Choice in End of Life Care has provided advice to Government which includes: establishing a ‘national choice offer’ focused on individual’s end of life care needs by April 2020; providing an additional £130 million funding for end of life health and social care services; establishing 24/7 community end of life care by 2019 in all areas implementing shared electronic end of life care records by April 2018 in all areas; and a named responsible senior clinician for all people approaching the end of life. Report Department of Health - publications

Constructive comfort: accelerating change in the NHS This report identifies key factors needed for successful change and explores why they are not consistently present in the NHS. It sets out how national bodies can help make successful change more likely, in part by boosting the support provided to organisations and focusing on NHS staff leading change. Report Supplementary report

MENTAL HEALTH NEWS

NICE Quality Standard: Psychosis and schizophrenia in adults NICE has published a new quality standard Psychosis and schizophrenia in adults QS80. This quality standard covers the treatment and management of psychosis and schizophrenia (including related psychotic disorders such as schizoaffective disorder, schizophreniform disorder and delusional disorder) in adults (18 years and older) with onset before the age of 60 years in primary, secondary and community care. It will not cover adults with transient psychotic symptoms. Guidance for how new access and waiting time standards for mental health services NHS England has set out guidance for how new access and waiting time standards for mental health services are to be introduced. Guidance Super-strength 'skunk' cannabis linked to psychosis http://www.nhs.uk/news/2015/02February/Pages/Super-strength-skunk-cannabis-linked-to-psychosis.aspx# Additional Link: BBC News report Click here to read the Lancet article New mental health standards NHS England has published Guidance to support the introduction of access and waiting time standards for mental health services in 2015/16. This guidance sets out for CCGs, the case for change in four areas and highlights the expectations of local commissioners for delivery during the year ahead, working with providers and other partners. It details how commissioners and providers can begin to prepare for implementation of the new early intervention in psychosis and liaison mental health standards. It describes how plans need to be submitted, and how local commissioners will meet the new improved access to psychological therapies (IAPT) standard for people with depression and anxiety disorders. It also provides updates on funding for eating disorders services. Click here to read more and download guidance National review to assess needs for veterans’ mental health NHS England has announced a charitable grant will fund a national review to assess needs for veterans’ mental health. The Forces in Mind Trust (FiMT’s), has awarded £75,000 to fund the systematic review which aims to: understand the health needs of veterans, with a particular focus on mental health and the interactions between mental health and other health needs. It will also look at the gaps in the current health needs assessment evidence base and how these might be addressed at local and national levels. Click here to read more Preventing deaths in detention of people with mental health conditions The Equality and Human Rights Commission has published Preventing Deaths in Detention of Adults with Mental Health Conditions: An Inquiry by the Equality and Human Rights Commission. The report follows a major inquiry which found repeated basic errors, a failure to learn lessons and a lack of rigorous systems and procedures have contributed to the non-natural deaths of hundreds of people with mental health conditions detained in psychiatric hospitals, prisons and police cells in England and Wales. The Inquiry covered the period 2010-13, during which 367 adults with mental health conditions died of non-natural causes while detained in psychiatric wards and police cells and another 295 adults died in prison, many of whom had mental health conditions. Click here to read more Additional link: BBC News report

Preventing suicide The Department of Health has published Preventing suicide in England: Two years on, second annual report on the cross-government outcomes strategy to save lives. This report summarises the latest trends, research and developments on suicide prevention in England. The report calls on services to be more ambitious about suicide prevention, and challenge the assumption that suicide is inevitable. It highlights three areas in England that have already adopted a zero suicide ambition and outlines how services can improve by adopting this new attitude and effective interventions. Report Statistical update

Behind the Headlines Peanut butter for non-allergic babies may reduce later allergies Many deaths of mentally ill in custody 'avoidable' New HPV vaccine may protect against 90% of cervical cancers Nanoparticles used to treat damaged arteries Plain packaging 'may help smokers to cut down' Molecule could protect against Alzheimer's disease HRT increases ovarian cancer risk by small amount Could a 30-minute 'power nap' make up for a bad night's sleep? Long-term smoking 'may cause' brain shrinkage Obesity damage to eggs may be reversible Unemployment and job insecurity linked to increased risk of suicide 'Smart insulin' could be used to treat type 1 diabetes Type 1 diabetes 'more dangerous' in women Full list available at: http://www.nhs.uk/News/Pages/NewsIndex.aspx

EXTRACTS FROM THE MENTAL ELF BLOG Keeping you up to date with reliable mental health research, policy & guidance

Around one in five suicides across the world linked to unemployment

Parent Infant Psychotherapy: a gap in the evidence

Marigolds or orchids? How easy is it to cultivate empathy in doctors?

Schizophrenia and violent crime: perpetrators or victims?

Psychotherapies for anxiety in bipolar disorder

Coproduction of quality standards for youth mental health in primary care

Lack of evidence for mental health promotion in primary care

Engaging inpatients with mental health rehabilitation activities Full reviews at: http://www.thementalelf.net/#sthash.1TMfsl0G.dpuf

EVIDENCE-BASED PRACTICE

NICE Guidance for February 2015

Ref Title Type

QS78 Inflammatory bowel disease Quality standards

CG61 Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care

Clinical guidelines

TA330 Sofosbuvir for treating chronic hepatitis C Technology appraisal guidance

TA329 Infliximab, adalimumab and golimumab for treating moderately to severely active ulcerative colitis after the failure of conventional therapy (including a review of TA140 and TA262)

Technology appraisal guidance

MTG23 The TURis system for transurethral resection of the prostate Medical technology guidance

TA334 Regorafenib for metastatic colorectal cancer after treatment for metastatic disease (terminated appraisal)

Technology appraisal guidance

TA333 Axitinib for treating advanced renal cell carcinoma after failure of prior systemic treatment

Technology appraisal guidance

TA331 Simeprevir in combination with peginterferon alfa and ribavirin for treating genotypes 1 and 4 chronic hepatitis C

Technology appraisal guidance

TA332 Sipuleucel-T for treating asymptomatic or minimally symptomatic metastatic hormone-relapsed prostate cancer

Technology appraisal guidance

IPG513 Flexible endoscopic treatment of a pharyngeal pouch Interventional procedure guidance

NG2 Bladder cancer: diagnosis and management of bladder cancer Guideline

NG3 Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period

Guideline

QS80 Psychosis and schizophrenia in adults Quality standards

Click here to visit The Cochrane Library and read all the latest reviews

USEFUL WEBSITES

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pass it on.

Ideas don’t have to be huge or even service wide; they can be local, niche ‘the way you do it’. If they have

worked for you, you can bet they will work for someone else.

Find out more @ http://www.fabnhsstuff.net/

LIBRARY NEWS

Literacy and the Six Book Challenge

have launched a Book Exchange in Whitlocks staff restaurant at Musgrove Park Hospital.

This is being supported by the library in the Musgrove Academy. The library has a selection of quick reads as well as general fiction books to borrow. If you are not already a member why not take this opportunity to join and take part in the six book challenge. Once registered the library is open 24/7 for all staff to use. Talk to the Musgrove library staff if you or any of your team is interested in taking part. Read more about the event @ http://sixbookchallenge.org.uk/about

JOURNAL SCAN Please contact your designated Trust library service for copies of articles or any related queries. This can be done by email, telephone, post or on-line request forms (available on the library web pages of your Trust Intranet). Full contact details are at the end of this bulletin. Acute coronary care: policy update Recommendations for care of patients with acute coronary syndromes Belinda Linden British Journal of Cardiac Nursing 2015 10 (1) p 8–9 Alcohol use disorders Assessment and management of alcohol use disorders Ed Day et al BMJ 21.2.15 p27-32 Cancer Tailoring cancer support to patients’ needs Marianna Shiafkou Nursing Times 25.2.15 p18-20 Catheter care Managing and teaching intermittent catheterisation Joanne Mangnall British Journal of Community Nursing 2015 20 (2) p82-88 Community nursing Advanced care planning in a community setting Josaleen Connolly et al Nursing Standard 4.2.15 p43-51 COPD Management of stable chronic obstructive pulmonary disease Karen Grindrod British Journal of Community Nursing 2015 20 (2) p58-64 Dementia Dementia care still 'inadequate', report finds Shaun Lintern HSJ Online 26.2.15 Expert advocates pain relief for all patients with dementia Sally Gillen Nursing Standard 11.2.15 p9 Enhancing the healthcare assistants’ dementia role Carole Goodwin Nursing Times 25.2.15 p21-23 Diabetes care Reshaping diabetes care into the community to meet population needs David Paynton British Journal of Healthcare Management 2015 Feb p60–62 Delivering value supplement: New ways to manage diabetes care Varya Shaw HSJ Online 26.2.15

End of life care Working together on a new end-of-life care plan Annamarie Challinor Nursing Times 18.2.15 p21-23 Too many trusts still lack credible strategy to address end of life care Katie Osborne Nursing Standard 11.2.15 p14-15 Caring for people who are dying: priorities at the end of life Ann Regan et al Nursing Standard 11.2.15 p51-58 Falls App helps users to spot falls hazards and solutions in the house Nursing Older People 2015 27 (1) p7 Future planning What the future NHS hospital should look like Alison Moore HSJ Online 26.2.15 NHS boss reveals nursing priorities Steve Ford Nursing Times 18.2.15 p2-3 Focus on the future Alison Moore Nursing Standard 11.2.15 p20-21 Grand Round Requiem for the grand round Maham Stanyon, Shahid Anis Khan Clinical Medicine 2015 Feb 2015 p10-11 Infection control Burden of Clostridium difficile infection in the United States F.C. Lessa et al New England Journal of Medicine 26.2.15 p825-834 Bloodborne viruses and workplace injury risk Melvina Woode Owusu et al Nursing Times 18.2.15 p12-14 Preventing healthcare-associated infections: the role of surveillance Brett G Mitchell Nursing Standard 4.2.15 p52-59 Informed consent Enduring and emerging challenges in informed consent C. Grady New England Journal of Medicine 26.2.15 p855-862 Manchester devolution £6bn Manchester devolution deal is signed David Williams HSJ Online 27.2.15

Medication errors Omitted medications: a continuing problem Shandilya Saurabh et al Clinical Medicine 2015 Feb p12-14 Mental health Mental illness and employment: Progress at last? Kevin Gournay British Journal of Mental Health Nursing 2015 4 (1) p 6–7 Establishing a self-harm surveillance register to improve care in a general hospital Salena Williams British Journal of Mental Health Nursing 2015 4 (1) p20-25 Maintaining mood stability in bipolar disorder: a clinical perspective on pharmacotherapy Gin S Malhi et al Evidence Based Mental Health 201518 (1) p1-6 Qualitatively exploring Hearing Voices Network support groups Bianca Dos Santos , Vanessa Beavan The Journal of Mental Health Training, Education and Practice 2015 10 (1) p1-30 Mindfulness group therapy in primary care patients with depression, anxiety and stress and adjustment disorders: randomised controlled trial Jan Sundquist et al British Journal of Psychiatry 2015 Feb p128 - 135 Pharmacotherapy for post-traumatic stress disorder: systematic review and meta-analysis Mathew Hoskins et al British Journal of Psychiatry 2015 Feb p93 - 100 Transitioning to same-sex accommodation in mental health services Jonathan KA Mills, Samantha Hamer British Journal of Healthcare Management 2015 Feb p87–91 Classification, assessment, prevalence and effect of personality disorder Peter Tyrer et al Lancet 21.2.15 p717-726 Personality disorder across the life course Giles Newton-Howes et al Lancet 21.2.15 p727-734 Treatment of personality disorder Anthony W Bateman et al Lancet 21.2.15 p735-743 Numeracy and Literacy Numeracy and literacy skills are letting candidates down Jennifer Sprinks Nursing Management 2015 21 (9) p8-9 Pain management/Elderly care Management of chronic pain in older adults M. Carrington Reid et al BMJ 14.2.15 p27-30

Palliative care The challenges of dying: lessons for palliative care Brian Nyatanga British Journal of Community Nursing 2015 20 (2) p99 Patient safety What leaders need to know about patient safety collaboratives Sarah Tilford, Philip Dylak Nursing Management 2015 21 (9) p11 Peanut allergy Randomized trial of peanut consumption in infants at risk for peanut allergy G. du Toit et al New England Journal of Medicine 26.2.15 p803-813 Pressure ulcers Pocket mirrors will help nurses to spot pressure ulcers early Nursing Management 2015 21 (9) p6 A SENIOR nurse (at Derriford Hospital) has secured funding for pocket mirrors to help staff identify pressure ulcers more effectively. Public health Climate change and ecological public health Benny Goodman Nursing Standard 11.2.15 p37-41 Towards a comprehensive public health response to population ageing John R Beard et al Lancet 14.2.15 p658-661 Research Increasing nurse and midwife engagement in research activity Kay Mitchell et al Nursing Standard 4.2.15 p37-42 Student nurses A strategy for maintaining student wellbeing Stephen Hamilton et al Nursing Times 11.2.15 p20-22 Using simulation to aid students’ documentation Wendy Wright et al Nursing Times 18.2.15 p18-19 Wound care Management of a patient with small-area burns, severe sepsis and superficial vein thrombosis H Shao et al Journal of Wound Care 2015 Feb p73–78 Writing for publication Support nurses in writing for publication Bronwen Williams Nursing Times 25.2.15 p15-17

DISCLAIMER: The Musgrove Park Library Service takes no responsibility for the wording, content and accuracy of the information supplied which has been extracted and edited in good faith from reputable sources.

Library Contact Details MPH Library@tst.nhs.uk Tel: 01823 342433 Library web pages at: http://intranet.tsft.nhs.uk/Default.aspx?alias=intranet.tsft.nhs.uk/LibraryService YDH Library@ydh.nhs.uk Tel: 01935 384495 Library web pages at: http://ycloud/teams/Library/SitePages/Home.aspx SomPar Library@sompar.nhs.uk 01823 368210 Library web pages at: http://intranet.sompar.nhs.uk/a_-_z_directory/library_service.aspx